Case Manager PRN
Conway, AR · On-site
At least one-year experience in the area of case management/utilization review, preferred
Case Manager PRN
Conway, AR · On-site
At least one-year experience in the area of case management/utilization review, preferred
Demonstrated success in developing and executing sourcing strategies across complex, multi-category healthcare environments including healthcare analytics, utilization management, care management ...
Demonstrated success in developing and executing sourcing strategies across complex, multi-category healthcare environments including healthcare analytics, utilization management, care management ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
Field Medical Director, Vascular Surgeon
Little Rock, AR · On-site
$130 - $140/hr
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
Field Medical Director, Vascular Surgeon
Little Rock, AR · On-site
$130 - $140/hr
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Posted today
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Posted today
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
Demonstrates compliance with facility-wide Utilization Management policies and procedures. * Coordinates UR compliance with Quality Management to assure all licensure and accrediting requirements are ...
... utilization management system.
... utilization management system.
Collaborates with accepting physician regarding provision of care for patient admission. Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by ...
Collaborates with accepting physician regarding provision of care for patient admission. Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by ...
Collaborates with accepting physician regarding provision of care for patient admission. Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by ...
Collaborates with accepting physician regarding provision of care for patient admission. Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by ...
Working under the direction of multiple Project Managers, the Scheduler maintains the company's manpower schedule, coordinates workforce assignments, tracks employee utilization, and provides real ...
Working under the direction of multiple Project Managers, the Scheduler maintains the company's manpower schedule, coordinates workforce assignments, tracks employee utilization, and provides real ...
Working under the direction of multiple Project Managers, the Scheduler maintains the company's manpower schedule, coordinates workforce assignments, tracks employee utilization, and provides real ...
Working under the direction of multiple Project Managers, the Scheduler maintains the company's manpower schedule, coordinates workforce assignments, tracks employee utilization, and provides real ...
Case Manager, Registered Nurse
Mountain Home, AR · On-site
$54K - $155K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...
Case Manager, Registered Nurse
Mountain Home, AR · On-site
$54K - $155K/yr
Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care ...
Collaborates with accepting physician regarding provision of care for patient admission. Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by ...
Collaborates with accepting physician regarding provision of care for patient admission. Assist with Patient Placement Center and Utilization Management to perform admission status appropriateness by ...
Responsible for completing and submitting assessment reviews within the respective timeline, adhering to quality benchmarks and contractual specifications, utilizing electronic utilization management ...
Responsible for completing and submitting assessment reviews within the respective timeline, adhering to quality benchmarks and contractual specifications, utilizing electronic utilization management ...
RN - Care Manager
Fayetteville, AR · On-site
Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care. * Coordinates the integration of social service function into patient ...
RN - Care Manager
Fayetteville, AR · On-site
Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care. * Coordinates the integration of social service function into patient ...
RN - Care Manager
Fayetteville, AR · On-site
Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care. * Coordinates the integration of social service function into patient ...
Quick apply
RN - Care Manager
Fayetteville, AR · On-site
Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care. * Coordinates the integration of social service function into patient ...
RN - Care Manager
Fayetteville, AR · On-site
Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care. * Coordinates the integration of social service function into patient ...
Quick apply
RN - Care Manager
Fayetteville, AR · On-site
Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care. * Coordinates the integration of social service function into patient ...
Utilization of Company's warehouse management system and other technologies available to maximize productivity. Analyzes the productivity levels of the warehouse operation and recommends appropriate ...
Utilization of Company's warehouse management system and other technologies available to maximize productivity. Analyzes the productivity levels of the warehouse operation and recommends appropriate ...
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?
As of Aug 21, 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 does a manager 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 key skills and qualifications needed to thrive as a manager utilization management?
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 are some common challenges faced by a manager 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 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:
Per diem
Re-posted 9 days ago
Job description
Overview
Provides discharge planning and utilization review services in compliance with patients 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
Qualifications
Provides discharge planning and utilization review services in compliance with patients 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