Top 39 Rn utilization manager Jobs in Norman, Ok

Case Manager RN
GLOBALHEALTH HOLDINGS LLC —Oklahoma City, OK
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Health insurance
Quick Apply
6d
Registered Nurse Case Manager
Med Staff Home Health —Oklahoma City, OK
- Full-time
- Nursing
- RN License
- HIPAA
- Travel reimbursement
- Paid holidays
Quick Apply
Case Manager (SW / RN)
SSM Health Rehabilitation Hospital – Oklahoma City —Oklahoma City, OK
- $40 an hour
- Weekends as needed
- Hospital
- Inpatient
- Mid-level
- Opportunities for advancement
Quick Apply
12d
Risk Management Nurse/Quality Manager
Bridges Health —Norman, OK
- Full-time
- CPR Certification
- RN License
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Risk Management Nurse/Quality Manager
Bridges Health —Oklahoma City, OK
- Full-time
- CPR Certification
- RN License
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse (RN) - Case Manager
Norman Regional Health System —Norman, OK
- $30.10 - $49.17 an hour
- Full-time
- Acute care
- Nursing
- RN License
- Free parking
- Paid holidays
Manager, Utilization Management
GLOBALHEALTH HOLDINGS LLC —Oklahoma City, OK
- Full-time
- RN License
- HIPAA
- Mid-level
- Health insurance
Quick Apply
6d
Inpatient RN Care Manager
Mercy —Oklahoma City, OK
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
RN-Patient Aligned Care Team
US Veterans Health Administration —Oklahoma City, OK
- $75,766 - $140,903 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
6d
RN Care Manager
ArchWell Health —Oklahoma City, OK
- Full-time
- Nursing
- RN License
- Mid-level
RN-Community Care Coordinator, Nursing Operations
US Veterans Health Administration —Oklahoma City, OK
- $75,016 - $139,502 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
Registered Nurse-Ambulatory Surgery
US Veterans Health Administration —Oklahoma City, OK
- $75,016 - $139,502 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
11d
Nursing Analytics Program Manager
OU Health —Oklahoma City, OK
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Clinical Management Manager
Accenture —Oklahoma City, OK
- $87,400 - $293,800 a year
- Full-time
- Bachelor's degree
- Travel
- US work authorization
- Paid holidays
- Disability insurance
RN-Women's Health Clinic
US Veterans Health Administration —Oklahoma City, OK
- $75,766 - $140,903 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
6d
Hospital Admissions Clinical Manager
Bethany Children's Health Center —Bethany, OK
- CPR Certification
- Nursing
- RN License
- Tuition reimbursement
RN Case Manager - Baptist Case Management
INTEGRIS Health —Oklahoma City, OK
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Paid time off
Quick Apply
RN Case Manager - South Case Management
INTEGRIS Health —Oklahoma City, OK
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Paid time off
Quick Apply
12d
Registered Nurse Case Manager Full Time
Community Hospital North (13531) —Oklahoma City, OK
- Full-time
- Nursing
- RN License
- Hospital
- Health savings account
- AD&D insurance
9d
Nursing Assistant
US Veterans Health Administration —Oklahoma City, OK
- $38,287 - $55,961 a year
- Part-time
- Acute care
- Background check
- Psychiatry
- Paid parental leave
- Paid holidays
7d

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rn utilization manager jobs near norman, ok

Case Manager RN

GLOBALHEALTH HOLDINGS LLC -
Oklahoma City, OK

Quick Apply

Job Details

Full-time
6 days ago

Benefits

Health insurance

Qualifications

RN License
Writing skills

Full Job Description

WHO WE ARE:

GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.

WHO YOU ARE:

This position, under the direction of the Supervisor, Care Management, performs and manages all aspects of care management to improve the long-term wellness of members, becoming an advocate for our members through coordination of care.

ESSENTIAL JOB FUNCTIONS:

Conducts telephonic case management for complex, high-risk members to include identification and assessment of needs, planning and coordination of care, and monitoring outcomes in accordance with GlobalHealth and the departments policies and procedures.
Coordinates with providers when applicable to ensure holistic, healthy, beneficial outcomes.
Communicates with respect to family culture, ethnic origin, race, language, gender, age, religion, socioeconomic status, sexual orientation, mental and/or physical challenges.
Through interdepartmental communication, network communication, and member outreach the Case Manager remains aware of patient needs and changes in condition, providing patient advocacy, support, assessing and ensuring quality care, and providing crisis intervention.
Coordination of services for members, including community resources and collaboration with other members of the care team.
Educate members and their caregivers on conditions and self-management techniques.
Initiate and participate in all elements of the SNP MOC, including completing HRA, creating ICP, and initiating ICT.
Complete TOC activities to include post-discharge assessment, medication reconciliation/review, and ensuring member has access to follow up care.

EDUCATION AND EXPERIENCE:

Active Registered Nurse license in the state of Oklahoma required
Active multi-state RN license is preferred
Previous experience in managed care/utilization management preferred

KNOWLEDGE, SKILLS AND ABILITIES:

Knowledge of current nursing processes, techniques, and established standards, including disease management, medications, and community resources.
Strong attention to detail and good organization and time management skills, including ability to multi-task, learn new skills and reach set goals.
Must be able to communicate, both orally and in writing, clearly and effectively
Knowledge of Microsoft software programs including Word, Excel, and PowerPoint.
Proven ability to work independently or as a member of a team.

WORK ENVIRONMENT:

Current work environment is remote; however, some state exclusions apply. Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies.

TRAVEL:

N/A

SUPERVISORY RESPONSIBILITY:

N/A

OTHER DUTIES:

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

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Refine Your Search

rn utilization manager jobs in norman, ok

Case Manager RN

Registered Nurse Case Manager

Case Manager (SW / RN)

Risk Management Nurse/Quality Manager

Risk Management Nurse/Quality Manager

Registered Nurse (RN) - Case Manager

Manager, Utilization Management

Inpatient RN Care Manager

RN-Patient Aligned Care Team

RN Care Manager

RN-Community Care Coordinator, Nursing Operations

Registered Nurse-Ambulatory Surgery

Nursing Analytics Program Manager

Clinical Management Manager

RN-Women's Health Clinic

Hospital Admissions Clinical Manager

RN Case Manager - Baptist Case Management

RN Case Manager - South Case Management

Registered Nurse Case Manager Full Time

Nursing Assistant

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