Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-OK-Tulsa

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

Oklahoma Medicaid CMO, RVP Health Services - USA-OK-Tulsa

Sun, 10 Sep 2023 00:00:00 CDT

Description The OK Medicaid CMO, RVP Health Services (CMO)relies on medical background to create and oversee clinical strategy for the region. The CMO requires an in-depth understanding of how organi...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-OK-Tulsa

Tue, 15 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinat...

Utilization Management Nurse 2 - Work at Home (Part-Time - Tuesday/Thursday/Friday) - USA-OK-Tulsa

Tue, 08 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Utilization Management Nurse 2 - Central Region (Work at Home - KS, AR, MO, OK, IA, NE) - USA-OK-Tulsa

Tue, 12 Sep 2023 00:00:00 CDT

Rural Emergency Medicine Physician Assistant - USA-OK-Marietta

Mon, 26 Jun 2023 00:00:00 CDT

We’re a Little Different

Commercial Medical Director - Work At Home - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Patient Care Technician - PCT - USA-OK-Muskogee

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000EQXAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

Director, National Medicaid Care Management Strategy and Practice - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

Medical Director - Part Time - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

APRN or PA - Mercy Clinic Urology - Oklahoma City - USA-OK-Oklahoma City

Mon, 26 Jun 2023 00:00:00 CDT

We’re a Little Different

Staff Utilization Management Pharmacist (Contract Position) - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-OK-Tulsa

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Medical Director - Work at Home - USA-OK-Tulsa

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-OK-Tulsa

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Tulsa Oklahoma Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to suppo...

Enterprise Risk Management Lead-US-Remote - USA-OK-Tulsa

Fri, 23 Jun 2023 00:00:00 CDT

Job Information Humana Enterprise Risk Management Lead-US-Remote in Tulsa Oklahoma Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program ...

Medical Records Retrieval Specialist - Oklahoma City, OK - USA-OK-Oklahoma City

Mon, 26 Jun 2023 00:00:00 CDT

Description The Risk Adjustment Representative 2 (Medical Record Retrieval Rep) performs varied activities and moderately complex administrative/operational/customer support assignments. Performs com...

Business Support Coordinator 1 - Medical Records - USA-OK-Tulsa

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

HealthcareCrossing Jobs

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-OK-Tulsa

Oklahoma Medicaid CMO, RVP Health Services - USA-OK-Tulsa

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-OK-Tulsa

Utilization Management Nurse 2 - Work at Home (Part-Time - Tuesday/Thursday/Friday) - USA-OK-Tulsa

Utilization Management Nurse 2 - Central Region (Work at Home - KS, AR, MO, OK, IA, NE) - USA-OK-Tulsa

Rural Emergency Medicine Physician Assistant - USA-OK-Marietta

Commercial Medical Director - Work At Home - USA-OK-Tulsa

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-OK-Tulsa

Patient Care Technician - PCT - USA-OK-Muskogee

Director, National Medicaid Care Management Strategy and Practice - USA-OK-Tulsa

Medical Director - Part Time - USA-OK-Tulsa

APRN or PA - Mercy Clinic Urology - Oklahoma City - USA-OK-Oklahoma City

Staff Utilization Management Pharmacist (Contract Position) - USA-OK-Tulsa

Utilization Management RN (DME / HH Outpatient) - WAH - USA-OK-Tulsa

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-OK-Tulsa

Medical Director - Work at Home - USA-OK-Tulsa

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-OK-Tulsa

Enterprise Risk Management Lead-US-Remote - USA-OK-Tulsa

Medical Records Retrieval Specialist - Oklahoma City, OK - USA-OK-Oklahoma City

Business Support Coordinator 1 - Medical Records - USA-OK-Tulsa