ZipRecruiter

Log In

2

Remote Rn Case Review Jobs in Edmond, OK (NOW HIRING)

Preferred Pathways

ADvantage Case Manager

Norman, OK · Remote

This is a remote position earns a competitive wage . We provide excellent benefits , including a ... QUALIFICATIONS FOR AN ADVANTAGE CASE MANAGER Oklahoma RN or LPN license required. Bachelor's degree ...

Preferred Pathways

ADvantage Case Manager

Norman, OK · Remote

This is a remote position earns a competitive wage . We provide excellent benefits , including a ... QUALIFICATIONS FOR AN ADVANTAGE CASE MANAGER Oklahoma RN or LPN license required. Bachelor's degree ...

Varsity Tutors

NCLEX-RN Tutor

Oklahoma City, OK · Remote

$40/hr

... NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Oklahoma City, OK · On-site +1

$53.25 - $64.75/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

DataAnnotation

RN

Edmond, OK · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

DataAnnotation

Registered Nurse

Edmond, OK · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

DataAnnotation

RN

Oklahoma City, OK · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

DataAnnotation

RN

Norman, OK · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

DataAnnotation

Registered Nurse

Norman, OK · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

next page

Showing results 1-20

People also search for

All JobsRn Case Review JobsRemote Rn Case Review JobsRemote Rn Case Review Jobs in Edmond, OK

Remote Rn Case Review information

See Edmond, OK salary details

$17

$42

$72

How much do remote rn case review jobs pay per hour?

As of Jun 8, 2026, the average hourly pay for remote rn case review in Edmond, OK is $42.95, according to ZipRecruiter salary data. Most workers in this role earn between $31.92 and $51.92 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are popular job titles related to Remote Rn Case Review jobs in Edmond, OK? For Remote Rn Case Review jobs in Edmond, OK, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Edmond, OK look for? The top searched job categories for Remote Rn Case Review jobs in Edmond, OK are:
What cities near Edmond, OK are hiring for Remote Rn Case Review jobs? Cities near Edmond, OK with the most Remote Rn Case Review job openings:
Remote Rn Case Review jobs near you
Case Manager RN (50924)

Case Manager RN (50924)

GLOBALHEALTH HOLDINGS LLC

Oklahoma City, OK • On-site, Remote

Full-time

Medical

Posted 5 days ago

Job description

WHO WE ARE:
GlobalHealth is a fast-growing Medicare Advantage HMO health insurer. We aspire to be the employer of choice in our industry, attracting and retaining a highly talented workforce. Our passion is Genuine Care and Optimal Health for the members we serve. We are unique by providing high touch, high value and a partnership to our members. We go above and beyond to provide personalized, engaging, and responsive services to our members. We work hard to offer affordable health insurance coverage with the benefits people truly want and need. It is our hope to be more than just a health insurance company we want to be long-term partners with our members. We are looking for future employees who exude our core values of taking accountability through ownership, being driven, innovative and who have a passion for continuous learning.
WHO YOU ARE:
This position, under the direction of the Supervisor, Care Management, performs and manages all aspects of care management to improve the long-term wellness of members, becoming an advocate for our members through coordination of care.
ESSENTIAL JOB FUNCTIONS:
  • Conducts telephonic case management for complex, high-risk members to include identification and assessment of needs, planning and coordination of care, and monitoring outcomes in accordance with GlobalHealth and the departments policies and procedures.
  • Coordinates with providers when applicable to ensure holistic, healthy, beneficial outcomes.
  • Communicates with respect to family culture, ethnic origin, race, language, gender, age, religion, socioeconomic status, sexual orientation, mental and/or physical challenges.
  • Through interdepartmental communication, network communication, and member outreach the Case Manager remains aware of patient needs and changes in condition, providing patient advocacy, support, assessing and ensuring quality care, and providing crisis intervention.
  • Coordination of services for members, including community resources and collaboration with other members of the care team.
  • Educate members and their caregivers on conditions and self-management techniques.
  • Initiate and participate in all elements of the SNP MOC, including completing HRA, creating ICP, and initiating ICT.
  • Complete TOC activities to include post-discharge assessment, medication reconciliation/review, and ensuring member has access to follow up care.

EDUCATION AND EXPERIENCE:
  • Active Registered Nurse license in the state of Oklahoma required
  • Active multi-state RN license is preferred
  • Previous experience in managed care/utilization management preferred

KNOWLEDGE, SKILLS AND ABILITIES:
  • Knowledge of current nursing processes, techniques, and established standards, including disease management, medications, and community resources.
  • Strong attention to detail and good organization and time management skills, including ability to multi-task, learn new skills and reach set goals.
  • Must be able to communicate, both orally and in writing, clearly and effectively
  • Knowledge of Microsoft software programs including Word, Excel, and PowerPoint.
  • Proven ability to work independently or as a member of a team.

WORK ENVIRONMENT:
Current work environment is remote, however, some state exclusions apply.
Must have access to a reliable and secured internet connection source. Work environment must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy. This position will also be required to use reasonable and necessary safeguards to protect GlobalHealth records from unauthorized access, disclosure or damage and will adhere to all GlobalHealth privacy and security policies.
TRAVEL:
N/A
SUPERVISORY RESPONSIBILITY:
N/A
OTHER DUTIES:
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Apply