Utilization Management RN: Care Coordination & Review

CommunityCare HMO Inc. in Oklahoma seeks a Registered Nurse to perform utilization review and assess opportunities for coordination of care across the member population.

The role is part of the Utilization Management Team and requires collaboration with physicians and other providers to facilitate services across the health care continuum. The position emphasizes clinical review, documentation, and adherence to established criteria, with opportunities to contribute to Care Management programs