- ERP International (Tinker AFB, OK)
- …software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work ... seniors, and groups. * **Certification** :Certified Case Manager by Commission for Case Management (CCM) or American Nurses Credentialing Center… more
- CVS Health (Oklahoma City, OK)
- …as required by the State regulatory agency. Preferred Qualifications + Case management in an integrated model + Managed care/ utilization review experience + ... ambulatory care or outpatient clinic/facility) + Must complete the Behavioral Health Case Manager certification training provided through the Department of… more
- SSM Health (Midwest City, OK)
- …regarding opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, ... Hospital Midwest **Worker Type:** Regular **Job Highlights:** + Department: Case Management + Patient Population or Ratio:...is what sets us apart. The role of the RN- Case Manager supports our organization by ensuring… more
- Cayuse Holdings (Oklahoma City, OK)
- …ecology, environmental science, or related field + 3-5 years of project or case management experience, preferably with municipal or community experience + Strong ... - USD $75,000.00 /Yr. Submit a Referral (https://careers-cayuseholdings.icims.com/jobs/1187/urban-%26-community-forestry- case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834356743) **Location** _US-N/A_ **ID** _102191_… more
- Marriott (Oklahoma City, OK)
- … Managers. **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization review issues. + Refer ... claims most likely to benefit from case management to meet jurisdictional needs. ** Utilization Review**...nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required… more
- J&J Family of Companies (Oklahoma City, OK)
- Sr. Manager , Distribution Process Owner - 2406188416W **Description** Johnson & Johnson is currently recruiting for a Sr. Manager Distribution Process Owner for ... NJ. Relocation maybe consider within United States on a case -by- case basis if approved by the company....https://www.jnj.com/. This position will drive a flawless brand-new Warehouse Management System (WMS) implementation, on time, on cost and… more
- CenterWell (Oklahoma City, OK)
- …care and high-risk management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab programs, etc. * ... Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as… more
- Humana (Oklahoma City, OK)
- …help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability ... from strategy to execution. **Location:** remote The Lead Product Manager partners across various multi-disciplinary teams at Humana to design, define and deliver… more
- Intermountain Health (Oklahoma City, OK)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Healthcare Provider. Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position… more
- J&J Family of Companies (Oklahoma City, OK)
- …sound, constructive judgment during demanding situations. + Accountability. Demonstrates excellent case management skills. Eager to take ownership, be proactive, ... Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager ,...will be the certified sites' primary day-to-day contact for case -level order management . While you'll occasionally assist… more
- Sharecare, Inc. (Oklahoma City, OK)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include… more
- CenterWell (Oklahoma City, OK)
- …+ Set or adopt policies for, and keep records of criteria for admission to service, case assignments, and case management . + Represent the pharmacy in a ... the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …activities, educational programs and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the ... **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …activities, educational programs and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the ... **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …activities, educational programs and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the ... **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient… more