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Remote Supervisor Utilization Management Jobs in Oklahoma

Humana

Compliance Audit Nurse

Oklahoma City, OK · On-site +1

... utilization management, case management, discharge planning and/or home health or rehab * Certification in Case Management a plus (CCM) Additional Information Workstyle - Remote work at Home with the ...

Humana

Compliance Audit Nurse

Oklahoma City, OK · On-site +1

... utilization management, case management, discharge planning and/or home health or rehab * Certification in Case Management a plus (CCM) Additional Information Workstyle - Remote work at Home with the ...

Humana

Compliance Audit Nurse

Oklahoma City, OK · On-site +1

... utilization management, case management, discharge planning and/or home health or rehab * Certification in Case Management a plus (CCM) Additional Information Workstyle - Remote work at Home with the ...

Revel Staffing

IT Support Supervisor

Oklahoma City, OK · Remote

$80K - $115K/hr

We are seeking an experienced IT Support Supervisor to lead a remote team focused on IT training, ... Experience leading teams, managing priorities, and supporting remote employees * Strong ...

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All JobsSupervisor Utilization Management JobsRemote Supervisor Utilization Management JobsRemote Supervisor Utilization Management Jobs in Oklahoma

Remote Supervisor Utilization Management information

What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

What are popular job titles related to Remote Supervisor Utilization Management jobs in Oklahoma?

For Remote Supervisor Utilization Management jobs in Oklahoma, the most frequently searched job titles are:

What job categories do people searching Remote Supervisor Utilization Management jobs in Oklahoma look for?

The top searched job categories for Remote Supervisor Utilization Management jobs in Oklahoma are:

What cities in Oklahoma are hiring for Remote Supervisor Utilization Management jobs?

Cities in Oklahoma with the most Remote Supervisor Utilization Management job openings:

Remote Supervisor Utilization Management jobs near you
Infographic showing various Remote Supervisor Utilization Management job openings in Oklahoma as of June 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 35% Physical, 3% Hybrid, and 62% Remote job distribution.

Health Services Coordinator (52451)

GlobalHealth, Inc

Oklahoma City, OK • On-site, Remote

Full-time

Medical

Posted 21 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, Heath Services Coordination, provides administrative support for utilization review, health education and care management. This includes data entry, communication with members, providers, and vendors for education and information gathering.
ESSENTIAL JOB FUNCTIONS:
  • Following Medicare/Medicaid Timelines for Notification to Provider/Members to meet department goals and requirements.
  • Verbal and/or written outreach to members and/or providers to provide updates on referral request status, reasoning behind decisions, and provide accurate information.
  • Daily Mail fulfillment - faxes to provide notification to provider or member of decisions,
  • Coordination of services for members, including community resources and collaboration with assigned case manager
  • Develop and maintain resources related to the department.
  • Support departmental initiatives.
  • Identify and report process improvement opportunities.
  • Manage and document member and provider calls.
  • Enter authorization requests in the medical management systems.
  • Process member notifications
  • Must maintain confidentiality of business information, including Protected Health Information (PHI), as required by HIPAA and company policy.
  • Performs other duties as assigned.

EDUCATION AND EXPERIENCE:
  • High School diploma or equivalent and two years of data entry experience in an administrative support position required.
  • Experience working with medical records preferred.
  • Experience working in managed care or utilization management environment preferred.

KNOWLEDGE, SKILLS AND ABILITIES:
  • Strong attention to detail
  • Excellent communication skills, Clear and effective written and verbal
  • Organization and time management skills, including ability to prioritize tasks.
  • Strong working knowledge of Microsoft Word, Visio, Excel and Power Point.
  • Strategic and Analytic thinking, Lean Six Sigma Green belt or Black belt- preferred.
  • Ability to work independently and with a group.
  • Self-motivated
  • Excellent customer service skills
  • Demonstrated knowledge of managing the use of a SharePoint site or equivalent application

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.

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