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Utilization Review Case Manager Jobs in Arkansas

Uasys

Utilization Review Nurse - Weekends

Little Rock, AR · On-site

Certified Case Manager (CCM) or American Case Management (ACM) certification Additional Information: Job Responsibilities: * Initiates appropriate referrals to internal and external interdisciplinary ...

Posted today

Conway Regional

Case Manager PRN

Conway, AR

Overview Provides discharge planning and utilization review services in compliance with patients ... Works collaboratively with physicians, Case Management, the discharge planning process, Admissions ...

Conway Regional

Case Manager PRN

Conway, AR · On-site

Overview Provides discharge planning and utilization review services in compliance with patients ... Works collaboratively with physicians, Case Management, the discharge planning process, Admissions ...

Baptist Health

UR Specialist Supervisor

Little Rock, AR · On-site

Utilization Management Shift: Day Working Hours: Mon -Friday 0800-1700 Summary: Working/Supervisor ... This position also provides support to the three Case Manager/UR Specialists at BAPTIST HEALTH ...

Encompass Health

Case Manager

Jonesboro, AR · On-site

$20 - $25.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Encompass Health

Case Manager

Hot Springs, AR · On-site

$16.25 - $21/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Encompass Health Corporation

Case Manager

Hot Springs, AR · On-site

$16.25 - $21/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Encompass Health

Case Manager

Fort Smith, AR · On-site

$19.25 - $24.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Encompass Health

Case Manager

Sherwood, AR

$16 - $20.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications License or Certification:

Encompass Health

Case Manager

Fayetteville, AR · On-site

$19.25 - $24.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...

Encompass Health Corporation

Case Manager

Fayetteville, AR · On-site

$17.25 - $22/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...

Encompass Health Corporation

Case Manager

Fort Smith, AR · On-site

$19.50 - $25/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Encompass Health

Case Manager

Fayetteville, AR · On-site

$19.25 - $24.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...

Encompass Health

Case Manager

Fort Smith, AR

$19.25 - $24.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * License or ...

Encompass Health

Case Manager

Sherwood, AR · On-site

$16 - $20.75/hr

Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications License or Certification:

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Utilization Review Case Manager information

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$13

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$49

How much do utilization review case manager jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization review case manager in Arkansas is $30.17, according to ZipRecruiter salary data. Most workers in this role earn between $24.47 and $31.83 per hour, depending on experience, location, and employer.

What is a utilization review case manager?

A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.

What are some common challenges utilization review case managers face when coordinating care across multiple departments?

Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.

What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?

To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.

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

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing medical records, clinical review, patient care evaluation

Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.

What are popular job titles related to Utilization Review Case Manager jobs in Arkansas?

For Utilization Review Case Manager jobs in Arkansas, the most frequently searched job titles are:

What job categories do people searching Utilization Review Case Manager jobs in Arkansas look for?

The top searched job categories for Utilization Review Case Manager jobs in Arkansas are:

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

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

Utilization Review Case Manager jobs near you
Infographic showing various Utilization Review Case Manager job openings in Arkansas as of August 2026, with employment types broken down into 60% Full Time, and 40% Contract. Highlights an 100% In-person job distribution, with an average salary of $62,755 per year, or $30.2 per hour.

Utilization Review Nurse - Weekends

Uasys

Little Rock, AR • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 hours ago

Posted today

Job description

Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for "Find Jobs for Students".
All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated).
If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page.


Closing Date:

09/03/2026
Type of Position:Management - Operations
Job Type:Regular

Work Shift:

Sponsorship Available:

No
Institution Name: University of Arkansas for Medical Sciences


The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

  • Health: Medical, Dental and Vision plans available for qualifying staff and family
  • Holiday, Vacation and Sick Leave
  • Education discount for staff and dependents (undergraduate only)
  • Retirement: Up to 10% matched contribution from UAMS
  • Basic Life Insurance up to $50,000
  • Career Training and Educational Opportunities
  • Merchant Discounts
  • Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click theApply link/button.

The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual preference, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

For general application assistance or if you have questions about a job posting, please contact Human Resources at askrecruitment@uams.edu.


Department:ICE | CORE PA Utilization Review Team A


Department's Website:


Summary of Job Duties:The Utilization Review (UR) RN Care Manager is responsible for utilizing pre-established, evidence based screening criteria to validate the appropriateness of patient admissions, provide screening, and continuous observation status monitoring. The RN Care Manager UR is also responsible for communicating relevant information to appropriate payer carriers regarding a patient's stay. The role reflects appropriate knowledge of the RN scope of practice, current state requirements, CMS Conditions of Participation, Patient Bill of Rights, AB 1203 and other Federal or State regulatory agency requirements specific to discharge planning.
Qualifications:

Minimum Qualifications:

  • Associate's Degree in Nursing (ADN)
  • 5 years of clinical nursing experience
  • Valid AR Registered Nursing license.


Preferred Qualifications:

  • Certified Case Manager (CCM) or American Case Management (ACM) certification



Additional Information:

Job Responsibilities:

  • Initiates appropriate referrals to internal and external interdisciplinary teams.

  • Establishes a working diagnosis on every patient at the time of the initial review.

  • Communicates the target length of stay and estimated discharge on every patient at the time of the initial review and coordinates the discharge planning process in collaboration with the interdisciplinary team.

  • Documents all team, physician, and payer communication and concerns pertaining to coordinating of care and services.

  • Responsible for utilizing pre-established evidence-based screening criteria to validate the appropriateness of patient admission and provide appropriate screenings of the patients assigned to a designated coverage area, including initial, continued stay and completion of discharge screens.

  • Communicates with physicians regarding the level of care or admission status when appropriate criteria are not met for inpatient, observation, or continued stay review.

  • Escalates appropriate cases to Physician Advisor for secondary review process.

  • Escalates payer denial/appeal issues to the Physician Advisor/CMO/Attending in a timely fashion.

  • Other duties as assigned to meet UAMS core values and the business needs of the department.

PHYSICAL REQUIREMENTS

Stand: Frequently

Sit: Frequently

Walk: Occasionally

Bend, crawl, crouch, kneel, stoop or reach overhead: Frequently

Lift and carry weight: 25 lbs

Push and pull weight: 25 lbs

Use hands to touch, handle or feel: Frequently

Talk: Continuously

Hear: Continuously

Taste or smell: Occasionally

Read, concentrate, think analytically: Continuously


Salary Information:

Commensurate with education and experience


Required Documents to Apply:

License or Certificate (see special instructions for submission instructions), Resume


Optional Documents:

Proof of Veteran Status
Special Instructions to Applicants:


Recruitment Contact Information:

Please contact askrecruitment@uams.edufor any recruiting relatedquestions.


All application materials must be uploaded to the University of Arkansas System Career Sitehttps://uasys.wd5.myworkdayjobs.com/UASYS

Please do not send to listed recruitment contact.


Pre-employment Screening Requirements:Annual TB Screening, Criminal Background Check, Substance Abuse Testing


This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.


Constant Physical Activity:Hearing
Frequent Physical Activity:Feeling, Manipulate items with fingers, including keyboarding, Sitting, Standing, Talking, Walking
Occasional Physical Activity:Balancing, Crawling, Crouching, Grasping, Kneeling, Reaching, Stooping
Benefits Eligible:Yes

Apply