ZipRecruiter

Log In

1

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

UnitedHealthcare

Registered Nurse

Conway, AR · On-site

$39.18 - $58.76/hr

Registered Nurse in Home Health Explore opportunities with Elite Home Health, a part of LHC Group ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

Reliant Medical Group

Registered Nurse

Conway, AR · On-site

$39.18 - $58.76/hr

Registered Nurse In Home Health Explore opportunities with Elite Home Health, a part of LHC Group ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

UnitedHealthcare At Home

Registered Nurse

Conway, AR · On-site

$39.18 - $58.76/hr

Registered Nurse In Home Health Explore opportunities with Elite Home Health, a part of LHC Group ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

State of Arkansas

REGISTERED NURSE

Benton, AR · On-site

$75K - $111K/yr

... reviewing residents' charts for physician orders, progress notes and physical complaints, and ... This 2nd RN will assist the Unit RN Supervisor with the skilled care on our Willow Unit to provide ...

State of Arkansas

REGISTERED NURSE

Benton, AR · On-site

$75K/yr

... reviewing residents' charts for physician orders, progress notes and physical complaints, and ... Registered Nurse Class Code: MNU06P Pay Grade: MED05 Salary Range: $75,245 - $111,363 Job Summary ...

State of Arkansas

REGISTERED NURSE

Little Rock, AR · On-site

$75K - $111K/yr

DISCIPLINARY ACTION(S) WILL BE REVIEWED AND CONSIDERED WHEN SELECTING APPLICANT FOR HIRE. Preferred ... One to two years verifiable RN work experience with in- home services programs or programs ...

Arkansas Jobs

REGISTERED NURSE

Benton, AR · On-site

$75K - $111K/yr

REGISTERED NURSE Position Number: 22179609 County: Saline Posting End Date: September 22, 2026 The ... reviewing residents' charts for physician orders, progress notes and physical complaints, and ...

State of Arkansas

REGISTERED NURSE

Conway, AR · On-site

$75K - $111K/yr

Pending review and approval, the incumbent may be eligible for up to an 6% increase for the ... Registered Nurse Class Code: MNU06P Pay Grade: MED05 Salary Range: $75,245 - $111,363 Job Summary ...

Acadia Healthcare

RN Nights Behavioral Health

Conway, AR · On-site

$36 - $44.50/hr

Overview Registered Nurse RN Full-time Opportunities at Conway Behavioral Health * Night Shift * 12 ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Acadia Healthcare

RN PRN Behavioral Health

Conway, AR

$36 - $44.50/hr

Registered Nurse RN PRN Opportunities at Conway Behavioral Health * Day and Night Shift * 12 hr ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Acadia Healthcare

RN Nights Behavioral Health

Conway, AR · On-site

$36 - $44.50/hr

Overview Registered Nurse RN Full-time Opportunities at Conway Behavioral Health * Night Shift * 12 ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

Acadia Healthcare

RN PRN Behavioral Health

Conway, AR · On-site

$36 - $44.50/hr

Overview Registered Nurse RN PRN Opportunities at Conway Behavioral Health * Day and Night Shift ... Demonstrate knowledge and utilization of universal precautions in providing direct patient care.

divvyDOSE

Registered Nurse

Bryant, AR · On-site

$39.18 - $58.76/hr

Registered Nurse In Home Health Explore opportunities with Saline Memorial Home Health, a part of ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

previous pagenext page

Showing results 21-40

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Little Rock, AR

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 10, 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:

What are popular job titles related to Utilization Review Rn jobs in Little Rock, AR?

For Utilization Review Rn jobs in Little Rock, AR, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Little Rock, AR look for?

The top searched job categories for Utilization Review Rn jobs in Little Rock, AR are:

Utilization Review Rn jobs near you
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.

Registered Nurse

Conway, AR • On-site

UnitedHealthcare
Health Care and Social Assistance • 10K+ employees
Learn more about UnitedHealthcareexternal

$39.18 - $58.76/hr

Other

Posted 18 days ago

UnitedHealthcare rating

7.8

Company rating: 7.8 out of 10

Based on 710 frontline employees who took The Breakroom Quiz

111th of 898 rated healthcare providers

Job description

Registered Nurse in Home Health

Explore opportunities with Elite Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.

As the Registered Nurse in Home Health you will provide and direct provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. You will also coordinate total plan of care with other health care professionals involved in care and helps to achieve and maintain continuity of patient care by planning and exchanging information with physician, agency personnel, patient, family, and community resources.

Primary Responsibilities:
  • Clinical Competence
    • Initiates, develops, implements, and revises the plan of care in collaboration with the physician and other health care professionals
    • Supervises care provided by home health aides and licensed practical/vocational nurses, provides instruction, and assigns tasks according to State and federal regulations
    • Provides required supervisory visits
  • Documentation and Care Delivery
    • Provides high-quality clinical services within the scope of practice and infection control standards, in accordance with the plan of care, and in coordination with other health care team members
    • Completes comprehensive assessments (OASIS) including medication reconciliation accurately and timely
    • Documents patient visits per policy and payer requirements, and syncs timely per LHC policy
  • Quality
    • Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation
    • Communicates relevant information timely and effectively with appropriate agency staff, including patient care issues, visit assignments, schedule changes, orders, OASIS data sets, coding requests, and coordination with other clinicians
    • Communicates timely and effectively with physicians, patients, and family members to ensure quality care and service excellence
  • Teamwork
    • Takes direction from Clinical Director and Executive Director professionally and completes assigned tasks timely, including required learning
    • Assists in the orientation of new agency personnel and serves as a preceptor to other staff and students
    • Actively participates in survey/survey readiness activities and performance improvement plans, works to reduce unnecessary patient hospitalizations, improve patient safety, and implements processes and best practices to ensure positive patient outcomes
    • Participates in on-call and weekend rotation as needed to meet patient needs
    • Adheres to and participates in the agency's utilization management model
  • Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:
  • Current and unrestricted RN licensure in state of practice
  • Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation
Preferred Qualifications:
  • Current CPR Certification or ability to complete within 90 days of hire
  • 1+ years of Home Health experience
  • Ability to work independently
  • Solid communication, writing, and organizational skills

Pay Range $67,905 - $101,857 annual total cash target pay $32.65 - $48.97 hourly rate $39.18 - $58.76 per visit point

What UnitedHealthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply