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Utilization Management Jobs in Arkansas (NOW HIRING)

ARcare

Utilization Review Associate

Searcy, AR · On-site

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...

Pharmacy Careers

Formulary Management Pharmacist

Springdale, AR · On-site

$51.50 - $62/hr

Provide clinical support for utilization management, prior-authorization criteria, and step-therapy guidelines. What You'll Bring * Education: PharmD or Bachelor of Pharmacy. * Licensure: Active U.S ...

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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 Aug 17, 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 August 2026, with employment types broken down into 2% As Needed, 91% Full Time, 5% Part Time, and 2% Contract. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $73,994 per year, or $35.6 per hour.

Behavioral Utilization Review Specialist

Gardens of Arkansas LLC

Little Rock, AR • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Behavioral Utilization Review Specialist Position Summary

The Behavioral Utilization Review Specialist is responsible for coordinating new client referrals, supporting the prior authorization process, maintaining referral records, and completing routine Medicaid eligibility screenings. This position works closely with discharge planners, Program Administrators, Clinical Directors, and other members of the referral and billing teams.

The ideal candidate will be highly organized, detail-oriented, comfortable reviewing behavioral health documentation, and able to manage multiple deadlines across all Gardens of Arkansas locations.

Essential Duties and Responsibilities- Assist the Chief Revenue Officer with the following:

  • Clinical Review & Assessment: Evaluate care related to mental health before, and during services to determine medical appropriateness

  • Prior Authorization Reviews: Assess and submit requests for behavioral health services to ensure they meet regulatory and clinical criteria

  • Concurrent Review: Monitor behavioral health records to assess treatment needs, and discharge planning.

Preferred Qualifications

  • Education: Bachelor’s degree in nursing, social work, counseling, or related field; Master’s degree preferred for behavioral health clinicians

  • Licensure: LMHC, LPC, LMHP, or LPN ,RN licensure.

  • Experience: 2–4 years in utilization review, case management, or related behavioral health roles preferred

Knowledge, Skills, and Abilities

  • Strong understanding of medical and behavioral health terminology

  • Proficiency in data analysis and regulatory compliance.

  • Excellent verbal and written communication and collaboration skills with healthcare teams and providers.

  • Excellent organizational skills and ability to prioritize a workload

  • Some Billing knowledge

Additional Responsibilities

· Participate in meetings, training, and process-improvement activities as required.

· Provide administrative support to the referral, clinical, billing, and leadership teams as needed.

· Perform other duties as assigned.

Physical and Work Requirements

· Prolonged periods of sitting and working at a computer.

· Ability to communicate by telephone, email, video conferencing, and in person.

· Ability to organize, review, scan, upload, and maintain electronic and paper records.

· Ability to work in a fast-paced environment with frequent deadlines and interruptions.

Equal Employment Opportunity

The Gardens of Arkansas is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.