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Remote Utilization Review Manager Jobs in Duncan, OK

SCHEDULING COORDINATOR

Foster, OK ยท On-site +1

$22 - $26/hr

Fully Remote Compensation: Pay $22.00-$26.00 DOE (Depending on Experience) Benefits: This position ... Manage daily, weekly, and monthly schedule changes related to provider availability, PTO, call-outs ...

Tax Associate

Lawton, OK ยท Remote

$21 - $26/hr

Conduct compliance and quality review on documents, state legislation, codes and procedures ... Manage multiple priorities in a high-volume position, deliver timely and accurate work products ...

Project Coordinator

Lawton, OK ยท Remote

$24.81 - $31.01/hr

Remote - Nationwide, United States Project Coordinator, IT Infrastructure Why WWT? At World Wide ... Why should you join the PMO? As a Project Coordinator, you will be working on exciting ...

New

... management * Perform go-to-market performance reviews, including win/loss analysis, to identify ... This internship is primarily a remote opportunity. However, if you are located near one of our ...

The work model for the role is Remote based out of Florida, USA. This role is contributing to the ... Seeking feedback and guidance from manager and team members to improve performance and skills.

Remote Utilization Review Manager information

See Duncan, OK salary details

$37.5K

$87.6K

$161.2K

How much do remote utilization review manager jobs pay per year?

As of Sep 4, 2026, the average yearly pay for remote utilization review manager in Duncan, OK is $87,566.00, according to ZipRecruiter salary data. Most workers in this role earn between $57,200.00 and $105,400.00 per year, depending on experience, location, and employer.

What is a remote utilization review manager?

A Remote Utilization Review Manager is a healthcare professional responsible for overseeing the review of medical services and determining the necessity, appropriateness, and efficiency of those services from a remote location. They ensure that healthcare providers comply with guidelines and that patients receive appropriate care without unnecessary procedures. These managers work with clinical teams, insurance companies, and regulatory agencies to optimize patient outcomes and manage healthcare costs. Working remotely allows them to perform these duties using digital health records and telecommunication tools.

What are the key skills and qualifications needed to thrive as a remote utilization review manager?

To thrive as a Remote Utilization Review Manager, you need expertise in healthcare management, case review, and regulatory compliance, typically supported by a nursing degree (RN or BSN) and relevant certifications such as CCM or URAC. Familiarity with utilization management software, electronic health records (EHRs), and payer systems is essential. Strong analytical thinking, attention to detail, and excellent communication skills help navigate complex cases and collaborate with clinical teams and insurers. These skills ensure effective resource utilization, regulatory adherence, and optimal patient outcomes in a remote healthcare environment.

What are some common challenges faced by a remote utilization review manager, and how can they be addressed?

A Remote Utilization Review Manager often encounters challenges such as maintaining effective communication with clinical teams, ensuring timely and accurate reviews, and staying updated with changing regulations and payer requirements. To address these, it's important to leverage secure collaborative platforms, establish clear workflows, and participate in ongoing training. Building strong relationships with team members and regularly reviewing protocols also help in overcoming remote work hurdles and ensuring compliance and efficiency.

What is the difference between Remote Utilization Review Manager vs Remote Utilization Review Nurse?

AspectRemote Utilization Review ManagerRemote Utilization Review Nurse
CredentialsTypically requires a nursing license, certifications like URAC or AAPC, and management experienceLicensed Registered Nurse (RN) with utilization review certification often preferred
Work EnvironmentOversees review teams, manages processes, and ensures compliance remotelyPerforms case reviews, assesses medical necessity, and documents findings remotely
Employer & Industry UsageHealth insurance companies, third-party administrators, healthcare organizations

The Remote Utilization Review Manager focuses on overseeing review teams and managing processes, while the Remote Utilization Review Nurse conducts case assessments and medical necessity reviews. Both roles require nursing credentials and are integral to healthcare utilization management, but differ in responsibilities and leadership levels.

What are popular job titles related to Remote Utilization Review Manager jobs in Duncan, OK?

For Remote Utilization Review Manager jobs in Duncan, OK, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Manager jobs in Duncan, OK look for?

The top searched job categories for Remote Utilization Review Manager jobs in Duncan, OK are:

What cities near Duncan, OK are hiring for Remote Utilization Review Manager jobs?

Cities near Duncan, OK with the most Remote Utilization Review Manager job openings:

SCHEDULING COORDINATOR

Gastro Care Partners

Foster, OK โ€ข On-site, Remote

$22 - $26/hr

Other

PTO

Posted 10 days ago


Job description

Scheduling Coordinator Part-Time Remote
Gastro Care Partners (GCP)
Schedule: Part-Time, up to 20 hours per week Flexible Schedule
Location: Fully Remote
Compensation: Pay $22.00-$26.00 DOE (Depending on Experience)
Benefits: This position is not benefits eligible
About the Role
Gastro Care Partners is seeking a detail-oriented and highly organized Scheduling Coordinator to support centralized provider scheduling across our markets. This position will be responsible for creating, maintaining, and optimizing schedules for physicians, Advanced Practice Providers (APPs), and CRNAs.
The Scheduling Coordinator will work closely with market leaders, practice administrators, clinical leaders, and providers to ensure appropriate coverage, maximize provider utilization, identify scheduling gaps, and support patient access and operational efficiency.
This is an ideal opportunity for someone with healthcare scheduling or practice operations experience who enjoys working independently, solving problems, and coordinating multiple priorities across a fast-paced, multi-market organization.
What You'll Do
  • Build and maintain 3- and 6-month provider schedules across GCP markets.
  • Manage daily, weekly, and monthly schedule changes related to provider availability, PTO, call-outs, recruitment, onboarding, and patient demand.
  • Ensure appropriate provider coverage across clinic, procedures, surgery, administrative time, and call.
  • Review schedules to identify coverage gaps, conflicts, capacity constraints, and access concerns.
  • Coordinate provider schedule changes across multiple markets and locations.
  • Identify and coordinate CRNA coverage, including W-2, PRN, and locum providers, based on staffing and volume needs.
  • Partner with market and clinical leaders to anticipate staffing and coverage needs.
  • Monitor provider utilization, open capacity, and scheduling trends.
  • Process provider PTO and schedule change requests accurately and timely.
  • Maintain accurate scheduling records, calendars, templates, and systems.
  • Communicate schedule changes and coverage needs to providers, leaders, and key stakeholders.
  • Resolve scheduling issues and escalate complex concerns with recommended solutions.
  • Analyze scheduling data to identify trends, gaps, and opportunities for improvement.
  • Prepare routine scheduling reports and updates for leadership.
  • Support standardization and continuous improvement of centralized scheduling processes.
  • Assist with additional scheduling, administrative, and operational projects as needed.
What Success Looks Like
In this role, success means:
  • Provider schedules are accurate, timely, and well-coordinated.
  • Coverage gaps and scheduling conflicts are identified and addressed proactively.
  • Provider capacity and utilization are optimized.
  • Scheduling requests are handled accurately and efficiently.
  • Providers and market leaders receive timely, professional communication.
  • Scheduling data is accurate and supports effective decision-making.
  • Opportunities to improve scheduling efficiency and patient access are identified and acted upon.
Position Details
  • Part-time: Up to 20 hours per week
  • Flexible schedule
  • Fully remote
  • Pay: Depending on experience

If you are an organized, analytical healthcare professional who enjoys solving scheduling challenges and working collaboratively with providers and operational leaders, we would love to hear from you!
Required Skills and Abilities
  • Strong analytical, problem-solving, and critical-thinking skills.
  • Exceptional attention to detail and organizational skills.
  • Ability to manage multiple priorities and competing deadlines in a fast-paced environment.
  • Ability to work independently while collaborating effectively with teams across multiple markets.
  • Strong written and verbal communication skills.
  • Ability to communicate effectively with physicians, APPs, operational leaders, and stakeholders.
  • Ability to analyze staffing and scheduling data and translate findings into actionable recommendations.
  • Strong judgment and ability to make sound decisions within established guidelines.
  • Ability to anticipate operational issues and proactively develop solutions.
  • Strong relationship-building and customer-service skills.
  • Proficiency with Microsoft Office, particularly Excel.
  • Ability to quickly learn and effectively utilize scheduling, workforce management, EMR, and other operational systems.

Education and Experience
  • High school diploma or equivalent required; Bachelor's degree in healthcare administration, business, operations, or related field preferred.
  • Minimum of 2 years of experience in healthcare scheduling, provider scheduling, workforce management, practice operations, or a related healthcare environment.
  • Experience supporting physician and/or APP schedules strongly preferred.
  • Experience working across multiple locations, departments, or markets preferred.
  • Experience with healthcare scheduling systems, EMRs, workforce management platforms, or related technology preferred.
  • Demonstrated ability to work with operational data and use metrics to support decision-making.

Physical Requirements
  • Prolonged periods of sitting and/or being stationary at a desk.
  • Must be able to move around an office/healthcare environment on a consistent basis
  • Consistently uses computers and relays information via email, messaging and phone.
  • Must communicate with others and exchange information frequently and on an on-going basis.
  • Must be able to lift/move up to 15 lbs.

Gastro Care Partners is an equal opportunity employer and does not discriminate in employment on account of race, color, religion, sex, gender, pregnancy, national origin, age, marital or familial status, sexual orientation, gender identity, disability, medical condition, veteran status, genetic information, ancestry, or any other basis protected under federal, state, or local law.