- ERP International (Tinker AFB, OK)
- …software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with social work ... seniors, and groups. * **Certification** :Certified Case Manager by Commission for Case Management (CCM) or American Nurses Credentialing Center… more
- CVS Health (Oklahoma City, OK)
- …as required by the State regulatory agency. Preferred Qualifications + Case management in an integrated model + Managed care/ utilization review experience + ... ambulatory care or outpatient clinic/facility) + Must complete the Behavioral Health Case Manager certification training provided through the Department of… more
- SSM Health (Midwest City, OK)
- …regarding opportunities for improvement in standard work. + May also be responsible for: utilization management process, ED case management process, ... Hospital Midwest **Worker Type:** Regular **Job Highlights:** + Department: Case Management + Patient Population or Ratio:...is what sets us apart. The role of the RN- Case Manager supports our organization by ensuring… more
- Cayuse Holdings (Oklahoma City, OK)
- …ecology, environmental science, or related field + 3-5 years of project or case management experience, preferably with municipal or community experience + Strong ... - USD $75,000.00 /Yr. Submit a Referral (https://careers-cayuseholdings.icims.com/jobs/1187/urban-%26-community-forestry- case - manager /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834356743) **Location** _US-N/A_ **ID** _102191_… more
- Marriott (Oklahoma City, OK)
- … Managers. **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization review issues. + Refer ... claims most likely to benefit from case management to meet jurisdictional needs. ** Utilization Review**...nurse + Certification as an occupational health nurse and/or case manager (or, progress toward same) required… more
- J&J Family of Companies (Oklahoma City, OK)
- Sr. Manager , Distribution Process Owner - 2406188416W **Description** Johnson & Johnson is currently recruiting for a Sr. Manager Distribution Process Owner for ... NJ. Relocation maybe consider within United States on a case -by- case basis if approved by the company....https://www.jnj.com/. This position will drive a flawless brand-new Warehouse Management System (WMS) implementation, on time, on cost and… more
- CenterWell (Oklahoma City, OK)
- …care and high-risk management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab programs, etc. * ... Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as… more
- Humana (Oklahoma City, OK)
- …help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability ... from strategy to execution. **Location:** remote The Lead Product Manager partners across various multi-disciplinary teams at Humana to design, define and deliver… more
- Intermountain Health (Oklahoma City, OK)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Healthcare Provider. Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position… more
- Humana (Oklahoma City, OK)
- …Humana is seeking an accomplished, customer obsessed and results oriented Product Manager to manage and grow our Digital Acquisition experience. This role will ... and Key Results (OKRs), roadmaps, requirements and execution + Utilize product management processes and tools such as: user research and concept testing, opportunity… more
- Sharecare, Inc. (Oklahoma City, OK)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Advocates (Nurse) for conditions that require clinical care and case management assistance + Primary duties include… more
- CenterWell (Oklahoma City, OK)
- …+ Set or adopt policies for, and keep records of criteria for admission to service, case assignments, and case management . + Represent the pharmacy in a ... the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …activities, educational programs and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the ... **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …activities, educational programs and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the ... **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient… more
- KPH Healthcare Services, Inc. (Oklahoma City, OK)
- …activities, educational programs and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the ... **Overview** **Job Summary:** Under the supervision of the pharmacy manager and/or pharmacy supervisor, performs all duties necessary to provide for the efficient… more