Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseOKRemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Transition of Care Coordinator RN/LCSW TriWest Healthcare AllianceTransition of Care Coordinator RN/LCSWOklahoma City, OKRemoteFull timeThe Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.
Commercial Energy Auditor CLEAResult Consulting, Inc.Commercial Energy AuditorOKRemote$18–$23.50 / hourYou will be in a customer-facing role meeting with commercial and industrial business owners and operators to install energy efficiency measures, conduct energy efficiency audits, pre- and post-installation verifications, and other technical data gathering activities through a defined territory. Applicants for driving positions must hold a valid driver's license, and individuals provided a conditional offer of employment must successfully pass a drug test and maintain a clean driving record as an ongoing requirement for continued employment.
Supervisor, Encounter Data Management Humana IncSupervisor, Encounter Data ManagementOKRemote$65,000–$88,600 / yearThrough our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. Performs escalated or more complex work of a similar nature, and supervises a group of typically support and technical associates; coordinates and provides day-to-day oversight to associates.