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Utilization Reviewer Jobs in Oklahoma (NOW HIRING)

Responsibilities The Utilization Review Coordinator evaluates patient medical records to determine severity of patient's illness and the appropriateness of level of care. Serves as liaison for ...

Case Manager II - PRN Days

Broken Arrow, OK · On-site

$19 - $25/hr

Follows patients throughout the continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies. Provides ongoing support and expertise ...

Inpatient Case Manager

Ada, OK · On-site

$52 - $72/hr

Summary Provides comprehensive nursing care and care coordination, including patient education, clinical support, case management, and utilization review activities to support appropriate resource ...

Provides comprehensive nursing care and care coordination, including patient education, clinical support, case management, and utilization review activities to support appropriate resource use and ...

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

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

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

Showing results 21-40

Utilization Reviewer information

See Oklahoma salary details

$28.6K

$35.1K

$40.6K

How much do utilization reviewer jobs pay per year?

As of Sep 5, 2026, the average yearly pay for utilization reviewer in Oklahoma is $35,079.00, according to ZipRecruiter salary data. Most workers in this role earn between $31,400.00 and $38,800.00 per year, depending on experience, location, and employer.

What does a utilization reviewer do?

A Utilization Reviewer is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient records, treatment plans, and insurance policies to ensure that care meets established guidelines and standards. Their role helps control healthcare costs while maintaining quality patient care and ensuring compliance with regulatory requirements. Utilization Reviewers often communicate with healthcare providers, insurance companies, and patients to gather information and make informed decisions.

What does a utilization reviewer do?

There are different types of Utilization Reviewer jobs, including Nurse Utilization Reviewers, Insurance Utilization Reviewers, Speech Therapy, Physical Therapy, and Occupational Therapy Utilization Reviewers. Regardless of the area of focus, a Utilization Reviewer is responsible for setting best practices, reviewing healthcare program requirements, ensuring the quality of care, controlling costs, and developing and implementing initiatives for review processes. Utilization Reviewers ensure compliance of programs, regularly audit patient and client records, work with staff to implement best practices and correct problem areas, monitor industry trends, and remain up-to-date and train others on industry standards and requirements.

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

To thrive as a Utilization Reviewer, you need a clinical background (such as RN or LCSW), in-depth knowledge of medical terminology, and an understanding of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or URAC accreditation is typically required. Strong critical thinking, attention to detail, and effective communication skills help in evaluating patient care and collaborating with providers. These competencies are crucial for ensuring appropriate, cost-effective care while maintaining compliance with healthcare standards.

How does a utilization reviewer typically collaborate with healthcare providers to ensure appropriate patient care?

Utilization Reviewers work closely with physicians, nurses, and other healthcare professionals to assess the necessity and efficiency of medical services provided to patients. They review clinical documentation, verify that treatments meet established guidelines, and may discuss care plans directly with providers to clarify information or suggest alternatives. This collaboration ensures that patients receive appropriate care while controlling costs and complying with insurance or regulatory requirements. Effective communication and a thorough understanding of medical protocols are essential for success in this role.

What is the difference between Utilization Reviewer vs Medical Coder?

AspectUtilization ReviewerMedical Coder
Required CredentialsTypically requires healthcare-related certifications, such as RHIT, RHIA, or CPCUsually requires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentHealthcare facilities, insurance companies, or utilization review organizationsHospitals, clinics, or medical billing companies
Employer & Industry UsageUsed in insurance, managed care, and healthcare administrationUsed in medical billing, coding, and health information management

While both roles work within healthcare settings, Utilization Reviewers focus on evaluating the necessity of medical services for insurance and care management, whereas Medical Coders translate medical records into standardized codes for billing and documentation. Understanding these differences helps professionals choose the right career path or job search focus.

How do I become a utilization review nurse?

To become a utilization review nurse, you typically need to hold a registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional Utilization Review (CPUR) or Certified Case Manager (CCM) can enhance job prospects, and strong knowledge of healthcare policies and documentation is essential.

Is utilization review a good job?

Utilization reviewers evaluate medical necessity and appropriateness of healthcare services, often working in healthcare or insurance settings. The role requires attention to detail, knowledge of healthcare policies, and sometimes certification, with typical schedules being standard business hours. It can offer stable employment and opportunities for advancement in healthcare administration.

What are popular job titles related to Utilization Reviewer jobs in Oklahoma?

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

What cities in Oklahoma are hiring for Utilization Reviewer jobs?

Cities in Oklahoma with the most Utilization Reviewer job openings:

Infographic showing various Utilization Reviewer job openings in Oklahoma as of August 2026, with employment types broken down into 72% Full Time, and 28% Part Time. Highlights an 73% In-person, and 27% Remote job distribution, with an average salary of $35,079 per year, or $16.9 per hour.

UR Coordinator

UHS

Oklahoma City, OK • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

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


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

453rd of 898 rated healthcare providers


Job description

Responsibilities
The Utilization Review Coordinator evaluates patient medical records to determine severity of patient's illness and the appropriateness of level of care. Serves as liaison for patients and facility with insurance companies. Negotiates and advocates for patient length of stay and level of care. Coordinates utilization review activities with other departments to ensure reimbursement for services provided by the facility. Promotes patient care consistent with the philosophy and objectives of Cedar Ridge. Performs duties in accordance with the ANA Standards of Practice for Psychiatric Mental Health Care, and facility mission, values, policies, and behavioral standards.
Cedar Ridge Behavioral Hospital (a UHS facility) Cedar Ridge Behavioral Hospital provides inpatient and residential treatment services for youth ages 5-17, as well as inpatient, partial hospitalization and intensive outpatient services for adults ages 18+. Our treatment programs provide a structured and supportive treatment environment that promotes self-acceptance and helps stabilize patients suffering from acute psychiatric illness. Our multidisciplinary treatment teams consist of psychiatrists, licensed therapists and highly specialized nurses who collaborate to develop and implement effective and compassionate treatment plans for our patients. Cedar Ridge is a behavioral health facility that encompasses a 206-bed acute psychiatric hospital and residential treatment center on a beautifully wooded campus with a stocked pond, school, gym, outdoor courtyard and playground. Website: www.cedarridgebhs.com
BENEFITS INCLUDE:
  • Competitive Compensation and Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • Employee Assistance Program available for employees and family
  • 401(K) with company match and discounted stock plan
  • Basic Life Insurance and Optional supplemental life insurance
  • Referral & Sign-On Bonus Options for Certain Positions
  • Challenging and rewarding work environment
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More Information is available on our benefits Guest Website: benefits.uhsguest.com
About Universal Health Services
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies.
Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com .
From Fortune, ©2025, 2026 Fortune Media IP Limited. All rights reserved. Used under license.
Qualifications
  • 3-5 years of clinical experience with a psychiatric mental health population
  • Bachelor's degree required (preferably in Social Work or related field)
  • MSN or MSW preferred
  • Licensed Therapist or Social Worker (LPC/LCSW) preferred
  • Must be at least 21 years of age
  • Successfully complete a drug test
  • Successfully pass a national background check
  • Strong Computer skill
  • Excellent Communication skills
  • Strong Leadership skills
  • Exposure to psychiatric patients who may exhibit violent/aggressive behavior
  • Potential for exposure to communicable diseases, blood/body fluids and other hazardous waste
  • The ideal candidate is dependable, empathetic, compassionate and must be reliable
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US