Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming or Phoenix
$101k-$107k/yrRemoteFull Time
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet, Internet, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System, American Dental codes
GlobalHealth: Provides Medicare Advantage and HMO health insurance plans.
Oklahoma RN license required; experience in managed care, case management, concurrent review and supervisory roles; knowledge of utilization management, quality improvement, and Microsoft Office/Power BI.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Power BI
GlobalHealth: Provides health insurance and Medicare Advantage plans.
Active Oklahoma RN license, experience in managed care/case management/concurrent review, supervisory experience, bachelor's degree, knowledge of utilization management and quality improvement; CPHQ and CPUR preferred.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Power BI
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Medical Management - Utilization Management RN 145-2026
Tulsa, Oklahoma, United States
OnsiteFull Time
CommunityCare: Provides community-based health insurance and managed care services in Oklahoma.
Active Oklahoma RN license, knowledge of managed care, utilization review experience, strong communication, organization and documentation skills, and Health Care Sanctions background check completion.
State of Oklahoma: The government entity providing public services to Oklahoma residents
4+ YOEBachelor's degree or 4 years administrative/clerical experience (or equivalent), ability to review clinical documentation, coordinate authorizations, pass OSBI background check, and hold a valid driver’s license.
Michigan or Mississippi or Pennsylvania or North Carolina or Maryland or Minnesota or Nebraska or Missouri or Colorado or New York or New Jersey or Arizona or Connecticut or Texas or District of Columbia or Florida or Rhode Island or Iowa or Alaska or Arkansas or South Dakota or Idaho or Illinois or Kansas or Tennessee or Virginia or Delaware or Wisconsin or Georgia or West Virginia or Oregon or Oklahoma
$29-$62/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
3+ YOEActive unrestricted RN license in state of residence, 3+ years Med-Surg RN hospital experience, Associates in Nursing required (BSN preferred), 1+ year Microsoft Office (Outlook, Teams, Excel) experience, ability to work multiple IT platforms.
Microsoft Outlook, Microsoft Teams, Microsoft Excel
Vice President, Power Supply Planning & Generation Marketing
Tulsa or Chouteau
OnsiteFull Time
Grand River Dam Authority: Provides wholesale electricity and manages waterways in Oklahoma.
10+ YOE10+ MgmtExtensive leadership experience in energy markets, deep knowledge of SPP tariff and utility market/regulatory frameworks, strategic planning and negotiation skills, bachelor’s degree required.
Arkansas or Arizona or Florida or Georgia or Iowa or Illinois or Kansas or Kentucky or Michigan or Minnesota or Missouri or North Dakota or Nebraska or Oklahoma or South Dakota or Tennessee or Texas or Virginia or Wisconsin
$70k-$105k/yrRemoteFull Time
Medica: Provides health insurance coverage and health plan administration services.
5+ YOEBachelor's or equivalent and 5 years experience beyond degree; active LPN or RN license required (active unrestricted RN required); clinical assessment, UM and appeals experience preferred.
Alabama or Oklahoma or Ohio or New Mexico or New Jersey or New Hampshire or Nebraska or Montana or Missouri or Mississippi or Maryland or Maine or Louisiana or Kentucky or Kansas or Iowa or Indiana or Idaho or Georgia or Florida or Delaware or Colorado or Arkansas or Arizona or Wyoming or Wisconsin or West Virginia or Washington or Virginia or Vermont or Utah or Texas or Tennessee or South Dakota or South Carolina or Rhode Island or Pennsylvania or United States
$71k-$98k/yrRemoteFull Time
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
1+ YOECompact RN in state of residence, >1 year clinical RN experience (hospital/SNF/home health/acute), ability to apply medical necessity criteria and complete timely determinations in a remote, metrics-focused role.
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible Weekend Dayshift - Remote in VA and NC
Norfolk or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
2+ YOEMaster's in counseling/social work/MFT (or BSN for RN), valid state license (LCSW/LPC/LMFT/RN), 2 years behavioral health and 1 year case management, ASAM/substance use experience preferred.
Dallas or Indiana or Kentucky or Nevada or Oregon or Oklahoma or South Carolina or Texas or United States
RemoteContract
Medical Review Institute of America: Provides independent clinical and utilization review services for healthcare.
5+ YOEBoard-certified dermatologist with MD or DO, unencumbered state medical license in IN/KY/NV/OR/OK/SC/TX, 5+ years clinical experience (including residency), daytime availability, HIPAA compliance.
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
3+ YOE3-5 years clinical experience with psychiatric mental health population; Bachelor's degree required (MSN/MSW preferred); licensed therapist/social worker (LPC/LCSW) preferred; strong computer, communication, and leadership skills; must pass drug and national background checks.
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
Emery Sapp & Sons: Provides heavy civil construction and infrastructure development services.
5+ YOE5+ years heavy civil underground utility construction experience, leadership experience, HS diploma or equivalent, strong communication and analytical skills, willingness to travel to job sites.
USIC: Locates and marks underground utility infrastructure to prevent damage.
Perform outdoor field locating of underground utilities, read tickets/maps, lift up to 75 lbs, pass drug screen, valid driver’s license, able to work overtime, weekends, and on-call.
New York or West Virginia or North Dakota or Wisconsin or Indiana or Virginia or Texas or Tennessee or South Carolina or Pennsylvania or Ohio or Nevada or New Jersey or North Carolina or Minnesota or Maryland or Massachusetts or Florida or Delaware or Connecticut or New Hampshire or Arizona or Vermont or Alabama or Maine or Wyoming or Montana or South Dakota or Nebraska or New Mexico or Washington or Michigan or Hawaii or Oklahoma
$73k-$120k/yrRemoteFull Time
Healthfirst: Provides not-for-profit health insurance coverage to New York residents.
LPN or RN required; experience in clinical practice and appeals & grievances, claims processing, utilization review preferred. Knowledge of Utilization Review guidelines, InterQual or Medicare guidance; proficiency with Microsoft Word and Excel.
Microsoft Word, Microsoft Excel, Macess, InterQual