- Highmark Health (Oklahoma City, OK)
- …Description :** **JOB SUMMARY** This job is responsible for working with HHO clinical departments in the areas of compliance and process improvement. Serves ... as a corporate resource regarding accreditation standards, clinical performance and continuous improvement...maintenance of Care Management policies and procedures to ensure accreditation and compliance with NCQA and DMMA… more
- CVS Health (Oklahoma City, OK)
- …heart, each and every day. **Position Summary** The Transition of Care (TOC) Coordinator RN utilizes advanced clinical judgment and critical thinking skills to ... Utilizes case management, utilization management, and quality management processes in compliance with regulatory and accreditation guidelines and company… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …for appropriateness Prescribe exam protocols and modify as needed for specific clinical indications Provide oversight of technical image quality with feedback to ... technologists. Provide clinical oversight of medication administration, including contrast, preps and...in Imaging and general medical staff meetings, committee assignments, compliance and other components of an organized medical staff.… more
- CVS Health (Oklahoma City, OK)
- …clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to reduce risk… more
- CVS Health (Oklahoma City, OK)
- …clients. - Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... and/or member's needs to ensure appropriate administration of benefits. - Applies clinical judgment to the incorporation of strategies designed to reduce risk… more
- Veterans Affairs, Veterans Health Administration (Tulsa, OK)
- …satisfaction among patients and staff, as well as meet and exceed compliance standards. Provide anesthetic services within five general categories to include: ... induction, maintenance, and emergence; post anesthesia care; peri-anesthetic and clinical support functions; and emergency response techniques. Develops and… more
- Humana (Oklahoma City, OK)
- …to maximize each beneficiary's capacity for self-care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care. The case manager ... of case management involvement. The case manager will serve as the primary coordinator and point of contact for the beneficiary for all activities within the… more