Location: Tulsa, OK
We are designed to be more personal and inviting than the typical medical facility. We are consistently recognized for providing a patient-centered approach to medical care. Our high patient satisfaction rates and employee engagement awards represent our commitment and dedication to quality care.
The Medical Surgical unit has 38 inpatient beds. The patients are post-surgical and are made up of approximately 70% spine, 25% ortho (knees and hips, etc) and 5% GYN. This unit carries a 1:4 Nurse to Patient ratio which allows attention to detail and care that exceeds expectation. The Registered Nurse is responsible for delivery of patient care through the nursing process of backssment, diagnosing,
planning, implementation, and evaluation. They are responsible for directing and coordinating all nursing care for medical/surgical patients based on established clinical nursing practice standards.
They collaborate with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. They utilize knowledge of patient age and cultural diversity into the provision of patient care. They contribute to the provision of quality nursing care through performance improvement techniques that demonstrate positive outcomes in patient care. Collaborate with other professional disciplines to ensure effective and efficient patient
care delivery and the achievement of desired patient outcomes Graduate of an accredited nursing program - Associates degree minimum Must demonstrate excellent English grammar and writing skills Ability to multi-task constantly, react to changes quickly/productively, and tolerate interruptions Remain flexible, organized, professional and able to analyze, make sound decisions under stressful situations Medical, dental, and vision insurance Company paid basic life insurance and long term disability coverage Tuition Reimbursement For more details: jobs-search.
org/insurance_tulsa-c443982/rn-medical-unit-full-time-nights-tulsa_i1950043589
Insurance jobs are positions in the insurance industry where professionals help individuals and businesses manage risk and protect against financial loss. They encompass a variety of roles such as insurance agents, underwriters, claims adjusters, and actuaries. Key characteristics of these jobs include assessing risk, determining policy terms, negotiating contracts, and assisting clients with claims. Insurance careers often require strong analytical skills, attention to detail, and excellent interpersonal communication. These roles are crucial for the functioning of a stable economy as they provide a safety net for unforeseen events.
Nurse for the Ambetter line of business. The ideal candidate will have Appeals or Utilization Management experience and have knowledge of Inter Qual criteria. Position Purpose: Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.
Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards Communicates
with members, providers, facilities, and other departments regarding appeals requests Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree or graduate from an Accredited School of Nursing and 2
– 4 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse - State Licensure required or LVN - Licensed Vocational Nurse required or RN - Registered Nurse - State Licensure and/or Compact State Licensure required Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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, interaction, interactionual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. For more details: jobs-search. org/insurance_tulsa-c443982/clinical-review-clinician-appeals-tulsa_i1973749292
state of practice EKG certification is recommended and/or a special test may be required, NIHSS (stroke scale) is also recommended Specialty-related certifications are preferred and may be required for specific positions Experience as a Telemetry RN in a hospital setting Minimum of 2 years of experience as an RN Job Details Weekly Pay: $1,848 per week Location: Tulsa, OK Shift Schedule: Nights Assignment Duration: 13 Weeks Weekly Hours: 36 Hours Agency Benefits Day 1 Health Insurance (Medical, Dental, Vision), Flexible Housing Options, Guaranteed Stipend: Facility Cancelled Shifts, JACHO Certified, Prestigious Facilities, PTO Program, Weekly Pay, Paid Compliance Cost, Referral Bonuses, Extra Shift Bonuses, 401(k) Plan For more details: jobs-search.
org/insurance_tulsa-c443982/job_i1971120537
state of practice EKG certification is recommended and/or a special test may be required, NIHSS (stroke scale) is also recommended Specialty-related certifications are preferred and may be required for specific positions Experience as a Telemetry RN in a hospital setting Minimum of 2 years of experience as an RN Job Details Weekly Pay: $1,715 per week Location: Tulsa, OK Shift Schedule: Nights Assignment Duration: 13 Weeks Weekly Hours: 36 Hours Agency Benefits Day 1 Health Insurance (Medical, Dental, Vision), Flexible Housing Options, Guaranteed Stipend: Facility Cancelled Shifts, JACHO Certified, Prestigious Facilities, PTO Program, Weekly Pay, Paid Compliance Cost, Referral Bonuses, Extra Shift Bonuses, 401(k) Plan For more details: jobs-search.
org/insurance_tulsa-c443982/job_i1971044859
