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<a href="#"> </a> <a href="#">About Us</a> <a href="#">Current Employee Job Search</a> <a href="#">Ardent Health Careers</a> <a href="https://hillcrest.com/rncareers" target="_blank">Nurse Residency Program</a> <ul> <li> <a href="#">Home</a> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> <a href="#">Join Talent Community</a> </li> </ul> <ul> <li> <a href="#">Home</a> </li> <li> <a href="#">Locations</a> </li> <li> <a href="#">Nursing Careers</a> </li> <li> <a href="#">Provider Careers</a> </li> <li> <a href="#">Corporate Careers</a> </li> <li> <a href="#">Executive Careers</a> </li> <li> <a href="#">Join Talent Community</a> </li> <li> <ul> <li><a href="#">Careers Home</a></li> <li><a href="#">Search Jobs</a></li> </ul> </li> </ul> Candidates residing in the following states, CA, CO, CT, HI, IL, MA, MD, ME, MI, MN, NH, NV, NY, OR, RI, VT, WA, Washington DC and WV, must be willing to relocate if they are hired in a remote role. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. FOLLOW US <a href="https://www.linkedin.com/company/hillcrest-healthcare-system" target="_blank"> </a> <a href="https://www.youtube.com/user/HillcrestMedicalCtr" target="_blank"> </a> <a href="https://www.facebook.com/hillcrestmedicalcenter" target="_blank"> </a> <h4>ARDENT HEALTH SERVICES</h4> Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments – producing high quality care and extraordinary results. <h4>CONTACT US</h4> 340 Seven Springs Way Suite 100, Brentwood, TN 37027 (615) 296-3000 We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Copyright © Ardent Health Services. All rights reserved. <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a> <a href="#">Providerrecruitment@ardenthealth.com</a>

Hillcrest Healthcare System

Clinical Education Manager

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position Summary :Aetna, a CVS Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This is a remote based (work from home) role preferably resides in Southeast Region. Candidate must have a North Carolina medical license or be willing to obtain one. In the Medical Director role you will provide oversight for medical policy implementation.You will participate in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of care.You will support the Medical Management staff ensuring timely and consistent responses to members and providers.As a Medical Director you will focus primarily on overseeing utilization review / quality assurance and be responsible for predetermination reviews.This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical expertise as well as directing case management when necessary.In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities.The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams.Required Qualifications:*Active and current state medical license in NC state without encumbrances. If no NC license, must be willing to obtain.*M.D. or D.O., Board Certification in an ABMS or AOA recognized specialty including post-graduate direct patient care experience. Preferred Qualifications:Previous UM experience with a Health Plan / Payor.Board Certification in General Surgery, Internal Medicine, Family Medicine, Emergency Medicine, or Med / Peds Specialty Preferred.Education: MD or DOPay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00 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. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">Benefits | CVS Health</a>We anticipate the application window for this opening will close on: 03/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Medical Director - MidSouth

Thank you for your interest in Tulsa’s only 5-star rated hospital (as rated by Medicare)! Oklahoma Surgical Hospital (OSH) is a physician owned facility committed to providing superior personalized healthcare while embracing the highest quality standards in patient care, clinical outcomes, and patient experiences. We are looking for teammates who are passionate about doing things “The OSH Way”. If you want to join our team of over 550 professionals who are passionate about redefining patient experiences, then keep reading for more information. As a full-time Imaging Scheduler, you will work Monday - Friday, 8:30a - 5p. This position comes with our full benefits package and is eligible for our discretionary bonuses. The scheduler will accurately schedule tests and procedures according to departmental and procedural guidelines in addition to provider preferences. The scheduler will work closely with the clinical healthcare team to promote a high-quality service by efficiently and effectively coordinating patients and clinical resources. When necessary the scheduler will interview patients and complete the admission process while ensuring that are required information is obtained, records are accurate, and patients are informed of relevant hospital policies and practices. What’s required of you? High school graduate or equivalent. Do I need experience? One-year healthcare clerical, front office, admissions or procedure/test scheduling experience required. Radiology or Cath Lab scheduling experience preferred. Specialty Knowledge Skills: Excellent interpersonal, customer service and work prioritization skills. Basic knowledge of medical office terminology. Computer skills, including Word, Excel, Outlook and data entry skills. Still interested? Here’s a little more information about us: Did you know at OSH we are physician owned? Yes! Physicians opened OSH more than 20 years ago because they recognized a need for a hospital in our community that truly focused on the needs of the patient. At OSH, we are focused on ensuring our patients have the best experience possible from the moment they enter the facility and throughout every department they encounter. We are looking for patient focused team members to help us continue with our physicians’ original mission and vision of the hospital of exceeding patients’ expectations. Did you know that at OSH we offer benefits to our team members that includes a medical plan that offers no out of pocket costs at many of our affiliated physician offices? Did you know that OSH offers discretionary quarterly bonuses to all full-time and part-time members? Did you know that we are Tulsa’s only 5-star rated hospital? We think it’s very important to know that our incredible staff and physicians are committed to making sure our patients receive the best care while at our facility! If you are looking for a new workplace to call home, come join the OSH team where we succeed together! Free fitness center on site for employees! OSH and its affiliates are equal opportunity employers. Under the Oklahoma Medical Marijuana Use and Patient Protection Act (OMMA), a safety sensitive position is defined as any job that includes tasks or duties that the employer believes could affect the safety and health of the employee performing the task or others. This position has been identified as a safety sensitive position. This statute allows employers to lawfully refuse to hire applicants for safety-sensitive jobs or to discipline or discharge employees who work in safety-sensitive jobs if they test positive for marijuana, even if they have a valid license to use medical marijuana.

Oklahoma Surgical Hospital

Imaging Scheduler - Full-Time - 8:30a - 5p

<h3>Details </h3><ul> <li> Department: CVICU</li> <li> Schedule: Fulltime, Weekends, 3 12hr shifts/36hr weekly </li> <li> Hospital: Ascension St John Medical Center</li> <li> Location: Tulsa, Oklahoma </li> </ul><h3>Benefits </h3>Paid time off (PTO) Various health insurance options &amp; wellness plans Retirement benefits including employer match plans Long-term &amp; short-term disability Employee assistance programs (EAP) Parental leave &amp; adoption assistance Tuition reimbursement Ways to give back to your communityBenefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer.<h3>Responsibilities </h3>Provide direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization.<ul> <li>Implement and monitor patient care plans.</li> <li>Monitor, record and communicate patient condition as appropriate.</li> <li>Serve as a primary coordinator of all disciplines for well-coordinated patient care.</li> <li>Note and carry out physician and nursing orders.</li> <li>Assess and coordinate patient's discharge planning needs with members of the healthcare team.</li> </ul><h3>Requirements </h3>Licensure / Certification / Registration:<ul> <li>Advanced Life Support obtained within 6 Months (180 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.</li> <li>BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.</li> <li>Registered Nurse credentialed from the Oklahoma Board of Nursing obtained prior to hire date or job transfer date required.</li> </ul>Education:<ul><li>Diploma from an accredited school/college of nursing OR professional licensure at time of hire required.</li></ul><h3>Additional Preferences </h3>No additional preferences.<h3>Why Join Our Team </h3>Ascension St. John has been serving Northeast Oklahoma with compassionate, personalized care since 1926. Join more than 7,000 associates and find a rewarding healthcare career at one of our 6 hospitals and numerous other sites of care. When you join our care teams, you join a team dedicated to providing spiritually centered, holistic care which sustains and improves the health of the communities we serve.Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.<h3>Equal Employment Opportunity Employer </h3>Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws.For further information, view the <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRights_10_20.pdf" target="_blank">EEO Know Your Rights (English)</a> poster or <a href="https://www.eeoc.gov/sites/default/files/2022-10/22-088_EEOC_KnowYourRightsSp_10_20.pdf" target="_blank">EEO Know Your Rights (Spanish)</a> poster.As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.<a href="https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf" target="_blank">Pay Non-Discrimination Notice</a>Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.<h3>E-Verify Statement </h3>This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information. <a href="https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf" target="_blank">E-Verify</a>

Ascension

RN-Registered Nurse -Cardiovascular ICU CVICU

<h2>Job Description</h2> SUMMARY Responsible for developing and overseeing an enterprise security data program. The enterprise data security program will be built on the implementation of best practices and an enterprise Data Loss Prevention (DLP) include discovering, cataloging, and protecting sensitive information including monitoring to prevent data exfiltration. ESSENTIAL DUTIES AND RESPONSIBILITIES Includes the following: <ul> <li>Designs, implements, documents, and maintains an enterprise security data program. </li> <li>Develops and implements automated processes to align data security policies, procedures, and controls to protect our data infrastructure from threats, inadvertent disclosures, exfiltration, and vulnerabilities.</li> <li>Designs and manages data encryption strategies and access control technologies to safeguard sensitive information.</li> <li>Participates in incident response to provide expertise in data security investigation, mitigation, and reporting.</li> <li>Conducts regular risk assessments and security audits to identify and address potential data security issues.</li> <li>Collaborates across business units to ensure compliance with relevant regulations and industry standard related to data security and privacy.</li> <li>Provides regular reports on data security status and incidents.</li> <li>Researches, analyzes, and recommends new data security technologies, tools, practices, and policies.</li> <li>Continuously improves security processes and practices.</li> <li>Participates in the security awareness programming to increase data security awareness.</li> <li>Serves as an expert resource on data security matters such as retention, classification, and best practice.</li> <li>Provides leadership on data security related projects and initiatives.</li> <li>Performs other job related as assigned.</li> </ul> SUPERVISORY/MANAGEMENT AUTHORITY No supervisory/management authority. EDUCATION AND EXPERIENCE Bachelor’s or Master’s degree in Computer Science, Information Security, or a related field and a minimum of 5 years of experience in data security engineering, with a focus on securing data platforms and infrastructure or an equivalent combination of education and experience. Proven experience in data and database security roles, including database administration. Deep understanding of backend data engineering, data encryption, access controls and security protocols. Experience with data governance or data compliance standards. KNOWLEDGE, SKILLS AND ABILITIES <ul> <li>Advanced knowledge of cloud security and associate tools.</li> <li>Proven experience in data and database security roles, including database administration. </li> <li>Strong knowledge of data and database security principles, encryption techniques, access controls, auditing, and DLP solutions.</li> <li>Advanced knowledge in database security and management systems (e.g., Oracle, MySQL, SQL Server).</li> <li>Advanced knowledge of computer security including knowledge of vulnerability and penetration testing, compliance testing, and disaster recovery planning.</li> <li>Advanced knowledge and implementation of data forensics.</li> <li>Excellent analytical and problem-solving skills with the ability to think critically and creatively.</li> <li>Excellent communication skills with the ability to explain complex security concepts to both technical and non-technical stakeholders.</li> <li>Ability to work effectively in a collaborative team environment.</li> <li>Excellent organizational and prioritization skills.</li> <li>Ability to work well under pressure and handle multiple projects at once. </li> <li>Ability to author SQL queries.</li> </ul> WORK ENVIRONMENT Work is primarily performed in a climate-controlled office setting. Work may require lifting and carrying objects up to 10lbs. Will require to be on call 24x7. <h2>Job Info</h2> <ul> <li> Job Identification 27207 </li> <li> Job Category Information Technology Services </li> <li> Posting Date 02/13/2025, 01:02 PM </li> <li> Job Schedule Full time </li> <li> Locations Tulsa - Marshall Building (OK) (On-site) </li> <li> Regular or Temporary Regular </li> </ul>

Cherokee Nation Businesses

Enterprise Data Security Engineer

Liberty Mutual Strategic Ventures

Legal Office Manager

<h1> Physical Therapist Assistant - Outpatient</h1> Job Locations US-OK-Tulsa <dl> <dt>ID</dt> <dd> 2025-12233 </dd> <dt>Category</dt> <dd> Physical Therapy Assistant </dd> <dt>Position Type</dt> <dd> Full Time </dd> </dl> Join our team as a Physical Therapist Assistant, where you’ll work alongside a Physical Therapist in administering patient treatments while educating patients, family members, and caregivers on how to best assist with daily routines. You will have the chance to work with a broader team to maximize patient outcomes using evidence-based care. What You Will Get In addition to the standard benefit offering, you can expect to receive: <ul> <li>Competitive compensation with ability to earn performance-based incentives</li> <li>Professional development and career progression</li> <li>Experience working with a diverse patient population</li> <li>Paid Time Off (PTO) and Extended Illness Bank (EIB) accrual </li> </ul> Your Responsibilities as a Physical Therapist Assistant <ul> <li>Administer and assist with a wide range of physical therapy treatments using a variety of methods</li> <li>Establish strong relationships with each patient so that they have ability to exceed their functional goals</li> <li>Demonstrate a positive connection with patient, fellow clinicians, and other team members </li> <li>Build and maintain relationships throughout the community</li> </ul> Qualifications <ul> <li>Graduate of an APTA or CAPTE approved physical therapist assistant program</li> <li>State Licensure</li> <li>Basic Life Support Certification via the American Heart Association</li> </ul> Expanding Access to Quality Care At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. Let’s go further together and transform care.Join the #PTSLife today! To see what #PTSLife is like, visit <a href="https://www.instagram.com/ptsolutionscareers/?hl=en" target="_blank">Instagram</a>, <a href="https://www.facebook.com/PTSolutionsPhysicalTherapy/" target="_blank">Facebook,</a> and <a href="https://www.linkedin.com/company/pt-solutions-physical-therapy/" target="_blank">LinkedIn</a>. <h2>Options</h2> <a href="https://careers-ptsolutions.icims.com/jobs/12233/physical-therapist-assistant---outpatient/job?mode=apply&amp;apply=yes&amp;hashed=-1834415450" target="_blank"> Apply for this job onlineApply </a><a href="#">Share</a><a href="https://careers-ptsolutions.icims.com/jobs/12233/physical-therapist-assistant---outpatient/referral?hashed=-625946476" target="_blank"> Email this job to a friendRefer </a> Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed <a href="#"></a><a href="#"></a><a href="#"></a><a href="#"></a> <a href="https://icims.help/candidate-faq" target="_blank">Application FAQs</a>Software Powered by iCIMS <a href="http://www.icims.com/platform_help?utm_source=platform&amp;utm_medium=link&amp;utm_content=page1&amp;utm_campaign=platform%20help" target="_blank">www.icims.com</a>

PT Solutions Physical Therapy

Physical Therapist Assistant - Outpatient

<h1> Physical Therapist - Outpatient</h1> Job Locations US-OK-Tulsa <dl> <dt>ID</dt> <dd> 2025-12329 </dd> <dt>Category</dt> <dd> Physical Therapy </dd> <dt>Position Type</dt> <dd> Full Time </dd> </dl> Join our team as a Physical Therapist, where you'll use evidence-based techniques to transform patients’ lives. Your primary responsibilities include evaluating, planning, and administering treatment programs to help patients recover. This role offers the opportunity to work with diverse patient specialties, including orthopedic, pediatric, neurologic, and sports medicine. What You Will Get In addition to the standard benefit offering, you can expect to receive: <ul> <li>Our Elevated Earnings Program allows clinicians to earn bonuses starting at treating nine patients per day, increasing exponentially with every patient they treat. </li> <li>Local and national organization dues and license renewal reimbursement </li> <li>Structured mentoring and quarterly in-person continuous education courses </li> <li>Experience working with a diverse patient population in neuro, trauma, ortho, and hand therapy </li> <li>Race fee reimbursement</li> <li>Paid Time Off (PTO) and Extended Illness Bank (EIB) accrual</li> </ul> Your Responsibilities as a Physical Therapist <ul> <li>Deliver evidence-based, quality care to each patient empowering them to exceed their functional outcome </li> <li>Establish timely treatment plans for each patient’s specific needs </li> <li>Demonstrate a positive connection with patient, fellow clinicians, and other team members</li> <li>Build and maintain relationships throughout the community </li> </ul> Qualifications <ul> <li>Graduate of an APTA or CAPTE approved physical therapy program </li> <li>State Licensure </li> <li>Basic Life Support certification from the American Heart Association </li> </ul> Expanding Access to Quality Care At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. Let’s go further together and transform care.Join the #PTSLife today! To see what #PTSLife is like, visit <a href="https://www.instagram.com/ptsolutionscareers/?hl=en" target="_blank">Instagram</a>, <a href="https://www.facebook.com/PTSolutionsPhysicalTherapy/" target="_blank">Facebook,</a> and <a href="https://www.linkedin.com/company/pt-solutions-physical-therapy/" target="_blank">LinkedIn</a>. <h2>Options</h2> <a href="https://careers-ptsolutions.icims.com/jobs/12329/physical-therapist---outpatient/job?mode=apply&amp;apply=yes&amp;hashed=-1834415450" target="_blank"> Apply for this job onlineApply </a><a href="#">Share</a><a href="https://careers-ptsolutions.icims.com/jobs/12329/physical-therapist---outpatient/referral?hashed=-625946476" target="_blank"> Email this job to a friendRefer </a> Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed <a href="#"></a><a href="#"></a><a href="#"></a><a href="#"></a> <a href="https://icims.help/candidate-faq" target="_blank">Application FAQs</a>Software Powered by iCIMS <a href="http://www.icims.com/platform_help?utm_source=platform&amp;utm_medium=link&amp;utm_content=page1&amp;utm_campaign=platform%20help" target="_blank">www.icims.com</a>

Physical Therapist - Outpatient

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.<ul> <li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li> <li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li> <li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li> <li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li> <li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li> <li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li> <li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li> <li>Provides feedback on opportunities to improve the authorization review process for members</li> <li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li> </ul>Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred. Knowledge of Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: <ul> <li>LPN - Licensed Practical Nurse - State Licensure required</li> <li>For Health Net of California: RN license required</li> <li>For Superior Health Plan: RN license required</li> </ul>Pay Range: $26.50 - $47.59 per hourCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Centene Corporation

Clinical Review Nurse - Prior Authorization

<h2>Job Description</h2> Provide the administrative support operations of an executive level position. Responsible for confidential and time sensitive material. Prepare routine and advanced correspondence including letters, memoranda and reports. ESSENTIAL DUTIES AND RESPONSIBILITIES Includes the following: <ul> <li>Manages daily schedule and coordinates meetings.</li> <li>Prepares and manages meeting agendas and other meeting materials. </li> <li>Coordinates travel logistics and assists with travel plans and business expenses, as necessary. </li> <li>Maintains files of correspondence, minutes and other records of routine and confidential material in an efficient manner. </li> <li>Performs administrative duties to include correspondence, memos, reports and other related support functions as required, including transcription of meeting notes, reports, etc. </li> <li>Attends meetings as requested and keep the executive apprised of progress/status of internal projects and routine operations. </li> <li>Communicates policies, objectives and operational procedures to the department managers and others as necessary. </li> <li>Processes mail, answers telephone calls, directs messages to appropriate areas and responds to requests. </li> <li>Helps build a culture of service that will ensure that the changes implemented will be enduring.</li> <li>Aligns resources to execute administrative “best in class” industry standards. </li> <li>Supports the general office environment as directed. </li> <li>May manage office equipment and other vendor and deal with building/office management issues.</li> <li>Performs other job-related duties as assigned. </li> </ul> SUPERVISORY/MANAGEMENT AUTHORITY May lead and/or guide the work of other employees. WORK ENVIRONMENT Work is primarily performed in a climate-controlled office setting. EDUCATION AND EXPERIENCE Associate’s degree and 7 or more years of previous administrative experience or an equivalent combination of education and experience. Completion of college level coursework or an accredited secretarial technical training is preferred. KNOWLEDGE, SKILLS AND ABILITIES <ul> <li>Excellent written and verbal communication and presentation skills. </li> <li>Must be proficient with Microsoft Office products and the ability to learn other enterprise systems.</li> <li>Demonstrated ability to handle confidential and sensitive information.</li> <li>Demonstrated strong attention to details, planning and excellent organizational awareness skills. </li> <li>Excellent interpersonal skills with the ability to interact with employees, vendors, and customers of various levels and backgrounds. </li> </ul> <h2>Job Info</h2> <ul> <li> Job Identification 27544 </li> <li> Job Category Administration </li> <li> Posting Date 02/06/2025, 02:33 PM </li> <li> Degree Level Associate Degree </li> <li> Job Schedule Full time </li> <li> Job Shift Day </li> <li> Locations Tulsa - Corporate Woods (OK) (On-site) </li> <li> Regular or Temporary Regular </li> </ul>

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