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Utilization Review Manager Jobs in Oklahoma (NOW HIRING)

Dane Street, LLC

Oklahoma Chiropractor

Tulsa, OK · On-site

$69K - $85K/yr

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

Dane Street

Oklahoma Chiropractor

Tulsa, OK · On-site

$66K - $81K/yr

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

Dane Street, LLC

Oklahoma Chiropractor

Tulsa, OK · On-site

$69K - $85K/yr

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

Dane Street, LLC

Oklahoma Chiropractor

Tulsa, OK · On-site

$69K - $85K/yr

Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Independent Medical Exams

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Showing results 21-40

All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Oklahoma

Utilization Review Manager information

See Oklahoma salary details

$36K

$84K

$154.7K

How much do utilization review manager jobs pay per year?

As of Aug 23, 2026, the average yearly pay for utilization review 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 does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.

What are the key skills and qualifications needed to thrive as a utilization review manager?

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

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 are popular job titles related to Utilization Review Manager jobs in Oklahoma?

For Utilization Review Manager jobs in Oklahoma, the most frequently searched job titles are:

What job categories do people searching Utilization Review Manager jobs in Oklahoma look for?

The top searched job categories for Utilization Review Manager jobs in Oklahoma are:

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

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

Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Oklahoma as of August 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution, with an average salary of $84,034 per year, or $40.4 per hour.

Medical Management - Utilization Management RN 140-2015

CommunityCare

Tulsa, OK • On-site

Full-time

Posted 21 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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