Utilization Management: * Conducts and monitors clinical review cases to ensure medical necessity of inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgery ...
Utilization Management: * Conducts and monitors clinical review cases to ensure medical necessity of inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgery ...
One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in regards to education requirement. Must possess ...
One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in regards to education requirement. Must possess ...
Utilization Management Shift: Day Working Hours: 8-5P Summary: The Physician Advisor is a key member of the healthcare organization's leadership team and is charged with meeting the organization ...
Utilization Management Shift: Day Working Hours: 8-5P Summary: The Physician Advisor is a key member of the healthcare organization's leadership team and is charged with meeting the organization ...
Utilization Specialist
Conway, AR · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Conway, AR · On-site
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Conway, AR · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Conway, AR · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Conway, AR · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
Utilization Specialist
Conway, AR · On-site
Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.
UR Specialist Supervisor
Little Rock, AR · On-site
Utilization Management Shift: Day Working Hours: Mon -Friday 0800-1700 Summary: Working/Supervisor position responsible for the leadership and supervision of the Utilization Review (UR) Specialists ...
UR Specialist Supervisor
Little Rock, AR · On-site
Utilization Management Shift: Day Working Hours: Mon -Friday 0800-1700 Summary: Working/Supervisor position responsible for the leadership and supervision of the Utilization Review (UR) Specialists ...
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
Quick apply
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
Director Case Management
Nashville, AR · On-site
Provides case management/utilization review and discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
Director Case Management
Nashville, AR · On-site
Provides case management/utilization review and discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
Behavioral Health Clinician
Little Rock, AR · On-site
$59K - $81K/yr
Experience in managed care or behavioral health utilization review.
Behavioral Health Clinician
Little Rock, AR · On-site
$59K - $81K/yr
Experience in managed care or behavioral health utilization review.
$32.48 - $56.84/hr
Prior Care Management/Utilization Management experience [Preferred] Licenses and Certifications: * Registered Nurse (RN) [Required] Pay Range: $32.48 - $56.84 Background Screening Requirement ...
$32.48 - $56.84/hr
Prior Care Management/Utilization Management experience [Preferred] Licenses and Certifications: * Registered Nurse (RN) [Required] Pay Range: $32.48 - $56.84 Background Screening Requirement ...
Utilization Review Specialist
North Little Rock, AR · On-site
$68K/yr
The right candidate will be detail-oriented, organized, and able to manage multiple priorities in a ... Utilization Review: Conduct pre-authorizations and concurrent reviews to confirm the necessity and ...
Utilization Review Specialist
North Little Rock, AR · On-site
$68K/yr
The right candidate will be detail-oriented, organized, and able to manage multiple priorities in a ... Utilization Review: Conduct pre-authorizations and concurrent reviews to confirm the necessity and ...
UR COORDINATOR
Fayetteville, AR · On-site
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
UR COORDINATOR
Fayetteville, AR · On-site
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
Utilization Review Specialist
North Little Rock, AR · On-site
$65K - $68K/yr
Utilization Review Specialist - North Little Rock, AR (72113) Are you an experienced healthcare ... The right candidate will be detail-oriented, organized, and able to manage multiple priorities in a ...
Quick apply
Utilization Review Specialist
North Little Rock, AR · On-site
$65K - $68K/yr
Utilization Review Specialist - North Little Rock, AR (72113) Are you an experienced healthcare ... The right candidate will be detail-oriented, organized, and able to manage multiple priorities in a ...
Remote Clinical Review Pharmacist
Springdale, AR · On-site
$104K - $125K/yr
Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document recommendations and decisions according to health-plan and regulatory requirements. * Participate in ...
Remote Clinical Review Pharmacist
Springdale, AR · On-site
$104K - $125K/yr
Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document recommendations and decisions according to health-plan and regulatory requirements. * Participate in ...
UR COORDINATOR
Fayetteville, AR · On-site
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
UR COORDINATOR
Fayetteville, AR · On-site
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
UR COORDINATOR
Fayetteville, AR · On-site
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
UR COORDINATOR
Fayetteville, AR · On-site
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...
Director Case Management
Nashville, AR · On-site
Provides case management/utilization review and discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
Director Case Management
Nashville, AR · On-site
Provides case management/utilization review and discharge planning to assure that the patient progresses through the continuum of care and is discharged to the least restrictive environment.
Manager Utilization Management information
See Arkansas salary details
$32.2K - $41.9K
9% of jobs
$49K is the 25th percentile. Wages below this are outliers.
$41.9K - $51.6K
22% of jobs
$51.6K - $61.2K
11% of jobs
The median wage is $67.2K / yr.
$61.2K - $70.9K
14% of jobs
$70.9K - $80.5K
12% of jobs
$86.6K is the 75th percentile. Wages above this are outliers.
$80.5K - $90.2K
13% of jobs
$90.2K - $99.9K
13% of jobs
$99.9K - $109.5K
5% of jobs
$109.5K - $119.2K
2% of jobs
$119.2K - $128.8K
0% of jobs
$128.8K - $138.5K
0% of jobs
$32.2K
$75.3K
$138.5K
How much do manager utilization management jobs pay per year?
What does a manager utilization management do?
What are the key skills and qualifications needed to thrive as a manager utilization management?
What are some common challenges faced by a manager utilization management, and how can they effectively address them?
What is the difference between Manager Utilization Management vs Utilization Review Nurse?
| Aspect | Manager Utilization Management | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, often with management or utilization review certifications | RN, with certifications in utilization review or case management |
| Work Environment | Supervises teams, manages policies, oversees utilization review processes | Performs patient chart reviews, assesses medical necessity, collaborates with providers |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Hospitals, insurance companies, healthcare organizations |
| Search & Comparison Intent | Yes | Yes |
While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.
What are the most commonly searched types of Utilization Management jobs in Arkansas?
The most popular types of Utilization Management jobs in Arkansas are:
What are popular job titles related to Manager Utilization Management jobs in Arkansas?
For Manager Utilization Management jobs in Arkansas, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Arkansas look for?
The top searched job categories for Manager Utilization Management jobs in Arkansas are:
What cities in Arkansas are hiring for Manager Utilization Management jobs?
Cities in Arkansas with the most Manager Utilization Management job openings:

Utilization Management Nurse
Little Rock, AR • On-site
Other
Posted 7 days ago
Job description
Utilization Management:
- Conducts and monitors clinical review cases to ensure medical necessity of inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgery; documenting all relevant and specific information; and screens, prioritizes and organizes determination requests according to mandates and standards.
- Promotes appropriate care and quality toward cost effective and cost containment measures based on evidence.
- Collaborates with healthcare providers and internal staff to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels.
- Practices nursing within the scope of licensure and adheres to policies, procedures, regulations, URAC standards and individual state regulations; making decisions based on facts and evidence to ensure compliance, appropriate level of care, and patient safety.
- Proactively and efficiently work incoming and outbound calls and/or queues from multiple sources within mandated requirements.
- Remain current with up-to-date medical and surgical procedures, products, healthcare services and drugs, general trends in health care delivery; and enterprise procedures, policies and contracts.
- Other duties as assigned.
- Proficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding 4.
- Experience in utilization management and/or medical review preferred.
- Ability to prioritize and make sound nursing judgments through critical thinking
- Excellent verbal and written communication skills
- Ability to build collaborative relationships
- Attention to details
- Ability to interpret complex documentation
- Registered Nurse License, active and unencumbered state license in the state where job duties are performed is required.
- BSN preferred. 2. Four (4) years of clinical practice nursing experience in at least one of the following areas: medical-surgical nursing, surgical nursing, intensive care or critical care nursing.
About Paladin Consulting
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
1,001 - 5,000 Employees
Headquarters location
Dallas, TX, US
Year founded
1983