- CVS Health (Oklahoma City, OK)
- …all with heart, each and every day. **Position Summary** This is a fully remote Quality Management Nurse Consultant opportunity. The schedule is Monday ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- CVS Health (Oklahoma City, OK)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs. + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. + Consults and… more
- CVS Health (Oklahoma City, OK)
- …external constituents in the coordination and administration of the utilization/benefit management function. Required Qualifications + Registered Nurse in state ... compassionate. And we do it all with heart, each and every day. _Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and… more
- US Tech Solutions (May, OK)
- …unrestricted active license **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Care/Medicare experience preferred **Position Summary** + Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage… more
- Highmark Health (Oklahoma City, OK)
- …of clinical, quality , care, utilization, high-cost claim, and population health management . Must be a recognized subject matter expert (SME). + Clinical Program ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- Defense Health Agency (Oklahoma City, OK)
- **Overview** **Advanced Practice Registered Nurse , Tinker AFB, Oklahoma** Tinker AFB is located in Oklahoma City, Oklahoma. Oklahoma City offers all of the culture, ... diagnosis, and prescribe pharmacologic and non-pharmacologic treatments in direct management of acute and chronic illness and disease. Promote preventive… more
- BrightSpring Health Services (Tulsa, OK)
- …may be directed by Nursing Department Managers. Responsibilities + Acts as a consultant to other departments to ensure optimum growth potential of developed programs ... completed timely and accurately and examines the individual + Ensures aggressive management of individual health needs when indicated by adverse change in… more
- Lincoln Financial (Oklahoma City, OK)
- …you will be responsible for leading and managing a team of nurse disability consultants and behavioral health consultants. This includes partnering closely with ... medical and vocational operations and serve as a consultant to the claim operations team for complex clinical...area(s) of responsibility, assesses the impact, and collaborates with management to incorporate new trends and developments in current… more
- Saint Francis Health System (Tulsa, OK)
- …Days \#RNSIND Job Summary: The Clinical Manager is responsible for the direct management of the interdisciplinary team and the home health care processes which ... includes clinical, financial and quality outcomes. Directly supervises the home care staff. Oversees...home care staff. Oversees and directs patient care, case management and documentation of all patient care services. Assists… more