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Utilization Review Assistant Jobs in Oklahoma (NOW HIRING)

Case Manager II - PRN Days

Broken Arrow, OK · On-site

$19 - $25/hr

... management, utilization review and management, and discharge planning. Essential Functions Care Coordination * Assist in coordinating clinical and/or psycho-social activities with the ...

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Utilization Review Assistant information

See Oklahoma salary details

$9

$27

$56

How much do utilization review assistant jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for utilization review assistant in Oklahoma is $27.76, according to ZipRecruiter salary data. Most workers in this role earn between $15.74 and $34.07 per hour, depending on experience, location, and employer.

What is a utilization review assistant?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What does a utilization review assistant do?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What skills and qualifications are needed to be a utilization review assistant?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

How do I get into a utilization review assistant?

To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.

What are the most commonly searched types of Utilization Review jobs in Oklahoma?

The most popular types of Utilization Review jobs in Oklahoma are:

What cities in Oklahoma are hiring for Utilization Review Assistant jobs?

Cities in Oklahoma with the most Utilization Review Assistant job openings:

Infographic showing various Utilization Review Assistant job openings in Oklahoma as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 4% Contract, and 1% Nights. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $57,740 per year, or $27.8 per hour.

RN Case Manager - Utilization Review

Oklahoma City, OK • On-site

Other

Posted 11 days ago


Key responsibilities

  • Complete comprehensive assessments of patients' clinical, psychological, and financial needs

  • Recommend and coordinate timely transfers to appropriate levels of care

  • Develop, implement, evaluate, and revise discharge plans, including referrals


Job description

  • Complete comprehensive assessments of patients’ clinical, psychological, and financial needs
  • Recommend and coordinate timely transfers to appropriate levels of care
  • Develop, implement, evaluate, and revise discharge plans, including referrals
  • Communicate discharge care plans and changes to patients, families, and healthcare professionals
  • Assist physicians and hospital staff with resource utilization and timely discharge planning
  • Coordinate services between hospital departments to facilitate patient discharge
  • Conduct concurrent reviews of patient records
  • Apply utilization criteria to determine appropriate resource utilization
  • Notify internal and external contacts of utilization issues affecting patient care or reimbursement
  • Facilitate patient transfers in accordance with hospital policies and state and federal guidelines
  • Advise physicians on discharge planning, documentation, resource utilization, and reimbursement
  • Manage established care pathways to enhance clinical effectiveness and resource management
  • Maintain knowledge of CMS, Medicare, Medicaid, managed care, payer regulations, and benefit limits
  • Educate patients, families, and healthcare professionals regarding payer regulations
  • Identify appropriate hospital and community resources and levels of care
  • Identify cost-reduction opportunities without compromising quality or outcomes
  • Collect and record data for utilization and Quality Improvement reporting
  • Collaborate with patients, families, physicians, hospital staff, and care agencies
Requirements
  • 2 years of experience in a clinical setting, such as home health, inpatient, physician office, or clinic
  • Current BLS certification issued by the American Red Cross or American Heart Association within 30 days of hire
  • Current Registered Nurse licensure in Oklahoma or a current multistate license from an eNLC member state
  • Excellent interpersonal communication and collaboration skills
  • Computer experience
  • Effective verbal and written communication in English
  • Current Oklahoma State Driver’s License
  • Driving record acceptable to the employer’s insurance carrier
  • Experience with managed care and payer/provider requirements preferred
  • Bachelor of Science in Nursing preferred
  • Case Management Certification preferred
Core Competencies

Demonstrates expertise in patient assessment, discharge planning, and resource utilization while ensuring compliance with CMS, Medicare, and Medicaid regulations. Strong ability to communicate effectively with patients, families, and healthcare professionals to facilitate timely and efficient care transitions.

Highest-signal resume keywords
  • Patient Assessment
  • Discharge Planning
  • Resource Utilization
  • BLS Certification
  • Registered Nurse Licensure
ATS Optimization Keywords Hard Skills
  • Clinical Assessment
  • Discharge Planning
  • Utilization Review
  • Data Collection
  • Quality Improvement Reporting
Soft Skills
  • Interpersonal Communication
  • Collaboration
  • Effective Verbal Communication
  • Written Communication
Certifications & Qualifications
  • BLS Certification
  • Case Management Certification
Industry Keywords
  • CMS Regulations
  • Medicare
  • Medicaid
  • Managed Care
  • Payer Regulations
Tools & Technologies
  • Computer Experience
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