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Utilization Manager Jobs in Yukon, OK (NOW HIRING)

OU Health

Palliative RN Care Manager

Oklahoma City, OK · On-site

OUMC Care Management New to OU Health? Ask your recruiter about our competitive wages and total ... Evaluate healthcare utilization patterns and identify opportunities for improving efficiency and ...

OU Health

Palliative RN Care Manager

Oklahoma City, OK · On-site

OUMC Care Management New to OU Health? Ask your recruiter about our competitive wages and total ... Evaluate healthcare utilization patterns and identify opportunities for improving efficiency and ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Yukon, OK

Utilization Manager information

See Yukon, OK salary details

$32.9K

$76.8K

$141.3K

How much do utilization manager jobs pay per year?

As of Sep 4, 2026, the average yearly pay for utilization manager in Yukon, OK is $76,777.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,200.00 and $92,400.00 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.

More about Utilization Manager jobs

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What job categories do people searching Utilization Manager jobs in Yukon, OK look for?

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

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

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

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Yukon, OK as of August 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 72% Physical, 2% Hybrid, and 26% Remote job distribution, with an average salary of $76,777 per year, or $36.9 per hour.

RN Claims Review and Utilization Management

MedTrust LLC

Oklahoma City, OK • On-site

Full-time

Re-posted 13 days ago

Job description

The utilization review and management (UM) component program ensures that external healthcare services provided across MedTrust/MedHealth contracted facilities are medically necessary, clinically appropriate, evidence-based, and delivered at the appropriate level of care, while supporting regulatory compliance and organizational risk management. The Joint Commission Compliance component ensures MedTrust stays complaint with applicable Joint Commission (JC) standards. MedTrust proudly holds the Gold Seal of Approval from the Joint Commission, recognizing our commitment to quality, safety, and excellence in healthcare staffing. This position ensures that MedTrust/MedHealth is fully compliant in both areas. These two components are referred to below as UMJC.

Essential Functions:

  1. Oversee UMJC: Handle the utilization review and management process to ensure the appropriate and cost-effective use of healthcare resources. This includes evaluating treatment plans and ensuring compliance with regulatory requirements. Ensure compliance with JC standards, including file reviews, monthly safety plans and uploading data to the JC web page. This will include assisting with the logging and documentation of claims along the process chain.
  2. Collaboration: Work closely with medical staff, case managers, and other healthcare professionals to assess the medical necessity of treatments and coordinate care effectively
  3. Data Analysis: Analyze utilization data and trends to identify opportunities for improving efficiency and reducing unnecessary costs. This involves monitoring the performance of healthcare providers and implementing corrective action plans as needed
  4. Documentation and Compliance: Maintain accurate documentation of all UMJC activities, ensuring compliance with organizational policies and regulatory requirements. This includes collaborating with hospitals and providers and resolving any utilization-related issues
  5. Timeliness: Ensure that claims received are accurately logged and reviewed within seven (7) days of receipt and forwarded promptly to the next step in the process to ensure all claims are ultimately paid timely. It will be this person’s responsibility to notify appropriate management if claims are not being timely received for processing.
  6. Quality Improvement Initiatives: Participate in the development and implementation of quality improvement initiatives to enhance patient care outcomes and operational efficiency
  7. Joint Commission (JC) Functions: Maintain accurate and up-to-date documentation and compliance records. Serves as the medical lead during joint commission surveys and audits, including preparation of staff and materials. Keeps up-to-date on JC requirements and rules.

Qualifications

  • Registered nurse with active, unincumbered nursing licensed in Oklahoma and willing and able to get licensed in other states where MedTrust/MedHealth do business. Master’s degree is preferred.
  • Relevant experience in utilization review, utilization management/case management is essential.
  • Prior experience with Joint Commission compliance is a plus.
  • 3-5 years of healthcare experience required.

Knowledge and Skills

  • Analytical Skills: Strong analytical and problem-solving skills to assess data and make informed decisions regarding patient care and resource utilization
  • Communication Skills: Excellent communication and interpersonal skills to collaborate effectively with healthcare teams and patients
  • Knowledge of Regulations: Familiarity with healthcare regulations, insurance policies, and quality improvement processes is crucial for success in these roles
  • Knowledge of Joint Commission: Familiarity with joint commission requirements and duties.
  • Working knowledge of and familiarity with Microsoft Word and Excel.
  • Strong organization skills, with ability to work in fast paced environment.

Working Conditions and Environment

  • Must pay attention to detail-visual & mental
  • Must be able to multi-task
  • Ability to work independently without direct supervision
  • Ability to perform under stress
  • Ability to work with individuals at all levels of the organization to foster teamwork
  • While varied hours are required occasionally, normal office hours are 8 am – 5 pm with one hour for lunch
  • This is an in-office, no remote work capability position

Travel

  • Some travel may be required, but should be minimal and notice will be provided if necessary


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