Remote Facility: Ascension St. John Medical Center Department/Specialty: Utilization Review Schedule: PRN, Every other weekend, 8am-430pm What You Will Do * Secures Patient-Centered Care: Ensures the ...
Remote Facility: Ascension St. John Medical Center Department/Specialty: Utilization Review Schedule: PRN, Every other weekend, 8am-430pm What You Will Do * Secures Patient-Centered Care: Ensures the ...
Drug Utilization Review Pharmacist
Oklahoma City, OK · On-site +1
Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... Many DUR roles offer hybrid or fully remote schedules. * Rewards: Competitive salary, benefits, and ...
Drug Utilization Review Pharmacist
Oklahoma City, OK · On-site +1
Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... Many DUR roles offer hybrid or fully remote schedules. * Rewards: Competitive salary, benefits, and ...
Drug Utilization Review Pharmacist
Broken Arrow, OK · On-site +1
Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... Many DUR roles offer hybrid or fully remote schedules. * Rewards: Competitive salary, benefits, and ...
Drug Utilization Review Pharmacist
Broken Arrow, OK · On-site +1
Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential ... Many DUR roles offer hybrid or fully remote schedules. * Rewards: Competitive salary, benefits, and ...
Work with Purpose and Flexibility Enjoy the ability to work independently in a remote environment ... Medical review, appeals, audit response, or utilization review experience * Exposure to payer ...
Quick apply
Work with Purpose and Flexibility Enjoy the ability to work independently in a remote environment ... Medical review, appeals, audit response, or utilization review experience * Exposure to payer ...
Remote Prior Authorization Pharmacist
Broken Arrow, OK · Remote
$50.75 - $61/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Broken Arrow, OK · Remote
$50.75 - $61/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Oklahoma City, OK · Remote
$54.25 - $65/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Oklahoma City, OK · Remote
$54.25 - $65/hr
Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Appeals Pharmacist (Remote)
Oklahoma City, OK · On-site +1
$53.25 - $64.75/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Oklahoma City, OK · On-site +1
$53.25 - $64.75/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Broken Arrow, OK · On-site +1
$50 - $60.75/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
Appeals Pharmacist (Remote)
Broken Arrow, OK · On-site +1
$50 - $60.75/hr
Review clinical documentation for medication coverage appeals and grievances. * Apply evidence ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...
... 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 ...
... 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 ...
Health Services Coordinator (51680)
Oklahoma City, OK · On-site +1
... 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 ...
New
Health Services Coordinator (51680)
Oklahoma City, OK · On-site +1
... 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 ...
New
Health Services Coordinator (51680)
Oklahoma City, OK · On-site +1
... 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 ...
Health Services Coordinator (51680)
Oklahoma City, OK · On-site +1
... 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
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · Remote
$90K - $130K/yr
Produces and interprets tax utilization and variance reports to support engagement economics and ... Monitors workload equity across tax teams, including overtime, weekend work, and travel demands ...
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · Remote
$90K - $130K/yr
Produces and interprets tax utilization and variance reports to support engagement economics and ... Monitors workload equity across tax teams, including overtime, weekend work, and travel demands ...
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · Remote
$90K - $130K/yr
Produces and interprets tax utilization and variance reports to support engagement economics and ... Monitors workload equity across tax teams, including overtime, weekend work, and travel demands ...
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · Remote
$90K - $130K/yr
Produces and interprets tax utilization and variance reports to support engagement economics and ... Monitors workload equity across tax teams, including overtime, weekend work, and travel demands ...
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · On-site +1
$90K - $130K/yr
Produces and interprets tax utilization and variance reports to support engagement economics and ... Monitors workload equity across tax teams, including overtime, weekend work, and travel demands ...
Tax Resource Management Manager - Remote Eligible
Oklahoma City, OK · On-site +1
$90K - $130K/yr
Produces and interprets tax utilization and variance reports to support engagement economics and ... Monitors workload equity across tax teams, including overtime, weekend work, and travel demands ...
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 ...
Lead Software Asset Management Specialist
Tulsa, OK · 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 ...
Lead Software Asset Management Specialist
Tulsa, OK · 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 ...
Case Manager RN (50924)
Oklahoma City, OK · 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 ...
Case Manager RN (50924)
Oklahoma City, OK · 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 ...
Care Specialist LPN (50923)
Oklahoma City, OK · 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 ...
Care Specialist LPN (50923)
Oklahoma City, OK · 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 ...
Remote Weekend Utilization Review information
What is the difference between Remote Weekend Utilization Review vs Remote Weekday Utilization Review?
| Aspect | Remote Weekend Utilization Review | Remote Weekday Utilization Review |
|---|---|---|
| Credentials | Typically requires a healthcare professional license and utilization review certification | Same as weekend role, healthcare license and utilization review certification |
| Work Environment | Remote, weekend hours, often part-time or flexible | Remote, weekday hours, standard business hours |
| Employer & Industry | Health insurance companies, third-party administrators | Same as weekend role, health insurance industry |
| Work Schedule | Primarily weekends, possibly evenings | Weekdays, regular business hours |
Remote Weekend Utilization Review and Remote Weekday Utilization Review roles are similar in credentials and industry but differ mainly in work schedule. Weekend roles focus on reviewing cases during weekends, offering flexibility, while weekday roles follow standard business hours. Both positions require healthcare licensing and utilization review certification, serving health insurance companies and third-party administrators.
What are the most commonly searched types of Weekend Utilization Review jobs in Oklahoma? The most popular types of Weekend Utilization Review jobs in Oklahoma are:
What cities in Oklahoma are hiring for Remote Weekend Utilization Review jobs? Cities in Oklahoma with the most Remote Weekend Utilization Review job openings:
Other
Medical, PTO
Posted 16 days ago
Ascension Healthcare rating
7.0
Based on 1,013 frontline employees who took The Breakroom Quiz
404th of 877 rated healthcare providers
Job description
We Are Hiring
Location: Remote
Facility: Ascension St. John Medical Center
Department/Specialty: Utilization Review
Schedule: PRN, Every other weekend, 8am-430pm
What You Will Do- Secures Patient-Centered Care: Ensures the right care at the right time by validating medical necessity, advocating for benefits, and coordinating smooth, safe transitions to reduce readmissions.
- Maximizes Financial Health: Protects and maximizes organizational revenue by preventing claim denials, ensuring proper status designation for reimbursement, and managing the appeals process.
- Drives Operational Efficiency: Streamlines hospital workflows and the progression of care by coordinating with multidisciplinary teams and ensuring the responsible, judicious allocation of high-cost resources.
- Upholds Quality and Compliance: Mitigates regulatory risk by enforcing evidence-based clinical standards (e.g., InterQual) and ensuring compliance with all governmental and third-party payer regulations.
Licensure / Certification / Registration:
- Registered Nurse credentialed from the Oklahoma Board of Nursing obtained prior to hire date or jobtransfer date required.
Education:
- Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.
- Active Oklahoma Nursing License
- 3+ years of Nursing experience
- Utilization Management experience preferred
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Equal Employment Opportunity EmployerEqual employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-Verify statement
Employer participates in the Electronic Employment Verification Program. Please click here for more information.
BenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.
Employment Type: OTHERWhat Ascension Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Ascension
Sourced by ZipRecruiter
Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Industry
Health care and social assistance and outpatient health care
Company size
10,000+ Employees
Headquarters location
St. Louis, MO, US