Utilization Management RN: Care Coordination & Review
CommunityCare HMO Inc.
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, particularly those at high risk. Your role involves performing utilization reviews, documenting findings, and collaborating with healthcare providers. Candidates must possess a valid Registered Nurse license, with preferred experience in case management and population health. #J-18808-Ljbffr CommunityCare HMO Inc.
- ...for a Registered Nurse to perform clinical reviews of utilization requests. The role involves assessing and implementing care coordination opportunities for members with high... ...accredited nursing school with an active RN license in Oklahoma and possess experience...Suggested
- CommunityCare HMO, Inc. in Tulsa, OK is seeking a Nurse in Utilization Management responsible for reviewing utilization requests and coordinating care across the health system. The role requires RN licensure in Oklahoma, BSN, and experience in acute care; it emphasizes...Suggested
- ...Tulsa, OK is seeking a Registered Nurse to perform utilization review of outpatient and inpatient services and coordinate care for at-risk members. The role involves... ...optimize outcomes. The position requires an Oklahoma RN license, acute care and population health...Suggested
- Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized... ...an active team member of the Utilization Management Team. KEY RESPONSIBILITIES Performs...Suggested
- ...Position Summary The Utilization Review and Preauthorization Specialist... ...compliance before care is delivered. Serving... ...Director, Nurse Manager, or Care Manager). Obtain... ...effectively with Care Coordination, Case Management, Claims... .... Registered Nurse (RN) preferred; other clinical...SuggestedWork at officeMonday to FridayFlexible hours
- ...Medical Center **Department:** Utilization Review **Schedule:** PRN, every... ...in service, growth, care and connection. We empower... ...spiritual care and stress management resources **How you'll make... ...advocating for benefits, and coordinating smooth, safe transitions to...ReliefLocal areaRemote workWeekend 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
- The RN Case Manager delivers integrated nursing and case management... ...assessments, direct nursing care, care coordination, and health education... ...hospital or emergency department utilization. Monitor client... ...improvement, utilization review, and outcome monitoring activities...Work at office
- Hillcrest Medical Center in Tulsa, OK is seeking a full-time Acute Care Registered Nurse Case Manager for day shift roles. The ideal candidate will assess and coordinate patient care across various medical services, ensuring quality outcomes in a supportive healthcare...Full timeImmediate startDay shift
- ...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...Part timeDay shift
- ...position in integrated care program (mental health,... ...with co-occurring needs. RN Care Manager conducts assessments, coordinates care, meets individually... ...substance use challenges. Utilizing multi-disciplinary teams... ...information, please review the Know Your Rights notice...Permanent employmentTemporary workWork at officeLocal areaRemote work
- ...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...Weekly payFull timeShift workNight 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...Weekly payFull timeShift workNight shift
- ...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) | 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
- ...Training & development Summary: The Care Manager is responsible for coordinating, implementing, and supervising the... ...: Active Oklahoma State RN License Two years of experience... ...introduction for first scheduled shift; review care plan with client and caregiver...Part timeReliefWork at officeImmediate startFlexible hoursShift work
- ...Center in Tulsa, OK. This fulltime role involves leading patient care, documenting orders, and engaging in thorough patient assessments... ...candidate will have a Diploma from an accredited nursing school and RN licensing from Oklahoma. BLS certification is required, with...Full time
- ...our team as a day shift, full-time, Acute Care Registered Nurse (RN) Case Manager in Tulsa, OK. Why Join Us? Thrive in a People... ...manager is responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage...Full timeDay shift
- ...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
$2,576 per week
...Registered Nurse (RN) | Cardiac Catheterization Lab Location... ...Modified 12:00:00 AM Account Manager: Marlie Hooper Account Manager... ...Hours : 40 Facility & Patient Care Details Patient Age Groups : Adolescents... ...candidates. Prime Staffing utilizes a unique matchmaking approach,...Permanent employmentFull timeContract workTemporary workLocal areaShift workNight shiftWeekend work- ...Assistance Program, counseling and peer support, spiritual care and stress management resources Family support: parental leave, adoption... ...ensuring they are effective and adapt to changing needs. Coordinate the Team: Serve as the central communication link for all...Full timeLocal areaNight shift
$1,883.04 per month
...Profession Registered Nurse (RN) Specialty Med... ...maintenance, post-procedure care, chest tube and feeding tube... ...patient assessments and manage post-procedural care following... ...and facilitate care coordination. - Utilize rapid response and code teams...Weekly payContract workWork at officeLocal areaShift workNight shiftWeekend work- ..., person-centered care across Oklahoma. Partnering... ...innovative care management, quality... ...interdisciplinary team of RN and LCSW care... ...visits, hospital coordination, telephonic outreach... ...experience. Review and interpret medical... ...service planning. Utilize critical thinking...Work at officeMonday to FridayFlexible hours
- ...RN Supervisor Weekends The Villages at Southern Hills Tulsa,... ...long-term and rehabilitative care. If you are a Registered Nurse... ...duty assignments. Organizes and coordinates subordinates, job tasks, and... ...-term healthcare preferred. Management/Supervisory experience...Weekend work
$3,000 per month
...Please take a moment to review the job opportunity... ...of Nursing, Nurse Manager or Charge Nurse, the Registered Nurse (RN) is responsible for utilizing the nursing process... ...directing and supervising care to patients admitted... ...Nurse plans, coordinates, and provides patient...Full timeCurrently hiringNight 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
$2,312 per week
...Registered Nurse (RN) | Telemetry Location: Tulsa, OK Agency: FlexCare... ...nursing, 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$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...Full timeContract workImmediate startShift 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 workImmediate startShift workNight shiftWeekend work
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