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Remote Utilization Review Rn Jobs in Oklahoma (NOW HIRING)

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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 ...

Veterans Health Administration

$90K - $162K/yr

... review of the EDRP application. Former EDRP participants ineligible to apply ... Learn more about this agency Duties Help The Wound Care Registered Nurse provides comprehensive ...

ZOLL LifeVest

Patient Service Representative

Duncan, OK · Remote

$16.75 - $21.50/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

ZOLL Medical

Patient Service Representative

Duncan, OK · Remote

$16.75 - $21.50/hr

Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ... All candidates reviewed on an individual basis. Summary Description: The Cardiac Management ...

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All JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Oklahoma

Remote Utilization Review Rn information

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$19

$39

$63

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

As of Jun 18, 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 the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review RN, and why are they important?

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 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 is the meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 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 are popular job titles related to Remote Utilization Review Rn jobs in Oklahoma? For Remote Utilization Review Rn jobs in Oklahoma, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Oklahoma look for? The top searched job categories for Remote 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:
Remote Utilization Review Rn jobs near you
Care Specialist LPN (50923)

Care Specialist LPN (50923)

GlobalHealth, Inc

Oklahoma City, OK • On-site, Remote

$24 - $32.50/hr

Full-time

Medical

Posted 12 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.
  • Participate in elements of the SNP MOC, including completing HRA and working with the member to reach desired goals, under the direction of the assigned Case Manager
  • Complete TOC activities to include post-discharge assessment, medication reconciliation/review, and ensuring member has access to follow up care.

EDUCATION AND EXPERIENCE:
  • Active Licensed Practical Nurse in the state of Oklahoma required
  • Active multi-state 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.

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