Texas Licensed Utilization Management RN
VirtualVocationsTulsa, Oklahoma, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Fertility Utilization Management RN - Remote.
Key Responsibilities
Determine the appropriateness of inpatient and outpatient services based on medical guidelines and benefit determination
Identify solutions to non-standard requests and problems while acting as a resource for others
Work autonomously on complex issues, making decisions that directly impact members' health outcomes
Required Qualifications
Current unrestricted RN licensure in state of residence
Compact license and / or willingness to obtain additional licenses in specified states
3+ years of Managed Care and / or Clinical experience
1+ years of fertility experience
Proven computer proficiency, including strong data entry skills and navigation in a Windows environment
serp_jobs.job_alerts.create_a_job
Utilization Management Rn • Tulsa, Oklahoma, United States
Job_description.internal_linking.related_jobs
Long Term Acute Care RNs (LTAC RNs) provide quality patient care during the patient assessment, intervention, and evaluation process.
LTAC RNs collaborate with all members of a patient's healthc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a DRG QA and Trainer.Key Responsibilities Oversee quality assurance of DRG Reviewers, ensuring compliance with clinical and coding standards Conduct training sessions fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Care Management Clinical Support Coordinator who will perform duties in support of care management and integrated medical management programs.Key Responsibilities Suppo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Workers Compensation Claims Examiner I.Key Responsibilities Manage an assigned medical-only caseload of workers' compensation claims Determine compensability of claims...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Triage Nurse RN (Telehealth) for a part-time weekend position.Key Responsibilities Receive inbound and place outbound calls to patients for clinical assessment and tria...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Precert Care Manager for the overnight shift.Key Responsibilities Complete acute and non-ambulatory precertifications and apply medical necessity guidelines Consult wi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Clinical Appeals Coordinator.Key Responsibilities Act as the liaison for statewide appeals, ensuring compliance with State and NCQA requirements Review clinical inform...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Preservice Review Nurse RN - Remote.Key Responsibilities Perform clinical coverage review services, interpreting state and federal mandates and clinical information Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Therapist - Adult IOP (Part-time / Remote).Key Responsibilities Oversee a caseload of clients, ensuring comprehensive delivery of individual and family therapy Co-facili...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Nursing Success Coach, Remote, Bilingual Required.Key Responsibilities Provide academic support and personalized study strategies to pre-licensure nursing students Ass...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Remote Case Manager.Key Responsibilities Collaborate with a multidisciplinary healthcare team to monitor utilization patterns and facilitate appropriate care delivery ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Senior LTSS Service Care Manager (RN).Key Responsibilities Perform care management duties for complex / high acuity populations Develop personalized care plans and educa...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Medical Insurance Verification Specialist.Key Responsibilities Handle Prior-Authorizations (PAs) and Insurance Verification Communicate with patients, providers, and i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a LOS Clinical Review Coordinator for TN and MO.Key Responsibilities Request and review member's clinical information from providers Perform utilization review of inpati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Licensed Therapist (Arizona Licensure).Key Responsibilities Provide therapy to individuals with behavioral and mental health concerns Participate in clinical case cons...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day A company is looking for a Coordinator, National On-Call.Key Responsibilities Manage inbound tickets and answer live phone calls as needed Provide exceptional customer service to caregivers and ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 A company is looking for a Manager, Vendor Clinical Policy to join their Clinical Policy team.Key Responsibilities Evaluate vendor policy sets to ensure compliance with internal and external medi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days A company is looking for a Clinical Peer Review RN Coordinator (Performance Improvement).Key Responsibilities Coordinate and manage peer review processes with precision and discretion Serve as a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for an Inpatient Coding Manager to oversee daily operations of the inpatient coding department.Key Responsibilities Manage inpatient coding teams and ensure accurate and time...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours A company is looking for a Clinical Applications Professional 4 - Ambulatory.Key Responsibilities Lead the development, upgrade, enhancement, and support of Clinical Information systems Manage l...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
- serp_jobs.job_card.promoted
PRN LTAC RN Job in Tulsa, Oklahoma
Gifted HealthcareBroken Arrow, OK, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed DRG QA Trainer
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Oregon Licensed Care Management Coordinator
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Wisconsin Licensed Claims Examiner
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed Triage Nurse RN
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Pennsylvania Licensed Precert Care Manager
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Appeals Coordinator
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Florida Licensed Preservice Review Nurse
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Ohio Licensed Therapist
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.part_time
- serp_jobs.job_card.promoted
Arizona Licensed Nursing Coach
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
North Carolina Licensed Case Manager
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Senior Care Manager
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Medical Insurance Specialist
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Tennessee and Missouri RN Clinical Review Coordinator
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Arizona Licensed Therapist
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
California Licensed On-Call Coordinator
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Texas Licensed Clinical Policy Manager
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Oregon Licensed Clinical Peer Review RN
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Florida Licensed Inpatient Coding Manager
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
California Licensed Clinical Applications Professional
VirtualVocationsTulsa, Oklahoma, United Statesserp_jobs.job_card.full_time