Utilization Review Specialist I
$17.44 per hourState-of-Oklahoma
Job Posting TitleUtilization Review Specialist IAgency452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV.Supervisory OrganizationTulsa Center Behavioral HealthJob Posting End DateRefer to the date listed at the top of this posting, if available. Continuous if date is blank.Note: Applications will be accepted until 11:59 PM on the day prior to the posting end date above.Estimated Appointment End Date (Continuous if Blank)Full/Part-TimeFull timeJob TypeRegularCompensation(Level 1) $17.44Job DescriptionUtilization Review Specialist IJoin a team that CARES!Here at ODMHSAS, we believe in I.C.A.R.E. – Integrity, Compassion, Accountability, Respect, and Excellence. Our mission is to promote healthy communities and provide the highest quality care to enhance the well-being of all Oklahomans. We take that very seriously – because we care!About the Position:Tulsa Center for Behavioral Health is recruiting a Utilization Review Specialist. This position would, under general direction, review clinical documentation to screen for appropriateness of admission, continued stay criteria and special studies regarding delivery of care, treatment and services. Coordinate the authorization and re-certification of services by external entities reimbursing the facility for care provided.Job Type/Salary:Open/Close dates: 6/17/2026 – until filledFull-timeHourly rate: $17.44Primary Working Hours are 8:00am-4:30pmFLSA Status: Non-ExemptPrimary Work Location/Department: Tulsa Center for Behavioral Health–Utilization Review DeptVacancies: 1Minimum Qualifications and Experience:Education and Experience requirements at this level consist of a bachelor’s degree or four years of technical clerical, administrative, secretarial, or general office work; or an equivalent combination of education and experience.Preference will be given to candidates with experience in social work, psychology, or a psychiatric setting.Special Requirements:Applicants must be able to pass an OSBI background check.Applicants must be willing and able to fulfill any job-related travel normally associated with this position and as such have a valid driver’s license.Great Reasons to Work with Us:ODMHSAS is proud to provide a comprehensive benefits package designed to support our employees and their dependents. Our benefits include:Generous state paid benefit allowance to help cover insurance premiums.A wide choice of health insurance plans with no pre-existing condition exclusions or limitationsFlexible spending accounts for health care expenses or dependent careEmployee assistance programs and health and fitness programs11 paid holidays15 days of vacation and 15 days of sick leave the first yearRetirement Savings Plan with a generous matchLongevity Bonus for years of serviceStudent Loan repayment optionsTraining opportunities for CEU requirementsAbout us: The Tulsa Center for Behavioral Health (TCBH) is a psychiatric hospital accredited by The Joint Commission, dedicated to delivering evidence-based, patient-centered care. TCBH provides a safe, structured, and therapeutic environment that supports recovery and enhances quality of life for individuals and the community. The facility serves adults aged 18 and older who are experiencing a mental health crisis, with or without co-occurring substance use disorders, and who are medically stable.In response to the increasing need for mental health services in our community, TCBH is being replaced by a new facility, the Oklahoma Psychiatric Care Center (OPCC). Situated in the OSU Academic Medical District in downtown Tulsa, this modern psychiatric hospital will feature 106 inpatient beds, an expanded residency program, and an enhanced range of behavioral health services. Construction of the OPCC is currently in progress.THIS AGENCY REQUIRES COVERAGE OF 24 HOURS, 7 DAYS PER WEEK. WORK HOURS AND LOCATION MAY VARY DEPENDING ON BUSINESS NECESSITY. EMPLOYEES MAY BE REQUIRED TO WORK WEEKENDS AND OVERTIME.Reasonable accommodation for individuals with disabilities may be provided upon request.The State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.Equal Opportunity EmploymentThe State of Oklahoma is an equal opportunity employer and does not discriminate on the basis of genetic information, race, religion, color, sex, age, national origin, or disability.Current active State of Oklahoma employees must apply for open positions internally through the Workday Jobs Hub .If you are needing any extra assistance or have any questions relating to a job you have applied for, please click the link below and find the agency for which you applied for additional information:Agency Contact #J-18808-Ljbffr State-of-Oklahoma
$17.44 per hour
Utilization Review Specialist I Position is located at Tulsa Center for Behavioral Health - Utilization Review Department. The role involves reviewing clinical documentation for admission appropriateness, continued stay criteria, special studies, and coordinating authorizations...SuggestedHourly payFull timeWork at officeFlexible hoursWeekend work- ...- $26.64**Scheduled Weekly Hours:**40**Position Overview**# **Utilization Assistant**JOB CODE:50219FLSA Exemption Status:Non-Exempt## SUMMARY... ...denial and appeal correspondence to appropriate parties for review and response. Follows up for completion and maintains...SuggestedFull timeTemporary workPart timeWork at officeFlexible hours
- Mindful Health is seeking a Utilization Review Specialist in Texas to ensure adherence to utilization review plans by evaluating the effectiveness and medical necessity of outpatient services. The ideal candidate will have strong communication skills, efficient time management...SuggestedWork at office
$20 - $30 per hour
A behavioral healthcare organization is seeking a Utilization Review Specialist to conduct clinical auditing and negotiate authorizations. The ideal candidate has a Bachelor's degree in Social Work or Nursing and 1-2 years of healthcare experience. Responsibilities include...Suggested$50k
...lives of patients and their families What to Expect (Job Responsibilities) Complete pre-authorizations, concurrent reviews, and internal utilization review assessments Consult with the multidisciplinary treatment team to gather necessary information for concurrent reviews...SuggestedRemote job- ...Director of Utilization Review Under the direction of the Director of Utilization Review, the Specialist will coordinate Medicaid Managed Care authorizations and re-authorizations for clients receiving behavioral healthcare services from Odyssey House's Part 820 residential...Temporary workFlexible hours
$75k
...Santa Barbara Cottage Hospital is seeking a dedicated Registered Nurse for inpatient utilization review responsibilities. This role requires performing medical necessity reviews and collaborating with clinical teams to make informed decisions. Candidates must hold an...Remote work- ...Responsibilities Coastal Harbor Health is currently seeking a Utilization Review Coordinator Per Diem to coordinate and direct utilization review functions, monitoring the utilization and continuum of services to optimize reimbursement. Coastal Harbor Health System is...Daily paidTemporary workReliefLocal area
$20 - $30 per hour
...the behavioral health industry by delivering exceptional care, utilizing state-of-the-art facilities, and prioritizing the well-being of... ...: Exempt Travel Requirement: None Responsibilities Utilization Review on Behalf of the Clinics: Prescreen referrals to project/anticipate...Remote work- ...A healthcare provider in Savannah, GA is seeking a Per Diem Utilization Review Coordinator. The role involves coordinating Utilization Review functions, ensuring timely and appropriate processes, and maintaining confidentiality. Candidates must possess a Master's degree...Daily paid
$50 per hour
...GreenLife Healthcare Staffing is looking for an experienced Registered Nurse Clinical Reviewer for a fully remote position with an hourly rate of $50. This role involves conducting utilization reviews and ensuring healthcare documentation compliance for a respected non-...Hourly payRemote work$17.44 per hour
The State-of-Oklahoma is looking for a Utilization Review Specialist I at the Tulsa Center for Behavioral Health. This full-time position involves reviewing clinical documentation, ensuring appropriateness of admissions, and coordinating service authorizations. Ideal candidates...Hourly payFull time$32.85 - $35.71 per hour
Broadcast Standards & Practices Associate / Ad Review Specialist 2 days ago Be among the first 25 applicants Get AI-powered advice on this... ..., claim support, and other documentation obtained and utilized in the clearance process is an integral part of this role....Fixed term contract$45 - $50 per hour
Greenlife Healthcare Staffing is looking for a dedicated Registered Nurse Clinical Reviewer for a fully remote position in New York. This role involves conducting utilization and quality reviews and contributing to clinical studies. With a competitive pay of $45 - $50 per...Remote jobHourly pay$35 - $36.71 per hour
...related Streaming Services. Standards & Practices Associates review high profile national advertising campaigns to ensure consistency... ..., claim support, and other documentation obtained and utilized in the clearance process is an integral part of this role. Responsibilities...Hourly payContract workFixed term contractWork at officeRemote work$35.5 - $53.25 per hour
...involves assessing patient needs, developing care plans, performing reviews, and ensuring proper documentation in the revenue cycle.... ...an accredited nursing degree, RN licensure, and experience in utilization management and behavioral health. Work hours are Monday to Wednesday...Hourly payContract workPart time- ...healthcare staffing agency in New York is seeking a Clinical Utilization Specialist to oversee the authorization of services for geriatric... ...geriatrics and clinical utilization. Responsibilities include reviewing health services for medical necessity and collaborating with...
- Position: Case Review Specialist - Phone Intake & Documentation Location: Remote Remote Status: Remote Job Id: 1678 # of Openings: 1... ...degree. Minimum 2 years of experience in healthcare operations, utilization management, case management, intake, call center, or related...Work at officeLocal areaRemote workMonday to FridayShift work
- ...external to the institution. Position responsibilities will include utilization management support functions for patient admissions and... ...tracking system to alert CM of need for initial and continued stay reviews, and process continued stay and admission denials. Assign...Hourly payTraineeshipWork at office
- A healthcare solutions company is seeking a Utilization Management Nurse Reviewer to assess the appropriateness of medical services and collaborate with healthcare professionals. This role requires a Licensed Practical/Vocational Nurse with clinical experience and skills...
- Boston Medical Center is seeking an RN Appeal Administrator responsible for managing the pre-denial, denial, and appeal processes while ensuring compliance with medical necessity criteria. This role involves close collaboration with clinical teams and payers to secure necessary...
- A healthcare consulting firm is seeking an experienced Orthopedic Surgeon to conduct comprehensive reviews of clinical cases as an independent contractor. This telework opportunity allows for schedule flexibility, where you will review medical records, prepare clinical...For contractorsRemote work
- DKKD Staffing is seeking a TPRM / User Access Review Analyst for a contract role lasting 9-12 months, potentially longer. This remote/hybrid position involves supporting a third-party risk management program and user access reviews for a financial-services cybersecurity...Remote jobPermanent employmentContract work
- Analyst/Associate, Scotiabank US Equity Research, Power & Utilities, New York, NY Requisition ID: 260608 Salary Range: 120,000-185,000... ...companies and monitoring domestic and global economic developments. Review daily news services for relevant information that impacts the...Work experience placementLocal areaFlexible hours
$70 - $74 per hour
A leading staffing firm is looking for a WACS Functional Lead in Folsom, NJ. You will lead integration workstreams utilizing Oracle Integration Cloud for transformation projects in Oracle Utilities applications. The ideal candidate will have at least 6 years of hands-on...Contract work- A leading digital health company is seeking a Case Review Specialist for remote work, responsible for managing case inquiries and supporting documentation processes. The ideal candidate will have a high school diploma, at least 2 years in healthcare operations, and strong...Remote job
- ...are seeking a clinically trained physician to provide targeted review and validation of HEOR and real-world evidence (RWE) outputs.... ...Subgroup and comparative effectiveness analyses Outcomes and utilization data Provide clinical context and interpretation of findings...
$50 per hour
...Overview RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr Position Overview... ...setting. Must have 1-3 years of experience in acute care utilization review/ appeals background. Technical Skills: Experience with...Hourly payFull timeWork at officeRemote workFlexible hours- ...employees. Responsibilities Empower AI: As a casual Medical Review Specialist III (Medical Reviewer III) you will primarily perform... ...payment determinations based on Insurance coverage, coding, and utilization of services and practice guidelines for Medicare A, Outpatient...For contractorsCasual workWork at officeLocal area
- ...seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre‑ and post‑payment medical... ...available for applicants with disabilities. Broadway Ventures utilizes the OFCCP‑approved Voluntary Self‑Identification of Disability...Remote jobFor contractorsWork at officeWork from homeHome office
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