More jobs:
Utilization Management RN: Care Coordination Specialist
Job in
Tulsa, Tulsa County, Oklahoma, 74145, USA
Listed on 2026-08-11
Listing for:
CommunityCare HMO Inc.
Full Time
position Listed on 2026-08-11
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist
Job Description & How to Apply Below
Community Care HMO Inc. seeks a Registered Nurse to perform clinical review of utilization requests and assess and implement potential coordination of care opportunities for overall membership, including high-risk and at-risk populations.
The role is part of the Utilization Management Team and requires collaboration with physicians and other providers across the care continuum. Responsibilities include determining medical necessity, documenting determinations, referring cases to Medical Director,
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