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Remote Utilization Management Jobs in Arkansas (NOW HIRING)

Nightingale

Director of Managed Care

Little Rock, AR · Remote

Director of Managed Care Remote Position RN/LPN Preferred Job Summary: We are seeking an ... and utilization management across six skilled nursing facilities in Arkansas and Ohio . As a key ...

Corvel

Telephonic Case Manager I

Little Rock, AR · Remote

$63K - $95K/yr

... Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS ... Strong cost containment background, such as utilization review or managed care helpful

Corvel

Telephonic Case Manager I

Little Rock, AR · Remote

$63K - $95K/yr

... Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS ... Strong cost containment background, such as utilization review or managed care helpful

Corvel

Telephonic Case Manager I

Little Rock, AR · Remote

$63K - $95K/yr

... Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS ... Strong cost containment background, such as utilization review or managed care helpful

Corvel

Telephonic Case Manager I

Little Rock, AR · Remote

$63K - $95K/yr

... Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS ... Strong cost containment background, such as utilization review or managed care helpful

Avery Dennison

Senior Project Leader

Little Rock, AR · On-site +1

Otherwise, this role is remote. Qualifications * Project Administration: Uses work management platforms to manage the project and tasks within the project to show burndown, resource utilization ...

Avery Dennison

Senior Project Leader

Little Rock, AR · On-site +1

Otherwise, this role is remote. Qualifications * Project Administration: Uses work management platforms to manage the project and tasks within the project to show burndown, resource utilization ...

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All JobsUtilization Management JobsRemote Utilization Management JobsRemote Utilization Management Jobs in Arkansas

Remote Utilization Management information

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

What is the difference between Remote Utilization Management vs Remote Case Management?

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

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 Remote Utilization Management jobs in Arkansas?

For Remote Utilization Management jobs in Arkansas, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management jobs in Arkansas look for?

The top searched job categories for Remote Utilization Management jobs in Arkansas are:

What cities in Arkansas are hiring for Remote Utilization Management jobs?

Cities in Arkansas with the most Remote Utilization Management job openings:

Remote Utilization Management jobs near you
Infographic showing various Remote Utilization Management job openings in Arkansas as of September 2026, with employment types broken down into 90% Full Time, and 10% Part Time. Highlights an 100% Remote job distribution.

Director of Managed Care

Little Rock, AR • Remote

Nightingale
Recruiting and Staffing Services • 501 - 1,000 employees
Learn more about Nightingaleexternal

Full-time

Posted 17 days ago

Job description

Director of Managed Care

Remote Position

RN/LPN Preferred

Job Summary:

We are seeking an experienced, detail-driven Director of Managed Care to oversee prior authorizations, payer coordination, and utilization management across six skilled nursing facilities in Arkansas and Ohio. As a key member of our team, you will ensure timely authorizations, accurate documentation, and strong communication with payers to optimize reimbursement and resident care.

Responsibilities:

  • Manage and process all prior authorizations for admissions, continued stays, therapy services, and specialty care

  • Serve as the primary contact for managed care organizations, insurance plans, and payer representatives

  • Monitor authorization timelines, length of stay, and payer requirements to ensure compliance

  • Collaborate daily with MDS, nursing leadership, therapy, admissions, and regional leadership

  • Track, resolve, and appeal denials, ensuring complete and accurate documentation

  • Provide clear, consistent communication to facility teams regarding authorization status and next steps

  • Identify trends, barriers, and opportunities to strengthen managed care outcomes

  • Maintain organized workflows and reporting across all six facilities

Requirements:

  • Strong background in Managed Care, Utilization Review, Prior Authorization, or MDS within SNF/LTC

  • Deep understanding of Medicare Advantage, commercial plans, and authorization processes

  • Excellent communication, follow-through, and problem-solving skills

  • Ability to manage multiple facilities, deadlines, and payer relationships

  • Highly organized, tech-savvy, and comfortable working fully remote

  • Proactive, positive, team-focused professional who thrives in a collaborative environment

Your expertise ensures residents receive timely approvals, facilities maintain accurate reimbursement, and teams across Arkansas and Ohio stay aligned and supported. You'll be the central hub that keeps managed care operations running smoothly.

Why Join Us:

  • Fully remote role

  • Supportive, mission-driven leadership

  • Opportunity to impact outcomes across multiple communities

  • Competitive compensation

  • A role where your work directly strengthens resident care and operational success

If you're passionate about managed care excellence and excited to support six dedicated healthcare teams across Arkansas and Ohio, we want to meet you. Apply today and help us continue building strong, high-performing communities.