Top 318 Care manager Jobs in Muskogee, Ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma
CVS Health —Oklahoma
- $43,888 - $76,500 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- Residential
- Health insurance
- Dental insurance
5d
Case Manager I - BHS - Healing & Recovery Center - Muskogee
Muscogee Creek Nation —Muskogee, OK
- Computer literacy
- Writing skills
- Windows
Health System Specialist
US Veterans Health Administration —Muskogee, OK
- $61,722 - $97,087 a year
- Online Application
- Background check
- Psychiatry
- Writing skills
- On-the-job training
6d
Case Manager II - PRN - BHS - Healing & Recovery Center - Muskogee
Muscogee Creek Nation —Muskogee, OK
- Part-time
- Computer literacy
- Writing skills
- Mid-level
Business Office Manager
BRISTOL HOSPICE-OKLAHOMA LLC —Fort Gibson, OK
- $48,000 - $52,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Mileage reimbursement
- Health savings account
Quick Apply
9d
Case Manager I - PRN - BHS - Healing & Recovery Center - Muskogee
Muscogee Creek Nation —Muskogee, OK
- Part-time
- Computer literacy
- Writing skills
- Windows
RN Care Manager - Primary Care - Clinic - Coweta
Muscogee Creek Nation —Coweta, OK
- Nursing
- RN License
- Hospital
Hospitalist Care Facilitator
Saint Francis Hospital Muskogee, Inc. —Muskogee, OK
- Weekends as needed
- Nursing
- RN License
- Hospital
Quick Apply
2d
Center Quality Manager (Heavy Travel)
Join Parachute —Muskogee, OK
- $50,000 - $70,000 a year
- Weekends as needed
- Management
- Mid-level
- 3 years
- Travel reimbursement
- Paid training
Quick Apply
12d
Accounts Receivable Specialist
BLACKHAWK INDUSTRIAL OPERATING CO —Muskogee, OK
- $21 - $23 an hour
- Full-time
- Bachelor of Science
- Pass drug screening
- English
- Health savings account
- AD&D insurance
Quick Apply
11d
INTERNAL ADVISOR / INVENTORY MANAGER
James Hodge Ford Lincoln (Muskogee) —Muskogee, OK
- Dealership
- Inventory management
- Mid-level
- Paid training
- Disability insurance
Quick Apply
9d
Physical Therapist / PT
INTEGRIS Health —Oklahoma
- Full-time
- Management
- BLS Certification
- Physical & Rehabilitation Medicine
- Health insurance
- Paid time off
Quick Apply
Regional Director of Business Development – Skilled Nursing Facilities
Medical Talent Pros —Oklahoma
- $80,000 - $130,000 a year
- Full-time
- Skilled nursing facility
- 3 years
- Driver's License
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Case Manager (RN)
Saint Francis Hospital Muskogee, Inc. —Muskogee, OK
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
Physical Therapist / PT
INTEGRIS Health —Oklahoma
- Full-time
- Acute care
- CPR Certification
- Hospital
- Health insurance
- Paid time off
Quick Apply
RN Charge / Jim Thorpe Rehab
INTEGRIS Health —Oklahoma
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Paid time off
Quick Apply
Health Care Coordinator (HCC)/Direct Support Professional (DSP)-CNA
SEQUOYAH ENTERPRISES —Wagoner, OK
- $15 - $16 an hour
- Full-time
- Background check
- Clean driving record
- Basic math
- Health insurance
- Dental insurance
Quick Apply
Assistant Director of Nursing, ADON (RN or LPN) $5,000 Sign on Bonus!
Fort Gibson Care & Rehab Center —Fort Gibson, OK
- Full-time
- Nursing
- RN License
- Mid-level
- Dental insurance
- 401(k)
Quick Apply
6d
Sales Account Manager
VitalCaring Group —Muskogee, OK
- Full-time
- Mid-level
- Home Health
- Organizational skills
- Continuing education credits
- Health savings account
Quick Apply
RN - NICU
INTEGRIS Health —Oklahoma
- Full-time
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Paid time off
Quick Apply

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care manager jobs near muskogee, ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma

CVS Health -
Oklahoma

Apply Now

Job Details

Full-time
$43,888 - $76,500 a year
5 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Healthcare financial misconduct investigations
Data mining
Fraud Detection Systems
Data analysis software

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Special Investigations Unit (SIU) Investigator is responsible for thoroughly investigating any allegations of Medicaid healthcare fraud, waste, or abuse in accordance with federal and state regulation. This position will be responsible for collaborating with Compliance, State Medicaid Plans, Health Plans, and Coding teams.

Oklahoma residence required.

Review concern/allegation, develop an investigation plan, identify additional information needed, and individuals to interview.
Manage an active caseload ensuring timely and thorough task completions while adhering to legal and organizational standards.
Interview healthcare providers, patients/members, and others to gather information pertinent to the investigation.
Use data analytics and software tools to analyze billing patterns, identify anomalies, and detect suspicious activities.
Use medical records, billing data, and coding systems to ensure compliance with regulations and code requirements.
Partner with the Senior Investigator, as needed, to support FWA case activities and ensure alignment on investigative strategy and next steps.
Partner with the Clinical team to support pre-payment and post-payment coding reviews.
Collaborate with SIU Compliance and PI Managers for specific state requirements and deliverables.
Refer cases to law enforcement and regulatory agencies as required by state plans.
Coordinate with internal legal teams to review findings, case outcomes, prepare evidence for potential court cases or administrative hearings.
Prepare comprehensive investigation reports that document fact findings and provide recommendations for appropriate corrective action outcomes.
Maintain and document accurate records of all investigations, including evidence collected, interviews, and outcomes.
Monitor and promote healthcare provider adherence to applicable federal and state requirements, as well as payer billing and claims guidelines.
Communicate case outcomes to healthcare providers and complete follow-up outreach as needed.

Required Qualifications

Must reside in Oklahoma.
Experience in working healthcare investigations.
2 years of experience in healthcare fraud investigation.
Experience with using fraud, waste, and abuse (FWA) detection tools and enterprise databases to support data mining, analysis, and information gathering.
Ability to travel and participate in legal proceedings, arbitrations, depositions, etc.

Preferred Qualifications

Credential(s) such as Certified Fraud Examiners (CFE) and National Health Care Anti-Fraud Association (AHFI).
3+ years Medicaid Fraud, Waste and Abuse investigatory experience.
Coding certification such as CPC (AAPC) and/or CCS (AHIMA).
Knowledge of Behavioral Health care delivery, policies and procedures, and contractual implications.
Knowledge of healthcare laws, regulations, and CPT/HCPCS coding.
Strong analytical and investigative skills.
Strong communication skills needed for interviewing and presentations to Health Plans and State Regulators.
Strong documentation/writing skills needed for presentations and case documentation.

Education

Bachelor’s degree in criminal justice, healthcare administration, accounting, or a related field preferred or equivalent experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $76,500.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/25/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

care manager jobs in muskogee, ok

Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Oklahoma

Case Manager I - BHS - Healing & Recovery Center - Muskogee

Health System Specialist

Case Manager II - PRN - BHS - Healing & Recovery Center - Muskogee

Business Office Manager

Case Manager I - PRN - BHS - Healing & Recovery Center - Muskogee

RN Care Manager - Primary Care - Clinic - Coweta

Hospitalist Care Facilitator

Center Quality Manager (Heavy Travel)

Accounts Receivable Specialist

INTERNAL ADVISOR / INVENTORY MANAGER

Physical Therapist / PT

Regional Director of Business Development – Skilled Nursing Facilities

Case Manager (RN)

Physical Therapist / PT

RN Charge / Jim Thorpe Rehab

Health Care Coordinator (HCC)/Direct Support Professional (DSP)-CNA

Assistant Director of Nursing, ADON (RN or LPN) $5,000 Sign on Bonus!

Sales Account Manager

RN - NICU

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