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Part Time Utilization Review Rn Jobs in Oklahoma City, OK

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RN

Oklahoma City, OK · On-site

Registered Nurse RN Reports to Director of Nurses Full-Time Benefits * Medical - We offer three ... Part-Time & PRN Benefits * Medical - Part time and prn staff are offered Preventive Plus Plan ...

INTEGRIS Health

RN - IMC Step Down

Oklahoma City, OK · On-site

Join our team as a night shift, regular part time, Registered Nurse at INTEGRIS Health Southwest Medical Center in Oklahoma City, OK. You may be eligible for a sign-on bonus up to $10,000. Get to ...

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in Oklahoma City, OK

Part Time Utilization Review Rn information

See Oklahoma City, OK salary details

$19

$39

$64

How much do part time utilization review rn jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for part time utilization review rn in Oklahoma City, OK is $39.30, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $45.14 per hour, depending on experience, location, and employer.

What does a part time utilization review RN do?

A Part Time Utilization Review RN is a registered nurse who works part-time to assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, collaborate with healthcare providers, and ensure that care meets established guidelines and insurance requirements. Their goal is to promote quality care while managing healthcare costs and ensuring compliance with regulations.

What are the key skills and qualifications needed to thrive as a part time utilization review RN, and why are they important?

To thrive as a Part Time Utilization Review RN, you need a current RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines and coding systems like ICD-10 is essential. Attention to detail, critical thinking, and effective communication are vital soft skills for collaborating with healthcare providers and payers. These skills ensure accurate assessments, compliance, and efficient resource use, directly impacting patient outcomes and cost management.

What are some typical challenges faced by part time utilization review RNs, and how can they be managed?

Part Time Utilization Review RNs often face challenges such as balancing productivity expectations with the complexity of reviewing medical records and ensuring compliance with ever-changing regulations. Working part time can also mean adapting quickly to updates in protocols or software with less training time. Staying organized, maintaining strong communication with the care team, and proactively seeking clarification about criteria changes can help manage these challenges. Additionally, leveraging ongoing education and collaborating with full-time colleagues can ease transitions and support effective performance.

What is the difference between Part Time Utilization Review Rn vs Part Time Case Manager Rn?

AspectPart Time Utilization Review RnPart Time Case Manager Rn
CertificationsRN license, Utilization Review certification (if required)RN license, Case Management certification (e.g., CCM)
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, insurance companies, community health agencies
Primary ResponsibilitiesReview medical necessity, approve or deny services based on criteriaCoordinate patient care, discharge planning, and resource management
Industry UsageCommonly used in insurance and healthcare utilization departmentsUsed in patient care coordination and discharge planning

While both roles require RN licensure, the Part Time Utilization Review Rn focuses on evaluating medical necessity and approving services, whereas the Part Time Case Manager Rn emphasizes coordinating patient care and discharge planning. Understanding these differences helps professionals choose the role that best fits their skills and career goals.

How to get into part time utilization review RN?

To become a part-time utilization review RN, candidates typically need a valid nursing license and experience in case management or utilization review. Relevant certifications such as the Certified Professional in Healthcare Quality (CPHQ) can enhance prospects, and familiarity with electronic health records (EHR) systems is often required. Applying to healthcare organizations or insurance companies that offer flexible schedules can help secure part-time roles.

What are the most commonly searched types of Utilization Review Rn jobs in Oklahoma City, OK?

The most popular types of Utilization Review Rn jobs in Oklahoma City, OK are:

What cities near Oklahoma City, OK are hiring for Part Time Utilization Review Rn jobs?

Cities near Oklahoma City, OK with the most Part Time Utilization Review Rn job openings:

Part Time Utilization Review Rn jobs near you
Infographic showing various Part Time Utilization Review Rn job openings in Oklahoma City, OK as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% In-person job distribution, with an average salary of $81,740 per year, or $39.3 per hour.

Pediatric Care Management RN - PRN

Oklahoma City, OK

OU Medical Center
1 - 5K employees
Learn more about OU Medical Centerexternal

Part-time

Medical, Dental, Retirement, PTO

Posted 23 days ago

Job description

Position Title:Pediatric Care Management RN - PRNDepartment:OCH Care ManagementJob Description:

Ask your recruiter about our new market-leading rates!

**PRN POSITIONS REQUIRE A MINIMUM OF 2 SHIFTS/MONTH**

RN Care Manager is accountable and responsible for coordinating the care and services of selected patient populations and ensuring the efficient utilization of healthcare resources. The primary responsibility of the role will be to assess, plan, implement, coordinate, monitor, and evaluate the options and services required to meet the healthcare needs of patients.

Essential Responsibilities

Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position.

  • Conduct comprehensive assessments of patients' health status, medical history, and ongoing care needs.

  • Develop individualized care plans in collaboration with the interdisciplinary healthcare team, patients, and their families to ensure continuity of care.

  • Provide education to patients and their families regarding their health conditions, treatment plans, medications, financial expectations, and self-care strategies.

  • Coordinate and facilitate communication between patients, families, healthcare providers, and community resources to optimize patient care outcomes.

  • Evaluate effectiveness of care plans and make adjustments as necessary.

  • Evaluate healthcare utilization patterns and identify opportunities for improving efficiency and cost-effectiveness.

  • Advocate for the appropriate allocation of resources and services to meet patients' needs while complying with regulatory guidelines and reimbursement criteria.

  • Collaborate with insurance providers, social workers, and other stakeholders to ensure timely authorization of services and coverage for patients.

  • Monitor and evaluate patient outcomes, healthcare processes, and care delivery systems to pinpoint areas for improvement.

  • Participate in quality improvement initiatives and interdisciplinary care conferences to promote evidence-based practices and improve patient safety and satisfaction.

  • Ensure compliance with federal, state, and local regulations as well as accreditation requirements related to care management and patient care.

  • Implement strategies to minimize readmissions, prevent complications, and optimize care planning processes.

General Responsibilities

  • Performs other duties as assigned.

Minimum Qualifications

Education: Associate's degree in nursing required.

Experience: At least 1 year of Care Management experience.

License/Certification/Registration Requirements: Current Registered Nurse License (RN License issued by the Oklahoma State Board of Nursing, or a current multistate compact Registered Nurse (eNLC). Basic Life Support (BLS) from the American Heart Association (AHA) required.

Knowledge/Skills/Abilities Required

  • Demonstrates expertise in regulatory requirements regarding the care management discipline.

  • Strong communication, interpersonal, and leadership skills.

  • Detailed- oriented with excellent organizational skills.

  • Commitment to fostering a culture of continuous learning, quality improvement, and patient-centered care.

  • Strong assessment, critical thinking, and problem-solving skills.

  • Strong knowledge of healthcare regulations, including CMS guideline.

  • Show clear understanding of utilization management principles and integrate these with care management responsibilities.

  • Serve as liaison between patients, families, and healthcare providers.

  • Proficiency in utilizing electronic health records (EHR) and care management software.

  • Strong assessment, critical thinking, and problem-solving skills.

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Current OU Health Employees - Please click HERE to login.OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.

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