Utilization Management RN: Care Coordination & Review
CommunityCare HMO, Inc.
CommunityCare HMO, Inc. in Tulsa, OK seeks a Registered Nurse to perform utilization review and assess opportunities for care coordination for high risk members and complex cases. You will collaborate with physicians and other providers, document reviews, and participate in ongoing education within the Utilization Management Team. The role requires strong communication, knowledge of managed care, and the ability to manage multiple tasks in a fast-paced environment. #J-18808-Ljbffr
- CommunityCare HMO Inc. is seeking a clinical utilization reviewer in Tulsa, Oklahoma. You will be responsible for assessing care needs and coordinating services for health plan members,... ..., with preferred experience in case management and population health. #J-18808-Ljbffr...Suggested
- ...Oklahoma, is seeking a clinical review nurse to assess utilization requests and coordinate care for members, particularly those... ...approach within the Utilization Management Team to ensure quality service provision... ...will possess a current RN license in Oklahoma and have experience...Suggested
- ...Utilization Management Team Member Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified...Suggested
- ...Description Position : RN Case Manager Reports to : Director of Patient Care Department :... ...Manager is responsible for coordinating care of assigned... ...caseload of 10—12 patients utilizing data on physical,... ...for the development, review and revision of care plans...SuggestedPart timeDay shift
- ...Registered Nurse (RN) | Progressive Care Unit Location: Tulsa, OK... ...general disease state management processes, bio-psychosocial... ...nursing care, utilizing the nursing process in... ...are subject to general review in final stages only. Coordinates activities of others but...SuggestedWeekly payFull timeShift workNight shift
$41.2 - $62.17 per hour
...Job Description: The RN Hospital Care Manager I delivers comprehensive care management services... ...Planning: Develops, adjusts, and coordinates care plans to address medical and... ...Demonstrated experience in case management, utilization review, value-based care, and/or discharge...Hourly payRemote workShift workWeekend work- ...Registered Nurse (RN) | Labor & Delivery... ...experience in other acute care areas may be... ...evaluates nursing care, utilizing the nursing process... ...subject to general review only in final stages. Coordinates activities of... ...general disease state management processes, bio-...Weekly payFull timeShift workNight shift
- ...Registered Nurse (RN) | Labor & Delivery Location: Tulsa, OK... ...board of nursing. - Ability to care for patients utilizing the nursing process. Description... ...alternatives that are subject to general review only in final stages. Coordinates activities of others without...Weekly payFull timeShift workNight shift
- ...Registered Nurse (RN) | Charge Nurse... ...history Description: Coordinates activities of... ...maintain continuity of care, patient flow, and... ...nursing staff in utilizing the nursing... ...incidents and reports to management; functions as a... ...documentation and data review. Requirements...Weekly payFull timeMonday to FridayFlexible hoursShift work
- ...Summary As the Nurse Manager, you will have the... ...patient centered care delivery. This... ...support to staff and RN supervisors.... ...patient care needs. Coordinates daily staffing adjustments... ...in agency utilization through retention,... ...Oversees timecard review, payroll validation...Hourly payImmediate startFlexible hoursShift work
- ...Job Title: RN - Home Health Keywords: Number of... ...implementation of nursing care; coordinates therapy referrals and... ...& prioritizes case management responsibilities including... ...updates timely. -Reviews all medications the... ...the plan of care. -Utilizes correct medical terminology...Work from home
- ...HIRING FULL TIME RN IN THE SAPULA AREA. The Home Health Field... ...-quality, patient-centered care within the comfort of patients... ...individual patient needs, often managing complex medical conditions. The... ...and standard precautions in coordinating and performing patient care activities...Full timeTemporary workImmediate start
- ...Travel House Supervisor RN Company: Fusion... ...shifts to ensure quality care, patient safety, and smooth... ..., patient flow management, crisis intervention, and... ...to hospital policies Coordinate and monitor patient admissions... ...efficiency Utilize electronic health records...Temporary workShift work
- ...Profession RN Specialty... ...experience in other acute care areas may be... ...evaluates nursing care, utilizing the nursing process... ...subject to general review only in final stages. Coordinates activities of others... ...general disease state management processes, bio-...Permanent employmentShift workNight shift
$45.31 - $67.01 per hour
...Job Description: The RN Program Coordinator is a hospital or care site level leader who provides specialized... ...implementing clinical protocols and practice management guidelines, monitoring care, and... ...to the development and review of care protocols, policies, and procedures...Hourly payShift work- ...general disease state management processes, bio-psychosocial... ...for nursing care within established budget... ...of patient needs and coordination of transfers. Communicates... ...standards of care. Utilizes the nursing process to... ...are subject to general review in final stages only....Immediate startShift workNight shift
- ...Registered Nurse (RN) | Intensive Care Unit (ICU) / Critical Care Location: Tulsa... ...implements, and evaluates nursing care, utilizing the nursing process in... ...alternatives that are subject to general review in final stages only. Coordinates activities of others but does...Weekly payFull timeShift workNight shift
$1,766 per week
...Registered Nurse (RN) | Medical-Surgical Location: Tulsa... ...Description: Provides direct nursing care in accordance with... ...appropriate. Serves as a primary coordinator of all disciplines for well-... ...and a unit coordinator. Utilization of virtual monitoring and techs...Full timeContract workShift workNight shiftWeekend work$1,560 per week
...Registered Nurse (RN) | Stepdown Location: Tulsa, OK Agency: FlexCare Pay... ..., allied health, and therapy talent management solutions for top healthcare facilities throughout... ...to provide the highest level of patient care possible. For clinicians, we open...Full timeContract workImmediate startShift workNight shift$1,825 per week
...Registered Nurse (RN) | Administration / Management Location: Tulsa, OK Agency: OneStaff Medical Pay: $1,825 per week Shift Information... ...in the absence of unit management. Addresses patient care, staffing, and any other issues that may arise. Id - 1480...Hourly payFull timeContract workTemporary workWork experience placementWork at officeFlexible hoursShift work- ...Registered Nurse (RN) | Administration / Management Location: Tulsa, OK Agency: Titan Medical Group Pay: Competitive weekly pay (inquire... .... (***) ***-**** About Titan Medical Group We Take Care of You. While the availability of medical technicians...Weekly payFull timeContract workShift workNight shift
$1,766 per week
...Registered Nurse (RN) | Medical-Surgical Location: Tulsa... ...Description: Provides direct nursing care in accordance with... ...appropriate. Serves as a primary coordinator of all disciplines for well-... ...unit coordinator. Utilization of virtual sitter monitoring...Full timeContract workShift workNight shiftWeekend work$1,766 per week
...Registered Nurse (RN) | Telemetry Location: Tulsa, OK... ...Description: Provides direct nursing care in accordance with... ...appropriate. Serves as a primary coordinator of all disciplines for well-coordinated... ...unit coordinator. Utilization of virtual sitter monitoring...Full timeContract workShift workWeekend work$1,766 per week
...Registered Nurse (RN) | Telemetry Location: Tulsa, OK... ...Description: Provides direct nursing care in accordance with... ...appropriate. Serves as a primary coordinator of all disciplines for well-coordinated... ...to patient ratio is 1:4-6. Utilization of virtual sitter monitoring...Full timeContract workShift workNight shift$1,825 per week
...Registered Nurse (RN) | Administration / Management Location: Tulsa, OK Agency: OneStaff Medical Pay: $1,825 per week Shift Information... ...in the absence of unit management. Addresses patient care, staffing, and any other issues that may arise. Id - 1480...Hourly payFull timeContract workTemporary workWork experience placementShift work$2,035 per week
...Registered Nurse (RN) | Administration / Management Location: Tulsa, OK Agency: Advantis Medical Staffing Pay: $2,035 per week Shift... ...service where we set the gold standard in clinician care. As a Joint-Commission-certified agency, we promise a seamless...Contract workImmediate startShift workNight shift$2,035 per week
...Registered Nurse (RN) | Administration / Management Location: Tulsa, OK Agency: Advantis Medical Staffing Pay: $2,035 per week Shift... ...service where we set the gold standard in clinician care. As a Joint-Commission-certified agency, we promise a seamless...Contract workImmediate startShift workNight shift$1,671 per week
...Registered Nurse (RN) | Medical-Surgical Location... ...preferred (open to reviewing 1+ years experience)1st... ...Modified 12:00:00 AM Account Manager: Marlie Hooper Account... .../ileostomy management/care, Feeding tube care and... .... Prime Staffing utilizes a unique matchmaking approach...Permanent employmentFull timeContract workTemporary workLocal areaRemote workShift workNight shiftWeekend work- ...is looking for a qualified full time MDS Coordinator to join our team. The ideal candidate will... ...basis. Qualifications Current RN or LPN. Current CPR certification.... ...implementation and evaluation of plan of care. Follows safety policies in performing...Full time
- ...Registered Nurse (RN) – Home Health Field-Based | Clinical Autonomy | Advanced Patient Care Join VitalCaring – Where Your Work... ...to lead decisions, manage complexity, and help patients... ...managing the plan of care, coordinating across disciplines, and driving...Full timeFlexible hours
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