• Utilization Management RN - Physical…

    Humana (Oklahoma City, OK)
    …an impact** **Required Qualifications:** + Must Reside in Oklahoma + An active Licensed Registered Nurse ( RN ), a licensed Master's Level Social Worker (LCSW, ... to removing barriers to helping people achieve their best health. The Utilization Management ( UM ) Nurse 2 uses clinical nursing skills to support the… more
    Humana (04/25/24)
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  • Registered Nurse - Utilization…

    ERP International (Tinker AFB, OK)
    **Overview** ERP International, LLC is seeking a ** Registered Nurse - Utilization Managment** for a full-time position supporting **Medical Managment** in ... databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case ...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
    ERP International (04/20/24)
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  • Registered Nurse - Case Manager

    ERP International (Tinker AFB, OK)
    **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case ...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
    ERP International (04/19/24)
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  • RN , Utilization Management

    Humana (Oklahoma City, OK)
    …health first** Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and ... Behavioral Health Facilities to obtain sufficient clinical information. The UM Behavioral Health RN work assignments are...Qualifications** + Minimum of Associate's Degree in Nursing + Registered nurse with active Compact Licensure and… more
    Humana (04/25/24)
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  • Senior Accreditation Utilization Management

    Humana (Oklahoma City, OK)
    … Timeliness Monitoring and Reporting + Working knowledge using Power BI + Registered Nurse or Behavioral Health Licensed Professional. + Managed care, Medicaid ... + Serves as subject matter expert on NCQA Health Plan Accreditation UM requirements, advising stakeholders on compliance, and facilitating NCQA UM more
    Humana (04/10/24)
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  • Case Manager- Utilization Review

    Actalent (Oklahoma City, OK)
    Description: Utilization Review Nurse perform integrated case management (CM) and disease management ( UM ) activities demonstrating clinical judgment and ... patient care methods or facilities Skills: Acute care, acute, nurse , clinical, healthcare, Case management , Utilization ...in Nursing or advanced degree preferred. * Active Oklahoma RN license required. * Case Manager, Discharge Planner, UR… more
    Actalent (04/20/24)
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