- Ascension Health (Tulsa, OK)
- …management rules and regulations. **Requirements** Licensure / Certification / Registration: + Registered Nurse credentialed from the Oklahoma Board of Nursing ... licensure at time of hire. **Additional Preferences** + 5+ years RN experience + Utilization Review experience preferred **Why Join Our Team** Ascension St. John… more
- Saint Francis Health System (Tulsa, OK)
- …position requires minimal call rotation in evenings and weekends** Job Summary: The Registered Nurse I (PRN) assesses, plans, implements and evaluates nursing ... as needed by the department; limited benefit offerings. Variable ** RN Day/Evening Shift - 8:30 am - 4:30 pm**...Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 2 years… more
- Saint Francis Health System (Tulsa, OK)
- …OPAD/PACU) Requires 1 weekend call shift per month \#RNSIND Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 2 years of related… more
- Sharecare (Oklahoma City, OK)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the goals and… more
- Fresenius Medical Center (Yukon, OK)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- CVS Health (Oklahoma City, OK)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Saint Francis Health System (Muskogee, OK)
- …worked hours per month as needed by the department; limited benefit offerings. Days ** Registered Nurse ECB Outpatient Infusion** . Not available for New Grad RNs ... or holidays No on-call **Requires** 36 hours per schedule Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing… more
- Saint Francis Health System (Tulsa, OK)
- …care. Matrix at 4-5 patients per nurse . \#RNSIND Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the ... of Surgical, ortho, neuro and hospice / comfort measures. Utilization of hands-on skills Play an important role in...Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 -… more
- CVS Health (Oklahoma City, OK)
- …- Perform medical necessity reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting - A Registered Nurse that holds an active, unrestricted… more
- Saint Francis Health System (Tulsa, OK)
- …from ER, ICU, and CTU units. + All private rooms Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 - 6 months related… more
- Saint Francis Health System (Tulsa, OK)
- …to learn and grow. Come join our team today! \#RNSIND Job Summary: The Registered Nurse I assesses, plans, implements and evaluates nursing care, utilizing the ... therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: 0 - 6 months related… more
- Fresenius Medical Center (Oklahoma City, OK)
- …under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... Bloodborne Pathogen Control Policies. **ADMINISTRATIVE:** + Assists with efficient utilization of medication, laboratory, inventory, supplies and equipment to… more
- Humana (Oklahoma City, OK)
- …guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in an enhanced compact, (eNLC) with ... our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- CVS Health (Oklahoma City, OK)
- …both verbal and written. **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting. + Must have active ... current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… more
- US Tech Solutions (May, OK)
- …of experience as an RN . 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior authorization utilization ... and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review. . MUST HAVE 1 YEAR OF...months of Prior Authorization. Education: . Active and unrestricted RN licensure in state of residence **About US Tech… more
- CVS Health (Oklahoma City, OK)
- …and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... opportunities to promote quality effectiveness of Healthcare Services and benefit utilization . + Consults and lends expertise to other internal and external… more
- SSM Health (Oklahoma City, OK)
- …Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse ( RN ) Issued by Compact State + Or + ... in standard work. + May also be responsible for: utilization management process, ED case management process, admission process,...Registered Nurse ( RN ) - Missouri Division of Professional… more
- Saint Francis Health System (Tulsa, OK)
- …therefrom. Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. Work Experience: Minimum of 1 year in ... Investigates patient and staff complaints; investigates patient care incidents and reports to nurse manager; functions as a patient and family advocate at all times.… more
- Humana (Oklahoma City, OK)
- …and/or Behavioral Health; MED-Deeming accreditation standards knowledge is a plus. + Registered Nurse or Behavioral Health Licensed Professional. + Managed care, ... Minimum 3 years of experience in NCQA Health Plan Accreditation and/or Utilization Management + Exceptional attention to detail. + Demonstrated excellent time… more
- CVS Health (Oklahoma City, OK)
- …5+ years of clinical experience required 2+ years of experience as a Registered Nurse with current unrestricted state licensure required in state of ... Management review Managed Care experience Client processing experience **Education** Registered Nurse **Anticipated Weekly Hours** 40 **Time Type** Full… more