- US Tech Solutions (May, OK)
- …HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. . MUST HAVE UM experience, inpatient utilization management review . . MUST HAVE 1 YEAR OF UTILIZATION ... policy, regulatory and accreditation guidelines. . Responsible for the review and evaluation of clinical information and documentation. ..... 1+ years of inpatient hospital experience . Registered Nurse in state of residence . Must have prior… more
- Centene Corporation (Oklahoma City, OK)
- …on workplace flexibility. **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members. ... utilization management. + Manages behavioral health (BH) utilization review clinicians and ensures compliance with...Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Centene Corporation (Oklahoma City, OK)
- …criteria + Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care + ... + Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to… more
- HCA Healthcare (Oklahoma City, OK)
- …apart from any other healthcare provider. We are seeking an Operating Room Nurse to join our healthcare family. **Benefits** Oklahoma Surgicare, offers a total ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
- Lumeris (OK)
- …in the process. Additionally, we can easily send pertinent documents to you for your review . Once you create the account, you may apply to any position you feel is ... information. Thank you for your interest in Lumeris. **Position:** Nurse Practitioner/Physician Assistant, Oklahoma City **Position Summary:** Responsible for… more
- US Tech Solutions (May, OK)
- **Job Description:** Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained form ... compliance with clinical policy, regulatory and accreditation guidelines.Accurately applies review requirements to assure case is reviewed by a practitioner… more
- Marriott (Oklahoma City, OK)
- …workers' compensation losses. The NCM is responsible for conducting first level Utilization Review and coordinates subsequent levels if necessary, as required ... **Additional Information** Nurse CARE Manager (CARE - Coordinated Action and...that may include multiple states. + Conducts first level utilization review per jurisdictional requirements. + Coordinates… more
- STG International (Idabel, OK)
- …safety. + Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to CBOC clinicians. + Evaluate the… more
- Fresenius Medical Center (Oklahoma City, OK)
- …state regulations, and accrediting agency standards where applicable. + Participate in review business and finances of the site, including financial reports, market ... the security and integrity of facility + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve supply… more