- Centene Corporation (Oklahoma City, OK)
- … issues related to member care, provider interactions, and facilitates operations within utilization management . + Manages behavioral health (BH) ... compliance with applicable guidelines + Reviews and analyzes BH utilization management activities, over/under utilization ,...+ Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse -… more
- Centene Corporation (Oklahoma City, OK)
- …**Licenses/Certifications:** Current state's RN license. **For Oklahoma Complete Health Only:** Registered nurse with a license to practice in the State of ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… 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 ... Craig, Nowata, and Washington. Responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing,… more
- Sharecare, Inc. (Oklahoma City, OK)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more