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Utilization Review Rn Jobs in Little Rock, AR (NOW HIRING)

... Utilization Review (UR) Specialists and Office Coordinator as well as for the collection ... Current RN license in the state of Arkansas. Recent UR related experience in an acute care hospital ...

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...

Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ... Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides ...

At least one-year experience in the area of case management/utilization review, preferred Qualifications: * Registered Nurse or Licensed Practical Nurse with current, active license to practice in ...

Overview Provides discharge planning and utilization review services in compliance with patients ... Registered Nurse or Licensed Practical Nurse with current, active license to practice in Arkansas ...

... utilization review procedures to identify patient management problems which contribute to increased morbidity and mortality or a prolonged length of stay. Other information: RN with current AR ...

RN

Little Rock, AR · On-site

... review before applying for the opening. To apply for the position, please click the Apply link ... ensure appropriate utilization and compliance with regulatory standards; facilitating ...

... review before applying for the opening. To apply for the position, please click the Apply link ... ensure appropriate utilization and compliance with regulatory standards; facilitating ...

Circulating Nurse (RN) Little Rock, Centerview Surgery Center HOURS: 7:30 AM to 4:00 PM No nights ... Demonstrates understanding and utilization of principles of asepsis in all duties. * Assists in the ...

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Utilization Review Rn information

See Little Rock, AR salary details

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$66

How much do utilization review rn jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for utilization review rn in Little Rock, AR is $40.55, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.59 per hour, depending on experience, location, and employer.

How to get into utilization review as a nurse?

To become a utilization review RN, candidates typically need a valid nursing license and experience in clinical settings. Additional certifications such as Certified Professional in Healthcare Quality (CPHQ) or case management credentials can enhance prospects, and familiarity with electronic health records and insurance policies is beneficial.

How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to make $300,000 as a nurse?

A Utilization Review RN can earn $300,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-paying settings like insurance companies or managed care organizations, and taking on leadership or specialized roles that offer higher compensation. Advanced skills in clinical assessment, documentation, and understanding of healthcare policies can also contribute to higher earnings.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the necessity, appropriateness, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

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

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as Certified Review Officer (CRO), working in high-demand settings, and possibly taking on leadership or specialized roles. Increasing your workload, working overtime, or pursuing advanced education can also contribute to higher earnings within this field.

What is a Utilization Review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What are the most commonly searched types of Utilization Review Rn jobs in Little Rock, AR? The most popular types of Utilization Review Rn jobs in Little Rock, AR are:
Infographic showing various Utilization Review Rn job openings in Little Rock, AR as of July 2026, with employment types broken down into 1% As Needed, 85% Full Time, 11% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,353 per year, or $40.6 per hour.

$33.41 - $44.11/hr

Full-time

Posted 7 days ago


Job description


Job Summary and Responsibilities

The Utilization Review Nurse plays a crucial role in coordinating patient care and ensuring appropriate resource utilization. Their primary responsibilities include facilitating effective communication regarding patient care plans and securing authorization numbers/certification for each patient's approved length of stay. They work in close collaboration with physicians and other members of the healthcare team to optimize patient outcomes by ensuring access to the right treatment utilizing available hospital resources in the most cost-effective manner. The Utilization Review Nurse also actively monitors changes in the patient's condition, assessing treatment efficacy and proactively communicating updates to the payer organization.

Job Requirements
  • Registered Nurse with Bachelors degree or diploma/associates degree 
  • A current unencumbered RN license to pratice in the state of Arkansas is required
  • Required a minimum of three years in acute care hospital 
  • Preferred experience in Psych, discharge planning or utlization management role
Where You'll Work

CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4500 coworkers, 1000 medical staff and 500 volunteers we consistently receive praise for care advancements. CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.

Qualifications:
  • Registered Nurse with Bachelors degree or diploma/associates degree 
  • A current unencumbered RN license to pratice in the state of Arkansas is required
  • Required a minimum of three years in acute care hospital 
  • Preferred experience in Psych, discharge planning or utlization management role
Employment Type: Full Time