- Centene Corporation (Oklahoma City, OK)
- … review clinicians to ensure appropriate care to members. Manages BH utilization management issues related to member care, provider interactions, and ... facilitates operations within utilization management ....Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact… more
- ERP International (Tinker AFB, OK)
- **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for a full-time position supporting **SHG Clinic** in support of **Tinker ... and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case...or pending adverse actions) to practice nursing as a registered nurse in any US state/jurisdiction. Security**… more
- SSM Health (Midwest City, OK)
- …opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, admission process, ... Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri + Registered Nurse (RN) Issued by Compact State + Or + Registered… more
- Marriott (Oklahoma City, OK)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... Claims Services + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… 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 + ... management . + Collaborates frequently with ministry and regional nurse executives for program planning and outcome measures. Consultatively... Registered Nurse (RN) Issued by Compact State… more
- Highmark Health (Oklahoma City, OK)
- …member is responsible for building relationships, engaging clinicians, educating on Utilization Management policies and processes, developing workflows and ... in provider setting. + 3 years of experience in utilization management /care management /QA/managed care ...diploma. **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) license in PA; additional… more
- SSM Health (Oklahoma City, OK)
- …years' experience, with seven years' in leadership **Required Professional License/Certifications** + Registered Nurse (RN) Issued by Compact State or ... Leads development of nursing practice standards to facilitate effective utilization of the electronic health record. + Establishes and...Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) **Physician… more
- Centene Corporation (Oklahoma City, OK)
- …preferred. **Licenses/Certifications:** Current state's RN license. **For Oklahoma Complete Health Only:** Registered nurse with a license to practice in the ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more