Utilization Review Rn Jobs in Oklahoma (NOW HIRING)

QuarterLine (QL), a Planned Systems International (PSI) company, is seeking a dedicated and compassionate Registered Nurse (RN) to provide clinical and quality oversight for our Referral Management Center team supporting Military Treatment Facilities (MTFs). The RN will oversee referral management operations, quality standards, reporting, and assigned staff.

• Provide clinical and quality oversight for assigned MTF locations and serve as the primary contractor point of contact. 
• Monitor performance and data quality and implement improvement plans as needed. 
• Prepare and submit monthly performance and quality reports. 
• Address patient and MTF complaints and performance concerns within established timeframes. 
• Provide training to MTF clinical staff on referral processes, quality, and timeliness requirements. 
• Supervise assigned Referral Clerks and LPN/LVN personnel, including coaching, quality review, scheduling, and performance management.

• US Citizen.
• Graduate of an accredited nursing program; BSN preferred.  
• Current, active, unrestricted RN license issued by any U.S. state, the District of Columbia, or a U.S. territory.  
• Ability to read, write, speak, and understand English fluently. 
• Ability to obtain and maintain a favorable background investigation, a Common Access Card, and MTF-specific badge and system access. 
• Current Basic Life Support certification (AHA or Red Cross). 
• Three years (3) of registered nursing experience, including at least one year in referral management, utilization management, case management, quality management, or ambulatory care. Prior supervisory, team lead, or quality oversight experience preferred. 

• Must pass TB Test.
• Subject to a background/security investigation.
• Willingness to comply with DHA vaccination requirements. 
• Pre-employment drug screening.
• Contract workers shall maintain good personal hygiene and present a well-groomed and professional appearance IAW the policy at the place of performance. 

PSI offers full-time, benefits eligible employees a competitive total compensation package that includes paid leave, and options for employer sponsored group medical, dental, vision, short-term and long-term disability, life insurance, AD&D coverage, legal services, identity theft, and accident insurance. Flexible spending account and health saving account options offer pre-tax savings for qualified medical, dental, and vision expenses. The company sponsored 401(k) retirement plan has an employer contribution match that is immediately vested. We invest in the professional growth of our employees through professional courses, certifications, and tuition reimbursement programs.

It is company policy to promote equal employment opportunities. All personnel decisions, including, but not limited to, recruiting, hiring, training, promotion, compensation, benefits, and termination, are made without regard to race, color, religion, age, sex, sexual orientation, pregnancy, gender identity, genetic information, national origin, citizenship status, veteran status, protected veteran status, disability, or any other characteristic protected by applicable federal, state, or local law.

To ensure fair and consistent consideration of all applicants, all candidates must submit a formal application through Planned Systems International's Applicant Tracking System (ATS), iCIMS. Resumes submitted via email, social media, referrals, recruiting events, or other means will not be considered an official application and must be accompanied by a completed online application in the ATS before a candidate can be considered for employment. Reasonable accommodations for applicants and employees with disabilities will be provided. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, or to receive an update regarding the status of your application, please contact Talent Acquisition by emailing talent@plan-sys.com, or by dialing 703-575-8400.