Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours ...
Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours ...
Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours ...
Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours ...
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
Medical
Dental
Vision
Life
Retirement
PTO
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 ...
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.
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.
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.
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.
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.
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.
Bentonville, AR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
Bentonville, AR · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Underpinned by technology, data, analytics, AI, change management, talent and sustainability ... As aNetwork Performance/Utilization Manager, your primary responsibilitiesmay include: * Advise ...
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 ...
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 ...
Benton, AR · On-site
Medical
Dental
Vision
Retirement
PTO
Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...
Benton, AR · On-site
Medical
Dental
Vision
Retirement
PTO
Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...
Hot Springs, AR · On-site
Medical
Dental
Vision
Retirement
PTO
Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...
Hot Springs, AR · On-site
Medical
Dental
Vision
Retirement
PTO
Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...
Hot Springs, AR · On-site
Medical
Dental
Vision
Retirement
PTO
Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...
Hot Springs, AR · On-site
Medical
Dental
Vision
Retirement
PTO
Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...
Benton, AR · On-site
Medical
Dental
Vision
Retirement
PTO
Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...
Benton, AR · On-site
Medical
Dental
Vision
Retirement
PTO
Linen is one of the most overused resources in a hospital, and through effective management, you can support sustainability initiatives and drive cost savings for the facility to support an ...
Searcy, AR · On-site
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
Quick apply
Searcy, AR · On-site
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
Searcy, AR · On-site
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
Searcy, AR · On-site
The role integrates and coordinates utilization management and denial prevention by focusing on identifying and removing unnecessary and redundant care, and promoting clinical best practice. Ensuring ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through ...
$32.2K - $41.6K
15% of jobs
$41.6K - $50.9K
8% of jobs
$52.2K is the 25th percentile. Wages below this are outliers.
$50.9K - $60.2K
15% of jobs
The median wage is $66.1K / yr.
$60.2K - $69.5K
20% of jobs
$69.5K - $78.9K
11% of jobs
$83.5K is the 75th percentile. Wages above this are outliers.
$78.9K - $88.2K
13% of jobs
$88.2K - $97.5K
5% of jobs
$97.5K - $106.8K
3% of jobs
$106.8K - $116.1K
4% of jobs
$116.1K - $125.5K
3% of jobs
$125.5K - $134.8K
3% of jobs
$32.2K
$74K
$134.8K
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.
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.
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.
The most popular types of Utilization Management jobs in Arkansas are:
For Utilization Management jobs in Arkansas, the most frequently searched job titles are:
The top searched job categories for Utilization Management jobs in Arkansas are:
Cities in Arkansas with the most Utilization Management job openings:

Part-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 10 days ago
Job Description Summary
MUSC Community Physicians (MCP) is an entity within the Medical University of South Carolina (MUSC) that provides healthcare to patients within the rural health network throughout the state of South Carolina.Entity
MUSC Community Physicians (MCP)Worker Type
EmployeeWorker Sub-Type
RegularCost Center
CC005921 MCP - Utilization ManagementPay Rate Type
HourlyPay Grade
Health-28Scheduled Weekly Hours
32Work Shift
Job Description
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Consults with physicians as needed.
Bachelor's degree in Nursing from an accredited school of nursing and three years' work experience as a Registered Nurse required. Prior leadership experience preferred. 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 excellent verbal and written communication skills. Familiarity with InterQual or Milliman and Robinson screening criteria desired. Licensure as a registered nurse by the state of South Carolina or compact state required.
Additional Job Description
Benefits:
If you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees