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Description The Senior Provider Engagement, Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve financial and quality performance within the ..
Job Information Humana Senior Clinical Recruiter in Tulsa Oklahoma Description The Senior Clinical Recruiter recruits qualified applicants for staff nurse or other positions requiring registered nurse licensure, licensed practical nurse, or ..
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Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ..
Details Specialty: Primary Care Subspecialty Interest: Internal Medicine Schedule: M-F / 8-5 Call Schedule: Practice Detail: Join our staff of 4 physicians and 2 APP's EMR System: Facility: Location: Tulsa, OK ..
Job Information Humana RN Senior Stars Improvement, Member Engagement, Clinical Professional in Tulsa Oklahoma Description The RN Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of ..
Job Information Humana Senior Medical/Financial Risk Clinical Professional in Tulsa Oklahoma Description The Senior Medical/Financial Risk Clinical Professional is responsible for supporting the development, implementation and monitoring of medical/financial risk. The ..
Job Information Humana VP, Clinical Operations in Tulsa Oklahoma Description VP, Clinical Operations and Chief Clinical Officer of Kindred at Home, you will be responsible for planning and creating the ongoing ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization ..
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services. Enjoy the flexibility ..
Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..
Description The Quality Management Director provides strategic leadership for Humana's Oklahoma Medicaid Quality Program, in alignment with organizational quality and population health goals and ensuring compliance with all contract, state, and ..
Description Remote Telephonic RN Opportunity The Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. ..
Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ..
Details Sign-on bonus: Up to $2,500 Department: Urgent Care Clinic Schedule: Full-Time , Day shift. 7:30am - 7:30pm Monday and Tuesday; 9am - 6pm every other weekend Facility: Ascension Medical Group ..
RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing ..
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 1 work assignments ..
Details Department: CPD Oklahoma Schedule: Full Time Day Shift, Monday-Friday Hospital: Ascension St. John Medical Center Location: Tulsa, OK As a military friendly organization, Ascension promotes career flexibility and offers many ..
PURPOSE AND SCOPE:The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Tulsa Oklahoma Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..
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 to support optimal reimbursement. Responsibilities ..
Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the business needs. Responsibilities The Intern - Care Manager, Registered ..
Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and ..
Details Department: CPD Oklahoma Schedule: PRN 8-hour day shift, Monday-Friday Hospital: Ascension St. John Medical Center Location: Tulsa,OK As a military friendly organization, Ascension promotes career flexibility and offers many benefits ..