ZipRecruiter

Log In

1

Utilization Review Manager Jobs in Arkansas (NOW HIRING)

Community Clinic

RN - Care Manager

Siloam Springs, 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 ...

Community Clinic

RN - Care Manager

Siloam Springs, 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 ...

Community Clinic

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 ...

Community Clinic

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 ...

Nightingale

Director of Managed Care

Little Rock, AR · Remote

Strong background in Managed Care , Utilization Review, Prior Authorization, or MDS within SNF/LTC * Deep understanding of Medicare Advantage , commercial plans, and authorization processes

Mercy

Quality Improvement Coord

Fort Smith, AR · On-site

Overview Responsible to the Clinical Manager for maintenance of administrative and clinical policies and procedures and for coordinating Utilization Review (UR), Performance Improvement Program (PIP ...

previous pagenext page

Showing results 21-40

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 Sep 2, 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.

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 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 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 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.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

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 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.

RN - Care Manager

Community Clinic

Siloam Springs, AR • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Job description

Job Description

Community Clinic is a trusted regional healthcare system dedicated to delivering exceptional, whole-person care in a compassionate, professional, and welcoming environment. As we continue to grow across the region, we remain grounded in one belief: people matter. That includes our patients—and our team. Every employee plays a vital role in living out our promise: We care. You belong


Job Summary

Community Clinic is seeking an RN with Care Management experience to work as a Care Manager at our Primary & Specialty Care Clinic on MLK Blvd in Fayetteville, AR. The RN Care Care Manager will be engaging with our patients in high risk categories. This role will guide patients with chronic conditions in self-management/care planning and will manage cases during high risk transition times. The schedule for this position is in-person, Monday - Friday 8:00 AM - 5:00 PM. 

Key Responsibilities 

  • 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 care.
  • Follows the Population Health Management model/chronic disease management protocols which focus on the critical importance of patient activation, involvement and personal responsibility; and the patient focused expansion of care coordination provided through wellness and disease management.
  • Ensures compliance with quality patient care and regulatory compliance.
  • Collaborates with clinical staff in the development and execution of the plan of care and achievements of goals.
  • Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informed decisions.
  • Ensures that patient tests and labs are appropriate and necessary and are carried out within the established timeframe and that results are promptly available to providers.
  • Promotes effective and efficient utilization of clinical resources.

 

Skills

  • Knowledge of clinical practices in an ambulatory care, family practice setting.
  • Knowledge of risk management and QI/QU principles, practices and management.
  • Knowledge of HIPAA/HITECH compliance.
  • Ability to work and function independently and within a team.
  • Strong interpersonal skills and the ability to work effectively with people of all backgrounds.
  • Knowledge of computer software such as Microsoft Office Software.
  • Able to perform proficiently on current practice management system and/or electronic medical records.
  • Engages in professional development activities, such as trainings and CEUs.


Required Qualifications

  • High school diploma or equivalent required.
  • Arkansas RN License required. 


Preferred Qualifications 

  • 1+ year(s) of Rheumatology experience preferred.
  • 2+ years of Case/Care Management experience preferred.
  • 2+ years of utilization review/case management experience preferred.
  • 1 year of experience in discharge planning/hospital preferred.
  • 1 year of experience in primary care preferred.
  • Knowledge of clinical practices in an ambulatory care, family practice setting.


Why Work at Community Clinic?

  • Be a part of a mission-driven organization committed to providing access to health-care to everyone in your community!
  • Excellent Benefits Package including:
    • Health, Vision, Dental, and Life Insurance
    • 403(b) Retirement plan (automatic employer contribution of 5% per paycheck!)
    • Paid Time Off and Holidays
    • Employee Discounts for Care



Monday - Friday 8:00 AM - 5:00 PM
40 - Hours