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Utilization Management Case Manager Rn Jobs in Arkansas

Conway Regional

Case Manager PRN

Conway, AR · On-site

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 ...

Ozark Health Inc

HOME HEALTH CASE MANAGER RN

Clinton, AR · On-site

... management, and delivery of skilled nursing services to patients in their homes. The RN Case Manager ensures that care is provided according to the plan of care, regulatory requirements, and agency ...

Baptist Health

UR Specialist Supervisor

Little Rock, AR · On-site

Utilization Management Shift: Day Working Hours: Mon -Friday 0800-1700 Summary: Working/Supervisor ... Current RN license in the state of Arkansas. Recent UR related experience in an acute care hospital ...

Unity Health

Case Manager RN, Full time

Searcy, AR · On-site

Current licensure as a Registered Nurse in the State of Arkansas 2. Training and Experience ... Help maintain high quality care with effective utilization of hospital facilities and services and ...

Unity Health

Case Manager RN, Full time

Searcy, AR · On-site

Current licensure as a Registered Nurse in the State of Arkansas 2. Training and Experience ... Help maintain high quality care with effective utilization of hospital facilities and services and ...

Encompass Health

Case Manager

Fort Smith, AR · On-site

$19.25 - $24.75/hr

Complete case management addendums and all required documentation. * Maintain knowledge of ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

Encompass Health Corporation

Case Manager

Hot Springs, AR · On-site

$16.25 - $21/hr

Complete case management addendums and all required documentation. * Maintain knowledge of ... For Nursing, must possess minimum of an Associate Degree in Nursing, RN licensure with BSN ...

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Utilization Management Case Manager Rn information

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

AspectUtilization Management Case Manager RnUtilization Review Nurse
CredentialsRN license, certification in case management (e.g., CCM)RN license, often with certification in utilization review
Work EnvironmentInsurance companies, healthcare facilities, case management teamsHospitals, insurance companies, outpatient clinics
Primary FocusCoordinating patient care, managing cases, ensuring appropriate utilizationReviewing medical necessity, approving or denying services
Common TasksAssessing patient needs, developing care plans, liaising with providersEvaluating medical records, making utilization decisions, ensuring compliance

The main difference is that the Utilization Management Case Manager Rn focuses on coordinating patient care and managing cases, while the Utilization Review Nurse primarily reviews medical records to approve or deny services. Both roles require RN licensure and related certifications, but their daily responsibilities and work environments differ slightly.

Are utilization management case managers in demand?

Utilization management case managers are in demand due to the growing need for healthcare cost control and efficient patient care coordination. Employers in healthcare organizations, insurance companies, and managed care plans seek professionals with strong clinical knowledge, certification, and experience in utilization review processes. The role offers stable employment opportunities as healthcare systems focus on cost-effective treatment management.

What cities in Arkansas are hiring for Utilization Management Case Manager Rn jobs?

Cities in Arkansas with the most Utilization Management Case Manager Rn job openings:

Infographic showing various Utilization Management Case Manager Rn job openings in Arkansas as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution.

Registered Nurse (RN), Case Manager - Discharge Planner

Mountain Home, AR

Baxter Health
Health Care and Social Assistance • 1 - 5K employees
Learn more about Baxter Healthexternal

Per diem

Re-posted 11 days ago

Baxter Health rating

6.6

Company rating: 6.6 out of 10

Based on 71 frontline employees who took The Breakroom Quiz

Job description

SUMMARY:  Under the general direction of the Director of Continuity of Care, the RN, Case Manager- Discharge Planner, develops an appropriate discharge plan, making recommendations for alternative levels of care, identifying cost effective care options and facilitates appropriate clinical follow up. This work is done through patient assessment and engagement, chart review and collaboration with the healthcare team.  The RN, Case Manager monitors patient progress throughout the hospitalization, modifying discharge plans as needed and continually assessing medical necessity. The RN, Case Manager provides information to post hospital vendors as needed to ensure ongoing recovery for the patient.

JOB REQUIREMENTS

Education: Graduate of an accredited school of nursing.     

Licensure: Current Arkansas or Compact State Registered Nurse license in good standing.

Experience: Experience in previous Utilization Review or Case Management preferred.

Certifications: ACM or CCM Certification preferred

Other: Ability to read, write and communicate effectively. Basic computer knowledge required.

Preferred Education: Bachelor's Degree                                                                                                                

Safety Sensitive Designation:

This position is not deemed safety sensitive.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without an accommodation.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  While performing the duties of this job, the employee is required to perform the following:  Must have the ability to communicate effectively, orally and in writing, to solve problems and make decisions.  Spend eight (8) hours or more in front of computer, monitor or similar screen utilizing keyboard and/or mouse, daily. Ability to regularly stand and walk, occasionally bend, squat and twist, and occasionally lift up to 20 pounds using proper body mechanics.  Must have a keen sense of hearing and visual acuity with or without correction.  Must be able to handle critical and highly stressful situations with efficiency and composure. 

Work Environment
Office setting, within a hospital environment

What Baxter Health employees say

Pay

Benefits

Hours and flexibility

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