- Universal Health Services (Enid, OK)
- …assurance that their needs and concerns will be addressed. Job Duties/Responsibilities: + The Case Manager (CM) may meet with the patient and family prior to ... of Oklahoma required. + Two years' experience in discharge planning and utilization review desirable. + Knowledge of QI helpful. + Excellent public relations… more
- Sedgwick (Oklahoma City, OK)
- …**PRIMARY PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...at client locations; to provide expertise in client specific case management and utilization review … more
- Healthfirst (OK)
- …with experience in appeals & grievances, claims processing, utilization review or utilization management/ case management. + Demonstrated understanding ... coordinate with the mailroom for expedited printing needs + Review case change requests and cancellations including...of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual,… more
- Sedgwick (Oklahoma City, OK)
- …claims requiring extensive skills/experience; and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve problems and/or ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Bill Review Team Lead **PRIMARY PURPOSE** : To supervise expense bill reviewers in… more
- Envista Holdings Corporation (OK)
- …business plan reviews to Metrex sales leadership to include once a month business review with your direct sales manager . + **_Retain_** current Metrex business ... Holdings Corporation. **JOB SUMMARY** : The **Metrex Strategic Account Manager (SAM)** is responsible for all duties and objectives...health systems where Metrex has no footprint. + Daily utilization of CRM (maintain a BX score of at… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient ... to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions or interactions of drugs. +… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient ... to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions or interactions of drugs. +… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient ... to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions or interactions of drugs. +… more