Senior Health Care Management Nurse | Audits & Appeals
Listed on 2026-09-30
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Healthcare
Healthcare Nursing
Oklahoma Health Care Authority (OHCA) is seeking a Health Care Management Nurse III to oversee case management processes, analyze data for fraud, waste, and abuse, and ensure HIPAA compliance. The role involves audits, coordination with medical directors, and managing second-level appeals.
The position requires RN licensure, eNLC recognition, and about six years of nursing experience, including managed care or home health.
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