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Remote Utilization Review Rn Jobs in Oklahoma (NOW HIRING)

Care Advocate Nurse

Oklahoma City, OK ยท Remote

$61K - $98K/yr

... ies), reviews medical data in CareMC, validates and secures medical information, assesses and ... This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ...

Remote Medical Scribe

Tulsa, OK ยท Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Remote Medical Scribe

Oklahoma City, OK ยท Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Remote Medical Scribe

Norman, OK ยท Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Clinical Liaison

Oklahoma City, OK ยท On-site +1

$53K - $71K/yr

Assesses potential residents/guests, reviewing their medical records, and determines whether they ... Valid driver's license. * RN, LPN, RRT or paramedic preferred. PHYSICAL REQUIREMENTS: * To perform ...

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Showing results 21-40

Remote Utilization Review Rn information

See Oklahoma salary details

$19

$39

$63

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

As of Aug 22, 2026, the average hourly pay for remote utilization review rn in Oklahoma is $39.04, according to ZipRecruiter salary data. Most workers in this role earn between $30.87 and $44.86 per hour, depending on experience, location, and employer.

What is a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

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

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

What cities in Oklahoma are hiring for Remote Utilization Review Rn jobs?

Cities in Oklahoma with the most Remote Utilization Review Rn job openings:

Infographic showing various Remote Utilization Review Rn job openings in Oklahoma as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $81,204 per year, or $39 per hour.

Health Services Coordinator (52451)

GlobalHealth, Inc

Oklahoma City, OK โ€ข On-site, Remote

Full-time

Medical

Posted 8 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.