- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- 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
- Evolent (Oklahoma City, OK)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed… 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 + Registered ... and communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. + Utilizes research and other forms of evidence to… more
- SSM Health (Oklahoma City, OK)
- …Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) + And + Registered Nurse (RN) - Missouri Division of Professional Registration + Or + ... communicates with patient/family/caregiver and appropriate nursing, physician, and care management staff. + Utilizes research and other forms of... Registered Nurse (RN) Issued by Compact State… 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
- Humana (Oklahoma City, OK)
- …**Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin, including compact license. + Two ... inpatient and subacute activity daily for outcomes related to readmission, utilization , quality of care and provider performance in compliance with Humana/iCare… more