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Remote Utilization Review Rn Jobs in Ponca City, OK

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Remote Utilization Review Rn information

See Ponca City, OK salary details

$16

$33

$54

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

As of Sep 5, 2026, the average hourly pay for remote utilization review rn in Ponca City, OK is $33.15, according to ZipRecruiter salary data. Most workers in this role earn between $26.20 and $38.08 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 popular job titles related to Remote Utilization Review Rn jobs in Ponca City, OK?

For Remote Utilization Review Rn jobs in Ponca City, OK, the most frequently searched job titles are:

What cities near Ponca City, OK are hiring for Remote Utilization Review Rn jobs?

Cities near Ponca City, OK with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Ponca City, OK as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $68,955 per year, or $33.2 per hour.

Clinic Operations & RHC Compliance Lead

TRIAD MSO

Ponca City, OK • Remote

Full-time

Posted 2 days ago

New

Job description


Clinic Operations & RHC Compliance Lead
Triad Complete Healthcare  |  Oklahoma Clinic Network
  • Department: Operations / MSO Administration
  • Employment Type: Full-Time, Exempt Hybrid Remote/ in-office
  • Travel: 50-75%, regular travel to all clinic locations, including some overnight trips
  • Locations Covered: Ponca City, Stillwater, Stroud, Shawnee, Ardmore, Stigler, Poteau
  • Core Systems: AthenaHealth, Weave Phone System, Microsoft 365, Anthropic Claude AI 
Position Overview
The Clinic Operations & RHC Compliance Lead spends most of the week out at our clinics, not behind a desk. This role bridges MSO leadership and the clinic floor, keeps procedures consistent from one location to the next, champions the patient experience at every visit, and carries Triad's Rural Health Clinic (RHC) work from certification through ongoing compliance.
Key Responsibilities
Clinic Visits & Field Operations
  • Visit every clinic on a regular rotation, working the floor to observe front desk workflow, patient flow, and how staff use Weave and Athena day to day.
  • Serve as the on-site point of contact for clinic managers when something needs an answer from the MSO side, staffing, equipment, vendor, or policy.
  • Coach staff in person and follow corrective actions through to close using a standardized site-visit process.
MSO and Clinic Coordination
  • Serve as the primary liaison between clinic teams and centralized MSO functions: HR, payroll, billing, compliance, and vendor management.
  • Identify where corporate policy breaks down at the clinic level and correct the underlying process, not just the paperwork.
  • Standardize procedures across all locations so patients and staff receive a consistent experience at every clinic.
Patient Experience
  • Uphold patient experience as a standing priority on every visit: wait times, front-desk communication, and timely resolution of patient requests.
  • Monitor patient feedback, including reviews, phone and portal contacts, and complaints, for recurring issues and translate them into fixes at the location level.
  • Coach clinic staff on patient communication standards alongside operational and compliance training.
Rural Health Clinic (RHC) Compliance
  • Lead new RHC certification for eligible locations, from site assessment through the HRSA/CMS application and state licensure survey.
  • Maintain compliance at already-certified sites: scope of service, staffing ratios, CLIA-waived lab requirements, and the Annual Program Evaluation.
  • Maintain an RHC compliance calendar and an audit-ready binder for every site.
Qualifications
Education & Experience
  • Bachelor's degree in healthcare administration, business, nursing, or a related field, or equivalent experience.
  • 3+ years in healthcare operations or MSO administration, including at least 2 years working with Rural Health Clinics, FQHCs, or a comparable compliance framework.

Skills & Expertise
  • Multi-site healthcare operations: experience managing operations across multiple clinic or facility locations. MSO, FQHC, or RHC network experience preferred.
  • RHC / regulatory knowledge: working knowledge of RHC Conditions for Certification (42 CFR 491) and the certification process. Direct RHC experience is a strong plus.
  • EMR and phone systems: proficiency with Athena and Weave, or comparable EMR and clinic communication platforms.
  • Compliance and audit readiness: experience maintaining survey-ready documentation for HIPAA, OSHA, CLIA-waived labs, and state clinic licensure.
  • Process standardization and training: able to turn inconsistent site practices into one standard and train staff on it in person.
  • Relationship management: trusted equally by corporate leadership and clinic-level staff.
  • Travel readiness: valid driver's license and reliable transportation; able to travel 50-75% across Oklahoma, including occasional overnight travel.

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