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

Strategic Account Manager

Springdale, 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 ...

Occupational Therapist

Rogers, AR · On-site

$55 - $60/hr

... rehab technicians, and case management. Uphold professional conduct that reflects Reliant ... utilization and skill development in accordance with State Practice Acts, OBRA, and company ...

Strategic 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 ...

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 ...

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 ...

Strategic Account Manager

Pea Ridge, 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 ...

Strategic Account Manager

Anderson, 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 ...

Strategic Account Manager

Gravette, 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 ...

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 ...

Strategic Account Manager

Rogers, 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 ...

Strategic Account Manager

Decatur, 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 ...

Strategic Account Manager

Goshen, 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 ...

Strategic 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 ...

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 ...

Strategic Account Manager

Lowell, 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 ...

Strategic Account Manager

Noel, 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 ...

Strategic Account Manager

Elkins, 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 ...

Showing results 41-60

Utilization Case Manager information

See Pea Ridge, AR salary details

$14

$31

$51

How much do utilization case manager jobs pay per hour?

As of Aug 9, 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:
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.

Occupational Therapist

Reliant Rehabilitation

Eureka Springs, AR • On-site

$55 - $60/hr

Per diem

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago


Reliant Rehabilitation rating

6.3

Company rating: 6.3 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

670th of 887 rated healthcare providers


Job description

#LI-DM1

This position may be offered as a Full-Time or PRN opening, depending on several factors. Please apply, and a member of our team will reach out to discuss available options.

Why Join Reliant Rehabilitation?

Joining Reliant means becoming part of a team that makes a real difference in the lives of patients and residents across a variety of care communities. As one of the nation’s largest contract therapy providers, Reliant offers unmatched clinical support, professional development, and growth opportunities.

Our leadership team began their careers as therapists, and we take pride in promoting from within. You’ll be supported by a dedicated clinical team that provides ongoing training, proven protocols, and hands-on guidance — ensuring therapy is delivered effectively for patients and in full compliance to support our partners. With operations in 44 states and more than 900 communities nationwide, Reliant can match your location, schedule, and career goals, wherever your path leads.

 

What We Offer:

•             Competitive compensation packages

•             Medical, dental, vision, and company-paid life insurance

•             401(k) with employer match

•             PTO Share and Buy-Back Programs

•             Maternity and Paternity support program

•             Continuing education, mentorship programs and clinical leadership development

•             Tuition loan repayment assistance Program

•             Flexible scheduling options


This Occupational Therapist delivers occupational therapy services to patients in alignment with the principles and practices of occupational therapy and Reliant Rehabilitation’s standards. Foster positive relationships with clients and facilities while providing high-quality care, including patient screening and evaluation, development and implementation of treatment plans, discharge planning, supervision of assistants and rehab technicians, and case management. Uphold professional conduct that reflects Reliant Rehabilitation’s commitment to excellence and comply with all applicable state and federal regulations.

Key Responsibilities:

•             Enhance patients’ functional abilities through direct provision, oversight, and coordination of occupational therapy services.

•             Provide clinical supervision and consultation to Certified Occupational Therapy Assistants (COTAs).

•             Supervise COTAs and Rehab Technicians during individual and group therapy sessions, ensuring effective resource utilization and skill development in accordance with State Practice Acts, OBRA, and company policies.

•             Contribute to the growth and sustainability of a strong occupational therapy program.

•             Advance clinical and professional competencies through collaboration, self-directed learning, and continuing education.

•             Maintain a valid state license and stay informed on developments in occupational therapy and healthcare.

•             Apply knowledge of relevant billing models and treatment guidelines to deliver care that meets clinical standards and achieves appropriate goals and outcomes.

•             Adhere to infection control and environmental safety protocols within the facility.

•             Demonstrate proficiency in reading, writing, speaking, and understanding English for effective communication and documentation


•           Graduated from an ACOTE-accredited occupational therapy program

•           Holds a current and valid state license to practice as an Occupational Therapist

Please note rate range is an estimate and may vary based on skill set and location(s).


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