Utilization Review Specialist I
$17.44 per hourOklahoma Department of Mental Health and Substance Abuse Services
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 and re‑certifications with external reimbursing entities. Job Type / Salary Open/Close dates: 6/17/2026 – until filled Full‑time Hourly rate: $17.44 Primary working hours: 8:00am-4:30pm FLSA Status: Non‑Exempt Primary work location/department: Tulsa Center for Behavioral Health – Utilization Review Dept Vacancies: 1 Minimum Qualifications and Experience Bachelor’s degree or four years of technical clerical, administrative, secretarial, or general office work; or an equivalent combination of education and experience. Preference for candidates with experience in social work, psychology, or a psychiatric setting. Special Requirements Must pass an OSBI background check. Must have a valid driver’s license and be willing to travel for job‑related duties. Benefits Generous state paid benefit allowance for insurance premiums. Wide choice of health insurance plans with no pre‑existing condition exclusions. Flexible spending accounts for health care or dependent care. Employee assistance programs and health and fitness programs. 11 paid holidays. 15 days of vacation and 15 days of sick leave the first year. Retirement savings plan with a generous match. Longevity bonus for years of service. Student loan repayment options. Training opportunities for CEU requirements. Other Information Work hours and location may vary depending on business necessity. Employees may be required to work weekends and overtime. Agency requires 24‑hour coverage, 7 days per week. Reasonable accommodation for individuals with disabilities may be provided upon request. Equal Opportunity Employer 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. #J-18808-Ljbffr Oklahoma Department of Mental Health and Substance Abuse Services
$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$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- 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
- ...- $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
$17.44 per hour
Job Posting TitleUtilization Review Specialist IAgency452 MENTAL HEALTH AND SUBSTANCE ABUSE SERV.Supervisory OrganizationTulsa Center Behavioral... ...Position:Tulsa Center for Behavioral Health is recruiting a Utilization Review Specialist. This position would, under general...SuggestedWork at officeWeekend work- ...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$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$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$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$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- 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
- ...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...
- 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...
$97.76k - $204.59k
...Advisory. KPMG is currently seeking a Senior Associate, SAP CRM, Utilities to join our Advisory Services practice. Responsibilities:... ...the design of optimized future-state workflows. • Coach and review work products of Analysts/Associates. • Act with integrity,...Full timeH1bLocal area- 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
- 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
- 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
$134.71k - $268.99k
...Advisory. KPMG is currently seeking a Lead Specialist, ServiceNow, E&T to join our Managed... ...operation, and conduct technical reviews of design, code, and implementation to... ...support to enhance ServiceNow adoption and utilization Act with integrity, professionalism,...Full timeH1bLocal area- ...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
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