- Humana (Oklahoma City, OK)
- …documentation, and communication of medical services and benefit administration determinations. The Utilization Management Nurse 2's work assignments are ... barriers to helping people achieve their best health. The Utilization Management (UM) Nurse 2...impact** **Required Qualifications:** + **Must Reside in Oklahoma** + Registered Nurse in the State of Oklahoma… more
- SSM Health (Oklahoma City, OK)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) - Missouri Division of Professional Registration + ... communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. + Utilizes research and other forms of...Or + Registered Nurse ( RN ) Issued by… more
- SSM Health (Midwest City, OK)
- …Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse ( RN ) Issued by Compact State + Or + ... communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. + Utilizes research and other forms of...Registered Nurse ( RN ) - Oklahoma Board of Nursing… more
- Highmark Health (Oklahoma City, OK)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Highmark Health (Oklahoma City, OK)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... **LICENSES or CERTIFICATIONS** **Required** + Current State of PA RN licensure OR Current multi-state licensure through the enhanced...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- CenterWell (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license ( RN )...volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's… more