Oklahoma City, OK ยท On-site +1
Performs retrospective review for the claims department. * Assists in providing information for the ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Oklahoma City, OK ยท On-site +1
Performs retrospective review for the claims department. * Assists in providing information for the ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Performs retrospective review for the claims department. * Assists in providing information for the ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Performs retrospective review for the claims department. * Assists in providing information for the ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Performs retrospective review for the claims department. * Assists in providing information for the ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Performs retrospective review for the claims department. * Assists in providing information for the ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Oklahoma City, OK ยท On-site +1
Performs retrospective review for the claims department. * Assists in providing information for the ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Oklahoma City, OK ยท On-site +1
Performs retrospective review for the claims department. * Assists in providing information for the ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
... for utilization review, health education and care management. This includes data entry ... Current work environment is remote; however, some state exclusions apply. Must have access to a ...
... for utilization review, health education and care management. This includes data entry ... Current work environment is remote; however, some state exclusions apply. Must have access to a ...
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements
Senior Construction Project Scheduler (Data Centers) Interstates | Multiple Locations or Remote ... Coordinate labor, equipment, and material needs to optimize availability and utilization.
Senior Construction Project Scheduler (Data Centers) Interstates | Multiple Locations or Remote ... Coordinate labor, equipment, and material needs to optimize availability and utilization.
Oklahoma City, OK ยท On-site +1
$35 - $40/hr
... utilization, and program performance. Supervisory Responsibilities : No Job Classification ... Remote / Virtual Travel: Travel up to 50% Compensation: This pay band reflects Chloeta's good faith ...
Oklahoma City, OK ยท On-site +1
$35 - $40/hr
... utilization, and program performance. Supervisory Responsibilities : No Job Classification ... Remote / Virtual Travel: Travel up to 50% Compensation: This pay band reflects Chloeta's good faith ...
Oklahoma City, OK ยท Remote
$138K - $257K/yr
This is a remote & field-based role that covers the following, but not limited to: Raleigh, NC ... Review patient-specific information in cases where the site has specifically requested assistance ...
Oklahoma City, OK ยท Remote
$138K - $257K/yr
This is a remote & field-based role that covers the following, but not limited to: Raleigh, NC ... Review patient-specific information in cases where the site has specifically requested assistance ...
Utilization of electronic Medical Records * Fully remote positions require a minimum of one year ... The Trauma Registrar is responsible for collecting, reviewing, and analyzing data within the ...
Utilization of electronic Medical Records * Fully remote positions require a minimum of one year ... The Trauma Registrar is responsible for collecting, reviewing, and analyzing data within the ...
Tulsa, OK ยท On-site +1
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Support compliance reviews and audits * Interpret licensing terms and requirements Automation ...
Tulsa, OK ยท On-site +1
Analyze utilization and renewal readiness * Support AI license tracking and cost analysis ... Support compliance reviews and audits * Interpret licensing terms and requirements Automation ...
Tulsa, OK ยท Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Tulsa, OK ยท Remote
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Tulsa, OK ยท On-site +1
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Tulsa, OK ยท On-site +1
$14/hr
This is a remote position for those that reside in = AL, GA, ID, IA, IN, KS, LA, MI, MS, NV, NC, ND ... Resource & System Utilization * Utilize Privia-approved billing systems, EMR platforms, tools, and ...
Oklahoma City, OK ยท On-site +1
$24 - $32.50/hr
Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
New
Oklahoma City, OK ยท On-site +1
$24 - $32.50/hr
Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
New
Oklahoma City, OK ยท On-site +1
Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ... Current work environment is remote; however, some state exclusions apply. Must have access to a ...
Oklahoma City, OK ยท On-site +1
Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ... Current work environment is remote; however, some state exclusions apply. Must have access to a ...
Oklahoma City, OK ยท On-site +1
$24 - $32.50/hr
Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Oklahoma City, OK ยท On-site +1
$24 - $32.50/hr
Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ... Current work environment is remote, however, some state exclusions apply. Must have access to a ...
Oklahoma City, OK ยท On-site +1
Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ... Current work environment is remote; however, some state exclusions apply. Must have access to a ...
Oklahoma City, OK ยท On-site +1
Previous experience in managed care/utilization management preferred KNOWLEDGE, SKILLS AND ... Current work environment is remote; however, some state exclusions apply. Must have access to a ...
Tulsa, OK ยท On-site +1
... utilization. * Perform other scheduling functions in support of Project Services and broader ... remote project teams. Skills & Competencies * Ability to review, analyze, and update project ...
Tulsa, OK ยท On-site +1
... utilization. * Perform other scheduling functions in support of Project Services and broader ... remote project teams. Skills & Competencies * Ability to review, analyze, and update project ...
Bushton, Kansas; or Hutchinson, Kansas in-office Monday - Thursday, remote work Friday, and ... Perform and review project management activities including but not limited to: * Bid proposals and ...
Bushton, Kansas; or Hutchinson, Kansas in-office Monday - Thursday, remote work Friday, and ... Perform and review project management activities including but not limited to: * Bid proposals and ...
Bushton, Kansas; or Hutchinson, Kansas in-office Monday - Thursday, remote work Friday, and ... Perform and review project management activities including but not limited to: * Bid proposals and ...
Bushton, Kansas; or Hutchinson, Kansas in-office Monday - Thursday, remote work Friday, and ... Perform and review project management activities including but not limited to: * Bid proposals and ...
$19.75 - $23.75
2% of jobs
$23.75 - $27.74
9% of jobs
$30.48 is the 25th percentile. Wages below this are outliers.
$27.74 - $31.74
21% of jobs
The median wage is $34.97 / hr.
$31.74 - $35.73
23% of jobs
$35.73 - $39.73
13% of jobs
$42.84 is the 75th percentile. Wages above this are outliers.
$39.73 - $43.73
10% of jobs
$43.73 - $47.72
8% of jobs
$47.72 - $51.72
5% of jobs
$51.72 - $55.71
5% of jobs
$55.71 - $59.71
2% of jobs
$59.71 - $63.70
2% of jobs
$19
$39
$63
To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.
A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.
A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.
