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Manager Utilization Management Jobs in Arkansas (NOW HIRING)

Acadia Healthcare

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.

Acadia Healthcare

Utilization Specialist

Conway, AR

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.

Acadia Healthcare

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.

Baptist Health

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 ...

LabMinds Staffing & Recruiting

Job Summary The Utilization Management / Case Management Registered Nurse manages patient progression of care, promotes evidence-based protocols, ensures the appropriateness of clinical interventions ...

New

LCMC Health

This strategic role is responsible for advancing utilization management initiatives, supporting quality improvement efforts, optimizing patient care outcomes, and fostering strong collaboration among ...

Hhs

Linen Utilization Manager

Benton, AR

Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...

New

HHS

Linen Utilization Manager

Hot Springs, AR

Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...

New

Hhs

Linen Utilization Manager

Hot Springs, AR · On-site

Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...

New

HHS

Linen Utilization Manager

Benton, AR · On-site

Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...

New

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All JobsUtilization Management JobsManager Utilization Management JobsManager Utilization Management Jobs in Arkansas

Manager Utilization Management information

See Arkansas salary details

$32.2K

$75.3K

$138.5K

How much do manager utilization management jobs pay per year?

As of Aug 1, 2026, the average yearly pay for manager utilization management in Arkansas is $75,258.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,200.00 and $90,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

What is the difference between Manager Utilization Management vs Utilization Review Nurse?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

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 some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What does a Manager of Utilization Management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
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:
Manager Utilization Management jobs near you
Infographic showing various Manager Utilization Management job openings in Arkansas as of July 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 3% Hybrid, and 5% Remote job distribution, with an average salary of $75,258 per year, or $36.2 per hour.

Case Manager / Utilization Review Nurse

Conway Regional

Conway, AR • On-site

Full-time

Posted 29 days ago

Job description

Overview

Provides discharge planning and utilization review services in compliance with patient’s discharge planning needs and the hospital’s utilization review program. 

SAFETY SENSITIVE POSITION:

 

This position is a designated as “Safety Sensitive Position” under Act 593 of the State of Arkansas. An employee who is under the influence of Marijuana constitutes a threat to patients/customers which Conway Regional is responsible for in providing and supporting the delivery health care related services.

 


Responsibilities
  • Apply clinical knowledge to determine appropriate acuity levels and utilization through chart review.
  • Effectively organizes workflow to consistently complete assignments in a timely manner.
  • Demonstrates ability to access and effectively utilize primary sources of data.
  • Obtains and maintains medical records in conformance with Medical Information policies.
  • Communicates with co-workers in a manner that is conducive to positive and effective working relationships. Demonstrates respect, honesty and integrity when working with other service providers.
  • Demonstrates compliance with all relevant hospital, state and federal requirements related to maintenance of confidentiality of persons, data and information systems.
  • Takes advantage of opportunities made available through CRHS and other professional organizations for continued professional growth and development.
  • Responsible for analysis of patient information for determination of necessity of admission or continuation of stay.
  • Review for medical necessity of admission on the first working day after admission using approved review criteria.
  • Reviews inpatient procedures to determine appropriate utilization and acuity level. Reviews potential for outpatient setting or swing bed utilization.
  • Reviews all patients for medical necessity of continued stay, or before the next review date, using approved review criteria.
  • Performs retroactive reviews, as necessary, and responds to the appropriate review agency or third party payor.
  • Researches denials issued by review agencies and third party payors and responds within the specified time frames for appeal.
  • Works with others on healthcare team to coordinate for patients discharge needs.
  • Establishes an effective utilization review process and maintains an active, effective utilization review file system. Recommends, develops and revises policies related to the utilization review process.
  • Works collaboratively with physicians, Case Management, the discharge planning process, Admissions, Central Scheduling and other CRHS associates.
  • Educates staff, physicians and other personnel regarding medical necessity requirements as defined by approved review criteria.
  • Assists with other department functions as assigned.

Qualifications
    • Registered Nurse or Licensed Practical Nurse with current, active license to practice in Arkansas, required
    • Proof of the highest level of nursing education achieved, required
    • At least one-year experience in the area of case management/utilization review, preferred
Qualifications:
    • Registered Nurse or Licensed Practical Nurse with current, active license to practice in Arkansas, required
    • Proof of the highest level of nursing education achieved, required
    • At least one-year experience in the area of case management/utilization review, preferred
Education:UNAVAILABLEEmployment Type: FULL_TIME

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