- CVS Health (Oklahoma City, OK)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health ... ensuring compliance with regulatory and accreditation standards while driving healthcare quality initiatives. This role combines clinical expertise with quality … more
- CVS Health (Oklahoma City, OK)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- US Tech Solutions (May, OK)
- …unrestricted active license **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Care/Medicare experience preferred **Position Summary** + Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage… more
- Fujifilm (Oklahoma City, OK)
- …customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... **Position Overview** The Clinical Consultant , MI - I shall be responsible for... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- CVS Health (Oklahoma City, OK)
- …document, and communicate all aspects of our utilization and benefit management programs. You'll apply critical thinking and evidence-based guidelines to assess ... treatment plans, ensure appropriate levels of care, and promote quality healthcare outcomes. **Key Responsibilities:** + Evaluate treatment plans using clinical… more
- CVS Health (Oklahoma City, OK)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- Saint Francis Health System (Tulsa, OK)
- …the data collection process, shows a high level of proficiency in data management and validity, provides leadership within the department while working directly with ... and/or Certification: Valid multi-state or State of Oklahoma Registered Nurse License. BLS, ACLS, TNCC (Instructor Preferred), ENPC (Instructor Preferred),… more