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Utilization Case Manager Jobs in Pea Ridge, AR (NOW HIRING)

PruittHealth

Case Manager

Fayetteville, AR · On-site

$18.75 - $24.25/hr

PruittHealth is seeking an RN Case Manager to coordinate comprehensive patient care across health ... families, monitor service utilization, and maintain detailed EMR documentation. Join a ...

Encompass Health

Case Manager

Fayetteville, AR

$19.25 - $24.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...

Encompass Health

Case Manager

Fayetteville, AR · On-site

$19.25 - $24.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...

Encompass Health Corporation

Case Manager

Fayetteville, AR · On-site

$17.25 - $22/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...

Corvel

Telephonic Case Manager I

Rogers, AR · On-site

$63K - $95K/yr

The Case Manager communicates directly with treating physicians to evaluate and recommend ... Strong cost containment background, such as utilization review or managed care helpful

Corvel

Telephonic Case Manager I

Rogers, AR

$63K - $95K/yr

The Case Manager communicates directly with treating physicians to evaluate and recommend ... Strong cost containment background, such as utilization review or managed care helpful

Community Clinic

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 ...

Pwc

Oracle PMO - Senior Manager

Fayetteville, AR · On-site

$124K - $280K/yr

... utilization of business applications. As a Senior Manager, you will leverage your skills and ... case development to optimize operational efficiency and support strategic goals - Managing ...

Walmart

Manager, Automation Engineering

Bentonville, AR · On-site

... case. Automation System Design: Identifies areas for usage of automation machineries; assesses ... Resource tracking and billing, utilizing enterprise applications to manage resource utilization and ...

Walmart

Account Manager

Cassville, MO · On-site

$80K - $155K/yr

Capture and package success stories, case studies and other examples of utilization and ... Build and manage cross-functional relationships with key partners within Walmart that power the ...

Walmart

Account Manager

Centerton, AR · On-site

$80K - $155K/yr

Capture and package success stories, case studies and other examples of utilization and ... Build and manage cross-functional relationships with key partners within Walmart that power the ...

Walmart

Account Manager

Tontitown, AR · On-site

$80K - $155K/yr

Capture and package success stories, case studies and other examples of utilization and ... Build and manage cross-functional relationships with key partners within Walmart that power the ...

Walmart

Account Manager

Elm Springs, AR · On-site

$80K - $155K/yr

Capture and package success stories, case studies and other examples of utilization and ... Build and manage cross-functional relationships with key partners within Walmart that power the ...

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Utilization Case Manager information

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$14

$31

$51

How much do utilization case manager jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for utilization case manager in Pea Ridge, AR is $31.33, according to ZipRecruiter salary data. Most workers in this role earn between $25.38 and $33.03 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

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

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What job categories do people searching Utilization Case Manager jobs in Pea Ridge, AR look for? The top searched job categories for Utilization Case Manager jobs in Pea Ridge, AR are:
What cities near Pea Ridge, AR are hiring for Utilization Case Manager jobs? Cities near Pea Ridge, AR with the most Utilization Case Manager job openings:
Utilization Case Manager jobs near you
Infographic showing various Utilization Case Manager job openings in Pea Ridge, AR as of August 2026, with employment types broken down into 85% Full Time, and 15% Contract. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $65,176 per year, or $31.3 per hour.

Case Manager

PruittHealth

Fayetteville, AR • On-site

$18.75 - $24.25/hr

Full-time

Re-posted yesterday

PruittHealth rating

6.1

Company rating: 6.1 out of 10

Based on 132 frontline employees who took The Breakroom Quiz

120th of 239 rated social care providers

Job description

PruittHealth is seeking an RN Case Manager to coordinate comprehensive patient care across healthcare settings. In this pivotal role, you will perform thorough clinical assessments, develop and manage individualized care plans, and ensure safe transitions of care. You will collaborate closely with an interdisciplinary team, educate patients and families, monitor service utilization, and maintain detailed EMR documentation. Join a compassionate, growth-focused organization dedicated to dignity, respect, and exceptional patient outcomes in the Southeastern U.S.

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About PruittHealth

Sourced by ZipRecruiter

PruittHealth will help you conquer your career goals. At PruittHealth, we are searching for nurses who are committed to serving our residents with care and compassion, and in return, we are committed to supporting your nursing career through annual merit increases, career growth programs, preceptorship, and more.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Norcross, GA, US

Year founded

1969

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