The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech ...
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high ...
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high ...
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high ...
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high ...
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high ...
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech ...
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high ...
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech ...
The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech ...
The utilization review and management (UM) component program ensures that external healthcare services provided across MedTrust/MedHealth contracted facilities are medically necessary, clinically ...
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The utilization review and management (UM) component program ensures that external healthcare services provided across MedTrust/MedHealth contracted facilities are medically necessary, clinically ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Maintains current knowledge of managed care requirements and accurately interprets these ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Maintains current knowledge of managed care requirements and accurately interprets these ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Maintains current knowledge of managed care requirements and accurately interprets these ...
Utilization Review Specialist
Tulsa, OK · On-site
The Utilization Review Specialist asses, plans, implements and evaluates the internal processes to ... Maintains current knowledge of managed care requirements and accurately interprets these ...
Utilization Review Specialist
Tulsa, OK · On-site
$55 - $75/hr
The Utilization Review Specialist assesses, plans, implements and evaluates the internal processes ... Maintains current knowledge of managed care requirements and accurately interprets these ...
Utilization Review Specialist
Tulsa, OK · On-site
$55 - $75/hr
The Utilization Review Specialist assesses, plans, implements and evaluates the internal processes ... Maintains current knowledge of managed care requirements and accurately interprets these ...
This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other team members and performing preliminary research on ...
This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other team members and performing preliminary research on ...
This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other team members and performing preliminary research on ...
This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other team members and performing preliminary research on ...
RN Case Manager - Utilization Review
Oklahoma City, OK · On-site
$65 - $90/hr
Advise physicians on discharge planning, documentation, resource utilization, and reimbursement * Manage established care pathways to enhance clinical effectiveness and resource management * Maintain ...
New
RN Case Manager - Utilization Review
Oklahoma City, OK · On-site
$65 - $90/hr
Advise physicians on discharge planning, documentation, resource utilization, and reimbursement * Manage established care pathways to enhance clinical effectiveness and resource management * Maintain ...
New
Join our team as a full time days and every other weekend RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical Center, Oklahoma City, OK. Get to Know Your Team: * INTEGRIS Health ...
Join our team as a full time days and every other weekend RN Case Manager - Utilization Review, at INTEGRIS Baptist Medical Center, Oklahoma City, OK. Get to Know Your Team: * INTEGRIS Health ...
Utilization Review Specialist I
Tulsa, OK · On-site
$17.44/hr
Job Posting Title Utilization Review Specialist I Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV. Supervisory Organization Tulsa Center Behavioral Health Job Posting End Date Refer to the date ...
Utilization Review Specialist I
Tulsa, OK · On-site
$17.44/hr
Job Posting Title Utilization Review Specialist I Agency 452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV. Supervisory Organization Tulsa Center Behavioral Health Job Posting End Date Refer to the date ...
Manages hospital Utilization Management Program by coordinating Utilization Plan changes with Medical Director and administration, co-chairing Utilization Management Committee, and collecting and ...
Manages hospital Utilization Management Program by coordinating Utilization Plan changes with Medical Director and administration, co-chairing Utilization Management Committee, and collecting and ...
Manages hospital Utilization Management Program by coordinating Utilization Plan changes with Medical Director and administration, co-chairing Utilization Management Committee, and collecting and ...
Manages hospital Utilization Management Program by coordinating Utilization Plan changes with Medical Director and administration, co-chairing Utilization Management Committee, and collecting and ...
Clinical Pharmacy - Managed Care Clinical Pharmacist 146-2005
Tulsa, OK · On-site
$108K - $129K/yr
The Utilization Management Clinical Pharmacist is responsible for playing a critical role in optimizing medication use, improving member outcomes, and ensuring regulatory compliance. This position ...
Clinical Pharmacy - Managed Care Clinical Pharmacist 146-2005
Tulsa, OK · On-site
$108K - $129K/yr
The Utilization Management Clinical Pharmacist is responsible for playing a critical role in optimizing medication use, improving member outcomes, and ensuring regulatory compliance. This position ...
Utilization Manager information
See Oklahoma salary details
$36K - $46.8K
9% of jobs
$54.8K is the 25th percentile. Wages below this are outliers.
$46.8K - $57.6K
22% of jobs
$57.6K - $68.4K
11% of jobs
The median wage is $75K / yr.
$68.4K - $79.2K
14% of jobs
$79.2K - $89.9K
12% of jobs
$96.7K is the 75th percentile. Wages above this are outliers.
$89.9K - $100.7K
13% of jobs
$100.7K - $111.5K
13% of jobs
$111.5K - $122.3K
5% of jobs
$122.3K - $133.1K
2% of jobs
$133.1K - $143.9K
0% of jobs
$143.9K - $154.7K
0% of jobs
$36K
$84K
$154.7K
How much do utilization manager jobs pay per year?
As of Sep 4, 2026, the average yearly pay for utilization manager in Oklahoma is $84,034.00, according to ZipRecruiter salary data. Most workers in this role earn between $54,900.00 and $101,100.00 per year, depending on experience, location, and employer.
What is a utilization manager?
A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.
What are the key skills and qualifications needed to thrive as a utilization manager?
To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.
What are some common challenges faced by utilization managers, and how can they be addressed?
Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.
What is the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found in similar settings, often working under Utilization Managers |
In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.
More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Oklahoma?
The most popular types of Utilization jobs in Oklahoma are:
What are popular job titles related to Utilization Manager jobs in Oklahoma?
For Utilization Manager jobs in Oklahoma, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Oklahoma look for?
The top searched job categories for Utilization Manager jobs in Oklahoma are:
What cities in Oklahoma are hiring for Utilization Manager jobs?
Cities in Oklahoma with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in OK?
For Utilization Manager jobs in OK, the most frequently searched job titles are:
Utilization & Authorization Review Coordinator - Rehab
Lawton, OK • On-site
Full-time
Posted 16 days ago
Job description
DEFINITION: All duties and criteria-based standards within this document will be performed according to established policies, procedures, and guidelines within the department and hospital. The Utilization & Authorization Review Coordinator is responsible for managing the end-to-end authorization process and ensuring the medical necessity of outpatient physical , occupational and speech therapies. This role acts as a bridge between the clinical therapy team, patients, and insurances to secure approvals, prevent claim denials, and optimize the delivery of care within plan guidelines. Reviews patient records for documentation of Intensity of Service and Severity of Illness and compares against established criteria. Assists the medical staff with potential denials and interacts to complete the review process. Completes insurance company clinical review updates. Obtains authorization and current plan of care documents for outpatient therapies.
EDUCATION: High school diploma. College degree preferred.
LICENSURE/CERTIFICATION/REQUIREMENTS: This role can be administrative, however, a clinical licensure is preferred. Must have 2+ years experience in healthcare utilization management. Must have computer competency.
PREFERRED QUALIFICATIONS:
Clinical Degree
Experience w/ Medical coding (ICD, CPT) and payor web portals
Experience in an outpatient therapy clinical setting.
Prior medical record background, plus prior experience in utilization review are preferred.