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

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 ...

Case Manager PRN

Conway, AR · On-site

$60 - $80/hr

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 ...

Director of Managed Care Remote Position RN/LPN Preferred Job Summary: We are seeking an ... Strong background in Managed Care , Utilization Review, Prior Authorization, or MDS within SNF/LTC

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Utilization Review Rn information

See Little Rock, AR salary details

$17

$34

$56

How much do utilization review rn jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for utilization review rn in Little Rock, AR is $34.69, according to ZipRecruiter salary data. Most workers in this role earn between $27.40 and $39.86 per hour, depending on experience, location, and employer.

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.

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.

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 get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

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 August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $84,353 per year, or $40.6 per hour.

Utilization Review RN -Weekends

Little Rock, AR • On-site

University of Arkansas
Colleges, Universities, and Professional Schools • 5 - 10K employees

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago


University Of Arkansas rating

6.6

Company rating: 6.6 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

504th of 633 rated colleges and universities


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:

09/01/2026Type of Position:Management - OperationsJob Type:Regular Work Shift: Day Shift (United States of America)

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:

Summary of Job Duties:This is a full-time position working four 10 hour shifts; (0630-1700) Thursday - Sunday.
Must live within one hour of Little Rock campus.
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 UR RN Care Manager 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:

  • ADN, or Diploma RN Degree;
  • 5 years RN experience with current BLS certification.
  • Valid Arkansas Registered Nursing License

Preferred Qualifications:

  • BSN
  • 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

Physical Environment: Inside Medical Facility Environment


Salary Information:

Commensurate with education and experience


Required Documents to Apply:

List of three Professional References (name, email, business title), Resume


Optional Documents:

Proof of Veteran StatusSpecial 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:Feeling, Hearing, Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting, TalkingFrequent Physical Activity:Grasping, Lifting, StandingOccasional Physical Activity:Crouching, Kneeling, Reaching, WalkingBenefits Eligible:Yes

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