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Utilization Review Manager Jobs in Arkansas (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Conway, AR · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

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 ...

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 ...

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 ...

Conway Regional

Case Manager PRN

Conway, AR · On-site

Overview Provides discharge planning and utilization review services in compliance with patients ... At least one-year experience in the area of case management/utilization review, preferred ...

Medical University of South Carolina

... Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work ... Reviews treatment plans and status of approvals from insurers. Collects and complies data as ...

Medical University of South Carolina

... Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work ... Reviews treatment plans and status of approvals from insurers. Collects and complies data as ...

Medical University of South Carolina

... Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work ... Reviews treatment plans and status of approvals from insurers. Collects and complies data as ...

Medical University of South Carolina

... Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 19 Work ... Reviews treatment plans and status of approvals from insurers. Collects and complies data as ...

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All JobsUtilization Review JobsUtilization Review Manager JobsUtilization Review Manager Jobs in Arkansas

Utilization Review Manager information

See Arkansas salary details

$32.2K

$75.3K

$138.5K

How much do utilization review manager jobs pay per year?

As of Aug 10, 2026, the average yearly pay for utilization review 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.

Is utilization review a stressful job?

Utilization review managers oversee the assessment of healthcare services to ensure appropriate and efficient care, which can involve high workloads and strict deadlines, leading to stress. The job requires strong organizational skills, attention to detail, and the ability to handle complex cases, which may contribute to job-related stress for some individuals.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

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

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.
What are the most commonly searched types of Utilization Review jobs in Arkansas? The most popular types of Utilization Review jobs in Arkansas are:
What are popular job titles related to Utilization Review Manager jobs in Arkansas? For Utilization Review Manager jobs in Arkansas, the most frequently searched job titles are:
What job categories do people searching Utilization Review Manager jobs in Arkansas look for? The top searched job categories for Utilization Review Manager jobs in Arkansas are:
What cities in Arkansas are hiring for Utilization Review Manager jobs? Cities in Arkansas with the most Utilization Review Manager job openings:
Utilization Review Manager jobs near you
Infographic showing various Utilization Review Manager job openings in Arkansas as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $75,258 per year, or $36.2 per hour.

Behavioral Utilization Review Specialist

Gardens of Arkansas LLC

Little Rock, AR

Full-time

Posted 21 days ago

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.