Management - OperationsJob Type:Regular Work Shift: Sponsorship Available: NoInstitution Name ... The Utilization Review (UR) RN Care Manager is responsible for utilizing pre-established, evidence ...
Management - OperationsJob Type:Regular Work Shift: Sponsorship Available: NoInstitution Name ... The Utilization Review (UR) RN Care Manager is responsible for utilizing pre-established, evidence ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Utilization Review Nurse - Weekends
Little Rock, AR · On-site +1
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Utilization Review Nurse - Weekends
Little Rock, AR · On-site +1
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Utilization Review Nurse - Weekends
Little Rock, AR · On-site +1
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Utilization Review Nurse - Weekends
Little Rock, AR · On-site +1
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
Management - Operations Job Type: Regular Work Shift: Sponsorship Available: No Institution Name ... ICE | CORE PA Utilization Review Team A Department's Website: Summary of Job Duties: The ...
S. pharmacist license, experience: managed care, PBM, or health-plan preferred. Hospital and ... utilization review pharmacist opening.
S. pharmacist license, experience: managed care, PBM, or health-plan preferred. Hospital and ... utilization review pharmacist opening.
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 ...
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 ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...
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 ...
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 ...
The role integrates and coordinates utilization management and denial prevention by focusing on ... review. Works in a well-lighted, air conditioned office.
The role integrates and coordinates utilization management and denial prevention by focusing on ... review. Works in a well-lighted, air conditioned office.
The role integrates and coordinates utilization management and denial prevention by focusing on ... review. Works in a well-lighted, air conditioned office.
The role integrates and coordinates utilization management and denial prevention by focusing on ... review. Works in a well-lighted, air conditioned office.
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 ...
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 ...
Overview Provides discharge planning and utilization review services in compliance with patients ... Works collaboratively with physicians, Case Management, the discharge planning process, Admissions ...
Overview Provides discharge planning and utilization review services in compliance with patients ... Works collaboratively with physicians, Case Management, the discharge planning process, Admissions ...
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 ...
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 ...
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or ... One year of case management and/or utilization management work experience preferred. Staff hired ...
Conducts utilization reviews to determine if patients are receiving care appropriate to illness or ... One year of case management and/or utilization management work experience preferred. Staff hired ...
Remote Clinical Review Pharmacist
Springdale, AR · On-site
$104K - $125K/yr
Remote Clinical Review Pharmacist - Work From Home Leverage your clinical knowledge in a fully ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...
Remote Clinical Review Pharmacist
Springdale, AR · On-site
$104K - $125K/yr
Remote Clinical Review Pharmacist - Work From Home Leverage your clinical knowledge in a fully ... Collaborate with physicians, nurses, and utilization-management teams on complex cases. * Document ...
... Utilization Review departments and the hospital leadership. The Physician Advisor shall develop ... denial management, compliance with governmental and private payer regulations, appropriate ...
... Utilization Review departments and the hospital leadership. The Physician Advisor shall develop ... denial management, compliance with governmental and private payer regulations, appropriate ...
RN - Care Manager
Fayetteville, AR · On-site
Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care. * Coordinates the integration of social service function into patient ...
RN - Care Manager
Fayetteville, AR · On-site
Provides case management/utilization review and planning to assure that the patient progresses through the continuum of care. * Coordinates the integration of social service function into patient ...
Utilization Review Manager information
See Arkansas salary details
$32.2K - $41.9K
9% of jobs
$49K is the 25th percentile. Wages below this are outliers.
$41.9K - $51.6K
22% of jobs
$51.6K - $61.2K
11% of jobs
The median wage is $67.2K / yr.
$61.2K - $70.9K
14% of jobs
$70.9K - $80.5K
12% of jobs
$86.6K is the 75th percentile. Wages above this are outliers.
$80.5K - $90.2K
13% of jobs
$90.2K - $99.9K
13% of jobs
$99.9K - $109.5K
5% of jobs
$109.5K - $119.2K
2% of jobs
$119.2K - $128.8K
0% of jobs
$128.8K - $138.5K
0% of jobs
$32.2K
$75.3K
$138.5K
How much do utilization review manager jobs pay per year?
What does a utilization review manager do?
What are the key skills and qualifications needed to thrive as a utilization review manager?
What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?
What is the difference between Utilization Review Manager vs Utilization Review Coordinator?
| Aspect | Utilization Review Manager | Utilization Review Coordinator |
|---|---|---|
| Certifications | Typically requires certifications like CCM or ACU | May require similar certifications but often less advanced |
| Work Environment | Supervises review teams, manages processes in healthcare or insurance settings | Performs case reviews, supports the review process under supervision |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Insurance 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.
How much does a utilization review manager make?
Is utilization review manager a stressful job?
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:
- Utilization Review Nurse
- No Experience Utilization Review Nurse
- Full Time Optum Health Utilization Review
- Home Based Utilization Review Nurse
- Non Exempt No Experience Utilization Management Nurse
- Remote Utilization Review Social Worker
- Utilization Management Nurse
- Contract Utilization Review Nurse
- Manager Utilization Management
- Remote Utilization Review Rn
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:
- Utilization Review Nurse Compact License
- Chart Utilization Review
- Utilization Review 1099
- Remote Optum Utilization Review
- Nurse Practitioner Utilization Review
- Coordinator Aetna Utilization Review
- Utilization Review Case Manager
- Utilization Review
- Remote Utilization Review Nurse Practitioner
- Temporary Medical Utilization Review Physician
What cities in Arkansas are hiring for Utilization Review Manager jobs?
Cities in Arkansas with the most Utilization Review Manager job openings:

Other
Medical, Dental, Vision, Life, Retirement, PTO
Posted 9 days ago
University Of Arkansas rating
6.6
Based on 28 frontline employees who took The Breakroom Quiz
503rd of 627 rated colleges and universities
Job description
Closing Date:
Sponsorship Available:
NoInstitution 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:
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:
-
Initiates appropriate referrals to internal and external interdisciplinary teams.
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Establishes a working diagnosis on every patient at the time of the initial review.
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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.
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Documents all team, physician, and payer communication and concerns pertaining to coordinating of care and services.
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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.
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Communicates with physicians regarding the level of care or admission status when appropriate criteria are not met for inpatient, observation, or continued stay review.
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Escalates appropriate cases to Physician Advisor for secondary review process.
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Escalates payer denial/appeal issues to the Physician Advisor/CMO/Attending in a timely fashion.
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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:
Required Documents to Apply:
Optional Documents:
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.
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About University of Arkansas
Sourced by ZipRecruiter
Industry
Colleges, universities, and professional schools
Company size
5,001 - 10,000 Employees
Headquarters location
Fayetteville, AR, US
Year founded
1871