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Oklahoma Licensed Utilization Review RN

workfromhome • Posted 5 days ago
Remote Full Time Healthcare Practitioners and Technical Occupations

Collaborating with healthcare providers and insurance companies, the full-time Oklahoma Licensed Utilization Review RN will conduct comprehensive patient assessments, coordinate care, and ensure compliance with healthcare regulations while working remotely from designated states. Key responsibilities Conduct comprehensive assessments of patients' health status and ongoing care needs using evidence-based criteria Coordinate with interdisciplinary teams, patients, and payors to ensure appropriate care status and financial reimbursement Educate patients and families on healthcare processes and compliance with regulatory and financial expectations Required qualifications Associate's Degree in Nursing required for Level 1; Bachelor's Degree in Nursing required for Levels 2 and 3 0-3 years of RN experience required for Level 1; at least 3 years of Care Management experience for Level 2; 5 or more years for Level 3 Current Registered Nurse License issued by the Oklahoma State Board of Nursing or a current multistate compact Registered Nurse (eNLC)

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