- Humana (Oklahoma City, OK)
- …Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical record documentation and ... approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to… more
- BioLife Plasma Services (Oklahoma City, OK)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- … medical record system for documentation, workload capture, alert management, and for review of Veterans' current and future medical care needs Serve as the ... Summary The Advanced Practice Nurse (APN) II Certified Nurse Practitioner...the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. Responsibilities **Driving and Travel… more
- Humana (Oklahoma City, OK)
- …in preparation of cases prior to review by the Humana G&A Medicare Medical Directors. The Nurse reviews the medical documentation, researching claims, ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to...Medical Directors on submitted G&A cases. The G&A Nurse will participate in initiatives which result in improved… more
- Humana (Oklahoma City, OK)
- …community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, ... determination of the appropriate courses of action. The Utilization Management Behavioral Health Nurse 2 completes medical record reviews from medical … more
- Humana (Oklahoma City, OK)
- …based on operational needs at the discretion of department leadership. The Telephonic Nurse provides medical guidance, assists with access to care concerns, ... medication adherence and is trained to act as a clinical concierge. The NAL Telephonic Nurse role...compliance, etc. Responsibilities include: + **Provide accurate and appropriate medical advice and right level of care guidance utilizing… more
- CenterWell (Oklahoma City, OK)
- …complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to ... regarding Home Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services + Participates in special… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …and goals. Engages in self-assessment and communicates development needs to the Nurse Manager. Pursues education to enhance clinical knowledge; shares learning ... VA Health Care System. Responsibilities VA Careers - Licensed Practical Nurse : https://youtube.com/embed/Ae85IP1Oiz4 Total Rewards of a VA Career: Total Rewards of… more
- Sedgwick (Oklahoma City, OK)
- … Consultant) Certification or training preferred. **Experience** Five (5) years related clinical nursing experience and two (2) years nurse consultant experience ... Fortune Best Workplaces in Financial Services & Insurance Professional Liability Nurse Consultant **PRIMARY PURPOSE** **:** To handle complex or high exposure… more
- Datavant (Oklahoma City, OK)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- BioLife Plasma Services (Del City, OK)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- Health Advocates Network (Midwest City, OK)
- …of all medical records. *Assist Health Service Administrator with the review of medical files to determine all provided services are documented. ... $672 M&I 413=$1,085. Total comp $1769.00.00- blended rate: $49.14 The Registered Nurse (RN) plans and provides comprehensive nursing care including, but not limited… more
- CVS Health (Oklahoma City, OK)
- …of Care. + Evaluate patient status post-ED visit or observation stay through a clinical assessment and medical record review . + Triage to determine ... TCM is the primary member of the CVS Health clinical care team and facilitator of interdisciplinary collaboration and...steps. + Coordinate with the Utilization Management team to review medical and payer records to ensure… more
- BrightSpring Health Services (Oklahoma City, OK)
- Our Company Amerita Overview The Nurse Practitioner Supervisor will be responsible for the oversight of the MosAIC Nursing team to include, day-to day staff ... affordable benefits for all Full-time and Part-time Employees: + Medical , Dental & Vision Benefits plus, HSA & FSA...Time Keeping system + Participate in the annual performance review process + Provide feedback for staff performance improvement… more
- Select Medical (Oklahoma City, OK)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate safe ... Medical & SSM Health Oklahoma City, OK **Weekend Clinical Liaison (RN, OT, PT, or SLP)** **Friday -...licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist… more
- Highmark Health (Oklahoma City, OK)
- …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member panel and ... utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent conducts… more
- CenterWell (Oklahoma City, OK)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Fujifilm (Oklahoma City, OK)
- **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with...HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training… more
- Cardinal Health (Oklahoma City, OK)
- …to ensure a positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides ... manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of… more
- Zurich NA (Oklahoma City, OK)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of ... commitment to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist, you will manage supplier performance and work product in… more