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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryUtilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.<ul> <li>Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li> <li> Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care</li> <li>Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs</li> <li>Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization</li> <li>Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.</li> <li>Typical office working environment with productivity and quality expectations.</li> <li>Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.</li> <li>Sedentary work involving periods of sitting, talking, listening.</li> <li>Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.</li> <li>Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.</li> <li>Effective communication skills, both verbal and written</li> </ul>Required Qualifications - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active current and unrestricted RN licensure in state of residence- Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications - 2+ years of clinical experience required in med surg or specialty area - Managed Care experience preferred, especially Utilization Management- Preference for those residing in ET, CT zones EducationAssociates Degree requiredBSN preferredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$29.10 - $62.32This 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 06/16/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Utilization Management Nurse Consultant

Job Posting End Date05-27-2025Please note the job posting will close on the day before the posting end date.Job Summary Responsible to the assigned supervisor for performing advance engineering work activities and projects requiring the application of engineering knowledge in a safe, effective, efficient and economic accomplishment of assigned objectives. American Electric Power is one of the largest electric utilities in the United States, delivering safe, reliable power to nearly 5.6 million regulated customers in 11 states.Job DescriptionOur VisionImproving customer's lives with reliable, affordable powerOur MissionPut the customer firstESSENTIAL JOB FUNCTIONS:Technical Expertise:Exhibits advanced level proficiency plus advanced knowledge of a specialized technical area that enables the engineer to serve as a resource for the company in an area such as advanced Transmission Line Design, high voltage transmission Line experience and complex project execution ability.Leadership &amp; Guidance:Influences the direction of thinking throughout the organizational unit as a recognized authority in an area of expertise. Leads, facilitates and coordinates work activities of others within work group, team, department, corporate entity, or those external to the company and assumes the role of project or function manager for assigned tasks.Planning &amp; Organization Ability:Develops, recommends, and implements plans that include all scheduling, resource, and cost information and control required to address complex engineering problems that require the input and efforts of a wide array of entities both internal and external to the company.Problem Solving &amp; Initiative:Identifies, clarifies, resolves, and initiates solutions to complex problems that require multi-functional, or organizational, interfacing and/or multi-disciplined analytical techniques. Develops opportunities and new ideas and approaches that have system-wide impact.Communication:Leads in the preparation and presentation of complex technical subjects, clearly, concisely, and persuasively, bringing in ancillary issues before senior management, professional organizations, regulatory bodies, etc. Projects credibility and competence on technical issues and has highly developed presentation skills.Interpersonal Skills:Builds teams and networks that extend through AEP, and other companies, professional organizations, regulatory agencies, and academia. Networks throughout AEP, other companies, professional organizations, and regulatory agencies.Decision Making:Possesses the experience and knowledge to make some technical decisions based on calculated risks without management review. Makes decisions affecting long range plans and goals based on analysis of highly uncertain input and outcomes. Visualizes long-term results. Makes decisions where differences of opinion are likely to exist. Makes decisions that have an impact across organizational boundaries.Business Awareness &amp; Characteristics: Demonstrates vision in identifying business opportunities for the organizational unit. Understands how strategies and decisions impact the relationship with our customers and suppliers.MINIMUM REQUIREMENTS:<ul> <li>Has typically acquired 8 or more years of related engineering experience along with a Bachelor's degree in engineering in a program accredited by ABET*; or 6 years of related engineering experience along with a Master's or PhD in engineering from a program accredited by ABET*. </li> <li>Registration as a Professional Engineer (PE) in any U.S. state or Puerto Rico** is preferred for this position unless approval to waive this requirement is given by the organization's EVP.*ABET - Engineering Accreditation Commission of the Accreditation Board for Engineering and Technology.</li> </ul>Acceptable alternative is:<ul> <li>a Bachelor's degree in engineering (non-ABET) plus a Master's degree or PhD in engineering from a university with an ABET accredited Bachelor's program. ** Confirmation is preferred to ensure the PE obtained in Puerto Rico aligns with NCEES standards**</li> <li>VP or above may waive the requirement for a degree from a university with an Non ABET accredited program</li> </ul>** Full Salary Range for this opening is $112,000 to $155,000**Compensation DataCompensation Grade:SP20-009Compensation Range:$112,869.00-146,730.50 USDThe Physical Demand Level for this job is: S – Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently. (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met. Hear about it first! Get job alerts by email. Log in to your Candidate Home Account today! If you don't have an account, you can create one.It is hereby reaffirmed that it is the policy of American Electric Power (AEP) to provide Equal Employment Opportunity in all respects of the employer-employee relationship including recruiting, hiring, upgrading and promotion, conditions and privileges of employment, company sponsored training programs, educational assistance, social and recreational programs, compensation, benefits, transfers, discipline, layoffs and termination of employment to all employees and applicants without discrimination because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, veteran or military status, disability, genetic information, or any other basis prohibited by applicable law. When required by law, we might record certain information or applicants for employment may be invited to voluntarily disclose protected characteristics.

American Electric Power

Transmission Line Engineer Principal

Current Saint Francis Employees - Please click <a href="http://www.myworkday.com/saintfrancis/d/task/3005$4482.htmld" target="_blank">HERE</a> to login and apply. Full TimeDaysNote: Candidates MUST reside within commuting distance of the Warren Clinic Tower in Tulsa, OK to be considered for this position. Onsite training is mandatory for the first few months before going remote.Shift: Monday - Friday 8:30am - 5:00pmJob Summary: The Authorization Specialist I directly impacts the billing and collections functions of the revenue cycle by ensuring accuracy of insurance information and procuring prior authorization and predetermination for scheduled patient appointments as well as inpatient admissions. Timely facilitation of insurance approval contributes to the accuracy of patient estimates and pre-service collections, patient ease of access to care and serves to prevent denials of claims submitted for payment. Authorization Specialists do not have leadership responsibilities, but are expected to perform duties with a high degree of independence, meeting productivity and quality metrics consistently. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: None. Work Experience: 1 - 2 years relevant experience. 1 year of benefits verification or authorization experience or 2 years of pre-registration experience. Post-secondary education may be substituted for 1 year of experience. Knowledge, Skills and Abilities: Basic healthcare and insurance terminology. Basic computer knowledge and skills. Proficient with office machines, including fax, copier and scanner. Ability to navigate insurance websites to access patient, eligibility and payment information. Good communication skills - written and verbal. Phone-based contact center skills involving multiple-line phone systems. Employee must possess the ability to organize and prioritize work; must be detail oriented. Understanding of a professional business environment. Basic knowledge of medical billing and insurance follow-up activity. Essential Functions and Responsibilities: Monitors patient and/or referrals and/or denials work queues to determine encounters that require pre-registration, verification, authorization, or corrections to ensure proper billing. Works encounters according to assignment and consistently meets daily and weekly productivity goals. Evaluates physician referral and authorization requirements and takes appropriate steps to ensure requirements are met prior to date of procedure. Reviews clinical documentation for CPT/diagnosis code information to support authorization/precertification according to payer guidelines. Accurately monitors, reviews and processes authorizations and validates the requests are accurate, within the required timeline, and in compliance with the applicable insurance guidelines. Coordinates as needed with other departments/ancillary areas for special needs or resources. Counsels clinical partners and/or patients to facilitate additional information when required by payer. Coordinates with patient, referring physician's office and/or referring location, scheduled service area, financial counselors, case manager, and others as appropriate to obtain additional information or provide information on patients' financial status. Documents pertinent information and efforts in computer system based upon department documentation standards. Protects the privacy and security of patient health information to ensure that confidentiality is maintained. Decision Making: Independent judgment in planning sequence of operations and making minor decisions in a complex technical or professional field. Working Relationship: Works directly with patients and/or customers. Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff. Special Job Dimensions: None.Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.Pre-Arrival - Yale CampusLocation:Virtual Office, Oklahoma 73105EOE Protected Veterans/Disability

Saint Francis Health System

Authorization Specialist I

<h2 id="jobDescriptionHeading"> Job Description </h2> Job Post Description: Hillcrest HealthCare Urgent Care is seeking a full-time BE/BC Physician Assistant or Nurse Practitioner to join our growing team in Stillwater,OK. As a high-performing organization, we pride ourselves on our supportive culture and dedication to delivering compassionate, high-quality care to our community. About the Position: <ul> <li>Flexible, shift-based schedule</li> <li>Typically three 12-hour shifts</li> <li>Outpatient only-no call</li> <li>Clinic hours are M-F 7 am to 7 pm, Sat 8 am to 6 pm, and Sun 1 pm to 5 pm</li> <li>Onsite Lab and POC Testing</li> <li>Robust support staff</li> <li>Epic EMR</li> <li>High growth service area</li> </ul> Recruitment Package may include: <ul> <li>Base Salary</li> <li>CEU Allowance</li> <li>Medical debt assistance + Consultative services by Navigate Student Loans</li> <li>Paid malpractice coverage</li> <li>Health benefits + Retirement plan</li> <li>Marketing + practice growth assistance</li> </ul> Your Health System: Hillcrest HealthCare System (HHS) is a comprehensive health system providing quality healthcare in northeastern Oklahoma, with the system's flagship, Hillcrest Medical Center, located in Tulsa. Additionally, HHS is composed of BaileyMedical Center, Hillcrest Hospital Claremore, Hillcrest Hospital Cushing, Hillcrest Hospital Henryetta, Hillcrest Hospital Pryor, Hillcrest Hospital South, Tulsa Spine and Specialty Hospital, Oklahoma Heart Institute and Utica Park Clinic. HHS has 1,180 licensed beds and an expansive network of clinics. Your Community: Located in north-central Oklahoma, Stillwater is a vibrant community known for its friendly atmosphere and strong sense of pride. Home to Oklahoma State University, the city offers a dynamic mix of cultural events, collegiate sports, and a thriving arts scene. Stillwater's rich history blends seamlessly with its modern amenities, offering residents a high quality of life. Enjoy outdoor recreation at local parks, lakes, and trails, or indulge in the city’s unique dining options, including its claim as the birthplace of Red Dirt music. With its welcoming community and growing opportunities, Stillwater is a place where you can live, work, and thrive.]]&gt;

Utica Park Clinic

Full-time Nurse Practitioner for Established Urgent Care | Stillwater, OK

<h2 id="who-we-are">Who we are</h2> <h3 id="about-stripe">About Stripe</h3> Stripe is a financial infrastructure platform for businesses. Millions of companies - from the world’s largest enterprises to the most ambitious startups - use Stripe to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead. That means you have an unprecedented opportunity to put the global economy within everyone's reach while doing the most important work of your career. <h3 id="about-the-team">About the team</h3> Corporate Strategy is a small, high-leverage team with a mandate to maximize Stripe’s enterprise value. Whether we’re evaluating net-new opportunity areas, investigating existential threats, or finding ways to unlock value in the existing business, we approach problems with rigor, nuance, and intellectual humility. <h2 id="what-youll-do">What you’ll do</h2> This is not your typical corporate strategy team. While partner closely with leadership, we don’t run the company planning processes, and we’re not “internal consultants” who primarily take on commissioned analysis. We develop independent points of view that have real teeth: strategy that is practical and connected with the rest of the company, not recommendations from an ivory tower. We operate horizontally – not embedded within any product or functional area – and we take a multidisciplinary approach to problems that incorporates product thinking and analytical angles. <h3 id="responsibilities">Responsibilities</h3> <ul> <li>Help Stripe decide where to deploy its resources to maximize long-term strategic value </li> <li>Tackle hard, ambiguous questions with rigor and independence, owning projects from problem definition to final recommendation </li> <li>Cut through complexity to identify opportunities and risks across Stripe’s products, customers, and markets </li> <li>Partner closely with teams across the company to influence their direction </li> <li>Evaluate whitespace business, product, and partnership opportunities in adjacent markets </li> <li>Drive strategic decisions by crisply framing a problem space, evaluating potential paths, and surfacing key tradeoffs – enabling Stripe to move quickly </li> <li>Work with Stripe’s leadership team to ensure the company is positioned to execute on its strategy in the near- and long-term </li> <li>Develop independent perspectives on forces shaping the business in the next five to ten years and the implications for Stripe's strategy </li> <li>Nurture a community of strategists across the company </li> </ul> <h2 id="who-you-are">Who you are</h2> We're looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. <h3 id="minimum-requirements">Minimum requirements</h3> <ul> <li>You excel at hypothesis-driven problem solving using quantitative and qualitative approaches </li> <li>You can look at problems from novel perspectives and distill clarifying insights that connect with wide audiences </li> <li>You communicate extremely well and are able to develop compelling narratives </li> <li>You are low ego and have a proven track record for working well across a wide range of people, teams and with external partners </li> <li>You are curious about markets, competition, and how companies build durable strategies </li> <li>You have experience taking holistic ownership of problems </li> <li>You have multiple years of experience in strategy consulting, investing, or a comparable role in high-growth tech companies </li> <li>You have a unique perspective or experience that will complement the existing team </li> <li>You rolled your eyes just a little bit when you heard “corporate strategy” </li> </ul> <h3 id="preferred-qualifications">Preferred qualifications</h3> <ul> <li>Technical background or affinity (CS, engineering, etc.) </li> <li>Experience as a PM, GM or a founder </li> <li>Knowledge of the payments or fintech industry </li> </ul> This role is available either in an office or a remote location (typically, 35+ miles or 56+ km from a Stripe office). Office-assigned Stripes spend at least 50% of the time in a given month in their local office or with users. This hits a balance between bringing people together for in-person collaboration and learning from each other, while supporting flexibility about how to do this in a way that makes sense for individuals and their teams. A remote location, in most cases, is defined as being 35 miles (56 kilometers) or more from one of our offices. While you would be welcome to come into the office for team/business meetings, on-sites, meet-ups, and events, our expectation is you would regularly work from home rather than a Stripe office. Stripe does not cover the cost of relocating to a remote location. We encourage you to apply for roles that match the location where you currently or plan to live. The annual US base salary range for this role is $180,000 - $270,000. For sales roles, the range provided is the role’s On Target Earnings ("OTE") range, meaning that the range includes both the sales commissions/sales bonuses target and annual base salary for the role. This salary range may be inclusive of several career levels at Stripe and will be narrowed during the interview process based on a number of factors, including the candidate’s experience, qualifications, and location. Applicants interested in this role and who are not located in the US may request the annual salary range for their location during the interview process. Additional benefits for this role may include: equity, company bonus or sales commissions/bonuses; 401(k) plan; medical, dental, and vision benefits; and wellness stipends. Office locations South San Francisco HQ, or New York Remote locations Remote in United States Team Corporate Strategy Job type Full time <a href="#"> Apply for this role </a>

Stripe

Corporate Strategy

U.S. Department of Veteran Affairs

Physician-Urology

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Garver

Helpdesk Technician I

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