• 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 ... no limitations, stipulations or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security** : Must possess… more
    DirectEmployers Association (09/30/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Registered Nurse

    Cognizant (Oklahoma City, OK)
    …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (10/07/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    Humana (Oklahoma City, OK)
    …a part of our caring community and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Communities is good for the Soul. Join Us!** The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
    Humana (10/18/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Nurse

    CVS Health (Oklahoma City, OK)
    …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team.… more
    CVS Health (10/21/25)
    - Save Job - Related Jobs - Block Source
  • Behavioral Health Utilization Management…

    CVS Health (Oklahoma City, OK)
    …+ Unrestricted OK state independent Behavioral Health clinicianlicense or a Registered Nurse (RN) with psychiatric specialty,certification, or Behavioral Health ... or behavioral health setting required. + Strong knowledge of clinical practice guidelines and utilization management. **Required**...Health licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse (RN) with unrestricted state license… more
    CVS Health (10/18/25)
    - Save Job - Related Jobs - Block Source
  • Case Manager, Registered Nurse

    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
    CVS Health (10/15/25)
    - Save Job - Related Jobs - Block Source
  • SNF Utilization Management RN - Compact Rqd

    Humana (Oklahoma City, OK)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **​Licensed Registered Nurse (RN)** in the (appropriate state)… more
    Humana (09/12/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management Clinician-…

    CVS Health (Oklahoma City, OK)
    …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... we do it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization more
    CVS Health (10/21/25)
    - Save Job - Related Jobs - Block Source
  • Acute Inpatient Charge Registered

    Fresenius Medical Center (Oklahoma City, OK)
    **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the Inpatient Services RN, for a limited period of time, and ... duties, as assigned by the Program Manager. The Inpatient Services Charge Nurse ensures appropriate provision of Acute Dialysis Services and treatments within… more
    Fresenius Medical Center (09/17/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Oklahoma City, OK)
    …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
    Centene Corporation (10/17/25)
    - Save Job - Related Jobs - Block Source
  • Clinical Reviewer, Nurse -9am -6pm…

    Evolent (Oklahoma City, OK)
    …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
    Evolent (10/21/25)
    - Save Job - Related Jobs - Block Source
  • Consultant, Nurse Disability I

    Lincoln Financial (Oklahoma City, OK)
    …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
    Lincoln Financial (10/10/25)
    - Save Job - Related Jobs - Block Source
  • QM Nurse Consultant

    CVS Health (Oklahoma City, OK)
    utilization to improve clinical care and outcomes. Required Qualifications: Registered Nurse (RN) required. Working knowledge of problem solving and ... of policies, procedures, and guidelines that focus on improving clinical quality and ensuring patient safety. Collaborates with cross-functional teams,… more
    CVS Health (10/21/25)
    - Save Job - Related Jobs - Block Source
  • Unit Mgr Clinical Operations

    Health Care Service Corporation (Oklahoma City, OK)
    …organization in delivery of services to the customer. **JOB REQUIREMENTS** **:** + Registered Nurse (RN), with current, unrestricted license to practice in state ... clinical staff involved in a variety of clinical operations such as Utilization Management, Case...a variety of clinical operations such as Utilization Management, Case Management and/or Disease Management. Responsible for… more
    Health Care Service Corporation (10/18/25)
    - Save Job - Related Jobs - Block Source
  • RN - Case Manager

    SSM Health (Midwest City, OK)
    …Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or + Registered ... in standard work. + May also be responsible for: utilization management process, ED case management process, admission process,...of Professional Registration State of Work Location: Oklahoma + Registered Nurse (RN) Issued by Compact State… more
    SSM Health (09/19/25)
    - Save Job - Related Jobs - Block Source
  • RN-Case Manager (H)

    SSM Health (Midwest City, OK)
    …Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or + Registered ... in standard work. + May also be responsible for: utilization management process, ED case management process, admission process,...of Professional Registration State of Work Location: Oklahoma + Registered Nurse (RN) Issued by Compact State… more
    SSM Health (08/30/25)
    - Save Job - Related Jobs - Block Source
  • RN-Wound Care Specialist

    Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
    …to this occupational series. For more information, refer to Required Documents below. The Nurse Wound Care Registered Nurse (RN) is responsible for providing ... management of patients/residents with acute and chronic wounds across clinical practice settings. Assumes responsibility for the coordination of...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (10/19/25)
    - Save Job - Related Jobs - Block Source