- Evolent (Oklahoma City, OK)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- 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
- Fresenius Medical Center (Oklahoma City, OK)
- …_Charge Nurse Guidance_ recommendations and oversee all dialysis related medical and emergency functions. + Communicates with the physician and other members ... **PURPOSE AND SCOPE:** The Inpatient Services Charge Nurse is an additional "responsibility" assigned to the...accordance with the TAP scheduling tool. + Maintain and review the daily TAP tool for all hospitals/facilities under… more
- Humana (Oklahoma City, OK)
- …needs and by providing guidance along the healthcare continuum. You will perform clinical case review on members during an inpatient hospital admission. You ... us put health first** The NICU Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates...+ Bilingual is a plus - preferably Spanish + Clinical claim review experience **Additional Information** +… 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
- 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
- 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
- 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
- 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
- Centene Corporation (Oklahoma City, OK)
- …+ Active Oklahoma license: LPC, LMFT, LCSW, or RN **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services...state required. Master's degree for behavioral health clinicians required. Clinical knowledge and ability to review and/or… more
- Veterans Affairs, Veterans Health Administration (Oklahoma City, OK)
- …a small panel of HBPC Veterans and to serve in rotation for other clinical assignments within GEC as scheduled or assigned. VA offers a comprehensive total rewards ... VHA Education Loan Repayment Services program office after complete review of the EDRP application. Former EDRP Participants are...Care Unit), a clinic (PALU-PACT), and is the primary clinical site for a Hospice & Palliative Medicine Fellowship… more
- Intermountain Health (Oklahoma City, OK)
- …or registrations: Registered Medical Assistant (RMA) of AMT, National Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA) or ... that invests in your growth** -with many career paths to explore, like Medical Assistant Senior, Registered Nurse , Practice Manager, and more! + **Intermountain… more
- Humana (Oklahoma City, OK)
- …our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... documentation and communication of medical services and/or benefit administration...of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills,… more
- Love's Travel Stops & Country Stores (Oklahoma City, OK)
- …professionals, etc. We are seeking a motivated Wellness Specialist with a clinical / medical background to lead the design, implementation, and management of ... nutrition, human resources or a related field + Advanced clinical credentials are preferred, including: Registered Nurse ... Nurse (LVN) + Experience working as a nurse or in the medical field is… 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 ... results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works...Medical Support Specialist + Two years in a clinical or hospital setting **What Takeda can offer you:**… more
- HCA Healthcare (Oklahoma City, OK)
- …clinical data in the medical record and consistent collaboration with the Registered Nurse in clinical decision making. What you will do in this role: + ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more