{"id":2436142,"url":"https://alion.io/job/okheart-case-manager-utilization-review-coordinator","title":"Case Manager- Utilization Review Coordinator","company":{"id":4420618,"name":"Oklahoma Heart Hospital","domain":"okheart.com","url":"https://alion.io/company/okheart-2","size_band":"501-1000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"iCIMS","truth_index":null},"role":"Administrative","role_family":"Administrative","seniority":"middle","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Oklahoma City, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":39000,"max_usd":76000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1646},"experience_years_min":3,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-10-13T10:43:46Z","employer_posted_date":"2026-10-13","last_verified_at":"2026-10-13T23:23:11Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"Overview\nJoin Our Team at Oklahoma Heart Hospital (OHH)\nONE TEAM. ALL HEART. At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients’ journeys, bringing hope, compassion, and healing to both patients and their families. Together with our physicians and caregivers, we’re shaping the future of heart care in Oklahoma by serving the state and leading the nation.\nWhy You'll Love Working Here:\n Comprehensive Benefits:Medical, Dental, and Vision coverage\n401(k) plan with employer match\nLong-term and short-term disability\nEmployee Assistance Programs (EAP)\nPaid Time Off (PTO)\nExtended Medical Benefits (EMB)\nOpportunities for continuing education and professional growth\n\nPlease note that benefits may vary by position, and some roles (like PRN, Flex, Float, etc.) may have exclusions. For eligible positions, benefits start on your first day!\nWe can’t wait for you to join our heart-centered team!\nLocation: South Campus- 5200 E. I-240 Service Road, OKC OK 73132\nShift: Monday through Friday, 2pm to 10:30 pm.\nNo Weekends/ No Holidays\nPosition will require an RN, Registered Nurse Licensure.\nResponsibilities\nResponsible for comprehensive coordination of care and service of individual patients and/or patient populations, promoting effective utilization of resources, and assuming a leadership role on the multidisciplinary team to achieve patient and physician satisfaction and optimal outcomes. Responsible for all activities associated with the Utilization Review process. Must be able to work with all disciplines to meet patients’ needs from admission through discharge. Will perform duties and responsibilities in a manner consistent with the mission and values of the Oklahoma Heart Hospital.\nPerforms admission review to assure patient is placed in correct level of care and concurrent or focused reviews using Medicare and payer specific criteria.\nDemonstrates an ability to identify cases where admission criteria not met. Contacts physicians for additional information and suggests alternatives if admission/continued stay is not appropriate\nKnowledgeable on inpatient, observation and outpatient criteria\nKnowledgeable of billing, payer contracts, agreements and reimbursement issues for services provided to OHH patients.\nQualifications\nEducation: Graduate of an accredited school of nursing. Bachelors or Master’s degree a plus.\nExperience: Minimum of three (3) years hospital based nursing practice with experience in utilization/case management. Willing to pursue certification in Case Management (CCM). Proficient in computer usage.\nLicensure/Certification: Registered Nurse with current Oklahoma licensure.\nAs part of our team, you are empowered to work collaboratively with our physicians and other caregivers, and play an integral role in setting the standard for excellence in patient care. Every team member at OHH plays an integral role in our patients’ experience. They are the reason OHH continues to serve the state and lead the nation. 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