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Utilization Management Jobs in Arkansas (NOW HIRING)

Medical University of South Carolina

One year of case management and/or utilization management work experience preferred. Staff hired prior to July 1, 2013 will be grandfathered in regards to education requirement. Must possess ...

Acadia Healthcare

Utilization Specialist

Conway, AR · On-site

PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Act as liaison between managed care organizations and the facility professional clinical staff.

Acadia Healthcare

Utilization Specialist

Conway, AR · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

Baptist Health

UR Specialist Supervisor

Little Rock, AR · On-site

Utilization Management Shift: Day Working Hours: Mon -Friday 0800-1700 Summary: Working/Supervisor position responsible for the leadership and supervision of the Utilization Review (UR) Specialists ...

UHS

UR COORDINATOR

Fayetteville, AR · On-site

The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...

UHS

UR COORDINATOR

Fayetteville, AR · On-site

The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...

UHS

UR COORDINATOR

Fayetteville, AR

The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...

UHS

UR COORDINATOR

Fayetteville, AR · On-site

The UM Coordinator will achieve the goals of clinical, financial and utilization as set forth in the UM plan by effective management and communication. The UM Coordinator functions as the internal ...

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Utilization Management information

See Arkansas salary details

$32.2K

$74K

$134.8K

How much do utilization management jobs pay per year?

As of Sep 12, 2026, the average yearly pay for utilization management in Arkansas is $73,994.00, according to ZipRecruiter salary data. Most workers in this role earn between $53,300.00 and $86,400.00 per year, depending on experience, location, and employer.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

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 Utilization Management jobs in Arkansas?

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

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

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

What cities in Arkansas are hiring for Utilization Management jobs?

Cities in Arkansas with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Arkansas as of September 2026, with employment types broken down into 88% Full Time, 5% Part Time, and 7% Contract. Highlights an 100% In-person job distribution, with an average salary of $73,994 per year, or $35.6 per hour.

Utilization Management Nurse

Little Rock, AR • On-site

Paladin Consulting
Recruiting and Staffing Services • 1 - 5K employees
Learn more about Paladin Consultingexternal

Other

Posted 7 days ago

Job description

Duties:
Utilization Management:
  • Conducts and monitors clinical review cases to ensure medical necessity of inpatient and outpatient services, diagnostic procedures, out-of-network services, and surgery; documenting all relevant and specific information; and screens, prioritizes and organizes determination requests according to mandates and standards.
  • Promotes appropriate care and quality toward cost effective and cost containment measures based on evidence.
Communication:
  • Collaborates with healthcare providers and internal staff to promote quality of care, cost effectiveness, accessibility and appropriateness of service levels.
Compliance:
  • Practices nursing within the scope of licensure and adheres to policies, procedures, regulations, URAC standards and individual state regulations; making decisions based on facts and evidence to ensure compliance, appropriate level of care, and patient safety.
Workflow:
  • Proactively and efficiently work incoming and outbound calls and/or queues from multiple sources within mandated requirements.
Knowledge:
  • Remain current with up-to-date medical and surgical procedures, products, healthcare services and drugs, general trends in health care delivery; and enterprise procedures, policies and contracts.
  • Other duties as assigned.
Skills:
  • Proficiency using basic computer skills in Microsoft Office such as Word, Excel, and Outlook, including the ability to navigate multiple systems and keyboarding 4.
  • Experience in utilization management and/or medical review preferred.
Specialized Knowledge & Skills:
  • Ability to prioritize and make sound nursing judgments through critical thinking
  • Excellent verbal and written communication skills
  • Ability to build collaborative relationships
  • Attention to details
  • Ability to interpret complex documentation
Education:
  • Registered Nurse License, active and unencumbered state license in the state where job duties are performed is required.
  • BSN preferred. 2. Four (4) years of clinical practice nursing experience in at least one of the following areas: medical-surgical nursing, surgical nursing, intensive care or critical care nursing.

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