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Utilization Manager Jobs in Pryor, OK (NOW HIRING)

Healthcare Scouts

Hospital Case Manager

Tulsa, OK · On-site

Responsible for all case management activities assignedm, including case management and utilization management * The Case Manager provides concise management of patients hospitalization from pre ...

Summit Employment Professionals

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Manufacturing Operations Manager

Tulsa, OK · On-site

Oversee production workflow, staffing, equipment utilization, and delivery performance to support ... Develop and manage operating budgets and resource plans, including staffing, tools, equipment ...

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ScionHealth

Case Manager II - PRN Days

Broken Arrow, OK · On-site

$19 - $25/hr

Follows patients throughout the continuum of care and ensures optimum utilization of resources ... Enhances the quality of patient management and satisfaction, to promote continuity of care and cost ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Pryor, OK

Utilization Manager information

See Pryor, OK salary details

$33.6K

$78.5K

$144.4K

How much do utilization manager jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization manager in Pryor, OK is $78,467.00, according to ZipRecruiter salary data. Most workers in this role earn between $51,300.00 and $94,400.00 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?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound 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.

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The top searched job categories for Utilization Manager jobs in Pryor, OK are:

What cities near Pryor, OK are hiring for Utilization Manager jobs?

Cities near Pryor, OK with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Pryor, OK as of August 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $78,467 per year, or $37.7 per hour.

Medical Management - Utilization Management RN 145-2026

CommunityCare

Tulsa, OK • On-site

Full-time

Re-posted 13 days ago

Job description

JOB SUMMARY:
Responsible for clinical review of utilization requests and assessment and implementation of potential coordination of care opportunities for overall membership, institutionalized populations, high risk members, and other members identified with at risk or high utilization needs. Functions as an active team member of the Utilization Management Team.
KEY RESPONSIBILITIES:
  • Performs utilization review of outpatient and ancillary services as well as inpatient and post-acute services when indicated.
  • Determines medical necessity and appropriateness of services using clinical review criteria.
  • Accurately documents all review determinations and contacts providers and members according to established timeframes.
  • Appropriately identifies and refers cases that do not meet established clinical criteria to the Medical Director.
  • Appropriately identifies and refers quality issues to Medical Management leadership.
  • Appropriately identifies potential cases for Care Management programs.
  • Collaborates with physicians and other providers to facilitate provision of services throughout the health care continuum.
  • Performs accurate data entry.
  • Communicates appropriate information to other staff members as necessary/required.
  • Participates in continuing education initiatives.
  • Collaborates with other departments as needed.
  • Performs other duties as assigned.

QUALIFICATIONS:
  • Knowledge of managed care and associated group benefit plans.
  • Possess strong oral and written communication skills.
  • Ability to reason logically and to use good judgment when interpreting materials or situations.
  • Knowledge of community- based resources.
  • Must have excellent organizational skills and be able to perform multiple tasks.
  • Proficient in Microsoft applications.
  • Excellent time management and documentation skills.
  • Successful completion of Health Care Sanctions background check.

EDUCATION/EXPERIENCE:
  • Graduation from accredited School of Nursing.
  • Current, active, unrestrictive license to practice as a Registered Nurse in the State of Oklahoma.
  • Three years of acute care experience preferred.
  • Two years of experience working with population health preferred.
  • Previous discharge planning or case management experience preferred.
  • Managed care experience a plus.

CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin

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