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Utilization Review Rn Jobs in Oklahoma (NOW HIRING)

RN Med Surg Days

Duncan, OK ยท On-site

$60K - $80K/yr

Registered Nurse (RN) - Medical-Surgical, Day Shift A hospital in Duncan, Oklahoma is seeking a ... Perform ongoing case management and utilization review activities to support appropriate, efficient ...

Case Manager II - PRN Days

Broken Arrow, OK ยท On-site

$19 - $25/hr

Graduate of an accredited program required: LPN/LVN or RN. * Master of Social Work with licensure ... Experience in case management, utilization review, or discharge planning a plus.

Coordinates utilization review activities with other departments to ensure reimbursement for ... nurses who collaborate to develop and implement effective and compassionate treatment plans for our ...

Engage in utilization management processes by contributing clinical information and collaborating ... reviewed using AI tools.

Registered Nurse

Duncan, OK ยท On-site

$70K - $90K/yr

Engage in utilization management processes by contributing clinical information and collaborating ... reviewed using AI tools.

Showing results 21-40

Utilization Review Rn information

See Oklahoma salary details

$19

$39

$63

How much do utilization review rn jobs pay per hour?

As of Aug 20, 2026, the average hourly pay for utilization review rn in Oklahoma is $39.04, according to ZipRecruiter salary data. Most workers in this role earn between $30.87 and $44.86 per hour, depending on experience, location, and employer.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

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

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

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

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

Infographic showing various Utilization Review Rn 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 $81,204 per year, or $39 per hour.

RN Med Surg Days

Actalent

Duncan, OK โ€ข On-site

$60K - $80K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago


Job description

Job Title: Registered Nurse (RN) โ€“ Medical-Surgical, Day ShiftJob Description

A hospital in Duncan, Oklahoma is seeking a compassionate and skilled Registered Nurse to join its Medical-Surgical team on the day shift. In this role, you provide high-quality, evidence-based patient care in a fast-paced acute care environment, collaborate closely with an interdisciplinary healthcare team, and support excellent patient outcomes through thorough assessment, planning, implementation, and evaluation of care.

Responsibilities

  • Assess, plan, implement, and evaluate individualized patient care plans for medical-surgical patients in an acute care setting.

  • Provide direct patient care that aligns with established standards, protocols, and best practices.

  • Administer medications and treatments as prescribed, ensuring accuracy, safety, and adherence to hospital policies.

  • Monitor patient conditions, recognize changes in status, and promptly communicate significant findings to providers and the healthcare team.

  • Perform ongoing case management and utilization review activities to support appropriate, efficient, and effective patient care.

  • Maintain accurate, timely, and complete medical records and documentation for all aspects of patient care.

  • Educate patients and families on diagnoses, treatment plans, medications, and discharge instructions to support safe transitions of care.

  • Collaborate with physicians, therapists, and other healthcare professionals to coordinate comprehensive care plans.

  • Advocate for patient needs and preferences while promoting patient safety and quality outcomes.

  • Follow all hospital policies and procedures, including those related to patient privacy, infection control, and safety.

  • Participate in interdisciplinary rounds, meetings, and communication to ensure continuity of care.

  • Support a positive, team-oriented work environment and contribute to continuous improvement in clinical practice.

Essential Skills

  • Active and unrestricted Oklahoma Registered Nurse (RN) license.

  • Current Basic Life Support (BLS) certification.

  • Demonstrated experience in patient assessment, care planning, implementation, and evaluation in an acute care setting.

  • Proficiency in administering medications and treatments safely and accurately.

  • Ability to monitor patient conditions and promptly report changes to providers.

  • Strong communication skills for interacting with patients, families, and interdisciplinary healthcare teams.

  • Solid critical thinking and clinical judgment skills to prioritize care and respond to changing patient needs.

  • Competence in maintaining accurate medical records and documentation.

  • Knowledge of case management and utilization management principles.

  • Ability to educate patients and families regarding treatment plans and discharge instructions.

Additional Skills & Qualifications

  • Advanced Cardiovascular Life Support (ACLS) certification preferred.

  • Previous Medical-Surgical nursing experience preferred.

  • Experience with utilization review and care coordination in an acute care environment.

  • Ability to work effectively in a fast-paced, high-acuity hospital setting.

  • Strong interpersonal skills and the ability to build positive relationships with patients, families, and colleagues.

Work Environment

This is an onsite role in a hospital-based Medical-Surgical unit in Duncan, Oklahoma. The position is scheduled on the day shift in a fast-paced acute care environment that requires frequent collaboration with physicians, therapists, and other healthcare professionals. The facility offers competitive pay, a comprehensive benefits package, and shift differentials where applicable. Nurses work with standard hospital equipment and technology, follow established clinical protocols and safety procedures, and adhere to professional dress standards appropriate for an inpatient hospital setting.

Job Type & Location

This is a Permanent position based out of Duncan, OK.

Pay and Benefits

The pay range for this position is $60000.00 - $80000.00/yr.

PTO, 401K, HEALTH, DENTAL, VISION

Workplace Type

This is a fully onsite position in Duncan,OK.

Application Deadline

This position is anticipated to close on Aug 18, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffingยฎ winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.


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About Actalent

Sourced by ZipRecruiter

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We're supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

Company size

5,001 - 10,000 Employees

Headquarters location

Hanover, MD, US

Year founded

1983

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