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Utilization Manager 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

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.

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.

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 · 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 ...

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All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Arkansas

Utilization Manager information

See Arkansas salary details

$32.2K

$75.3K

$138.5K

How much do utilization manager jobs pay per year?

As of Sep 8, 2026, the average yearly pay for utilization manager in Arkansas is $75,258.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,200.00 and $90,500.00 per year, depending on experience, location, and employer.

What is a utilization manager?

A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.

What are the key skills and qualifications needed to thrive as a utilization manager?

To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.

What are some common challenges faced by utilization managers, and how can they be addressed?

Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.

What is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound in similar settings, often working under Utilization Managers

In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.

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Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Arkansas as of August 2026, with employment types broken down into 89% Full Time, 10% Part Time, and 1% Contract. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $75,258 per year, or $36.2 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 4 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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