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Utilization Review Rn Jobs in Oklahoma (NOW HIRING)

RN - PACU

Tahlequah, OK · On-site

$57.66/hr

PACU RN review RN Inpatient w; 1:4 with 1:6 max ratio; Seeking individuals who are dependable and reliable. Strictly working in the OR Mon-Fri 8a to 5pm Licensure, Education, and Certs (BLS, ACLS ...

RN - PACU

Tahlequah, OK · On-site

$57.66/hr

PACU RN review RN Inpatient w; 1:4 with 1:6 max ratio; Seeking individuals who are dependable and reliable. Strictly working in the OR Mon-Fri 8a to 5pm Licensure, Education, and Certs (BLS, ACLS ...

Case Manager II - PRN Days

Broken Arrow, OK · 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.

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Utilization Review Rn information

See Oklahoma salary details

$19

$39

$63

How much do utilization review rn jobs pay per hour?

As of Jul 11, 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.

How to get into utilization review as a nurse?

To become a utilization review RN, candidates typically need a valid nursing license and experience in clinical settings. Additional certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance prospects, and familiarity with electronic health records and insurance policies is beneficial.

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.

How to make $300,000 as a nurse?

A Utilization Review RN can earn $300,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-paying settings like insurance companies or managed care organizations, and taking on leadership or specialized roles that offer higher compensation. Advanced skills in clinical assessment, documentation, and understanding of healthcare policies can also contribute to higher earnings.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the necessity, appropriateness, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

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 make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-demand settings, and possibly taking on leadership or specialized roles. Increasing your workload, working overtime, or pursuing advanced education can also contribute to higher earnings within this field.

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.
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 July 2026, with employment types broken down into 1% As Needed, 80% Full Time, 14% Part Time, 2% Temporary, and 3% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $81,204 per year, or $39 per hour.

Travel Nurse RN - PACU - Post Anesthesia Care

Malone Healthcare - Nursing

Tahlequah, OK • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

This job post has expired today. Applications are no longer accepted.


Job description

Malone Healthcare - Nursing is seeking a travel nurse RN PACU - Post Anesthesia Care for a travel nursing job in Tahlequah, Oklahoma.

Job Description & Requirements
  • Specialty: PACU - Post Anesthesia Care
  • Discipline: RN
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

PACU M-F on call once a week and once weekend a month / Needs Cerner exp/ BUSY PACU PACU RN review RN Inpatient w; 1:4 with 1:6 max ratio; Seeking individuals who are dependable and reliable. Strictly working in the OR Mon-Fri 8a to 5pm Licensure, Education, and Certs (BLS, ACLS, and PALS) Minimum of 3yrs exp. (Prefer 5+ years or more)

About Malone Healthcare - Nursing

With a commitment to providing a higher standard of service and experience in patient care, Malone Healthcare places expert nurses and allied health professionals in rewarding careers throughout the United States. As a leading healthcare staffing agency, Malone’s focus on compliance and integrity translates to a seamless experience for our team members and partner facilities. When you work with Malone Healthcare, you can rely on over 50 years of proven experience placing exceptional professionals in quality healthcare settings.

Benefits
  • Weekly pay
  • Holiday Pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Pet insurance
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • License and certification reimbursement
  • Life insurance