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Utilization Review Jobs in Arkansas (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Conway, AR · On-site

PURPOSE STATEMENT: Proactively monitor utilization of services for patients to optimize ... Conduct reviews, in accordance with certification requirements, of insurance plans or other managed ...

Acadia Healthcare

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 ...

Baptist Health

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 ...

Medical University of South Carolina

Conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost ...

Conway Regional

Case Manager PRN

Conway, AR

Overview Provides discharge planning and utilization review services in compliance with patients discharge planning needs and the hospital's utilization review program. SAFETY SENSITIVE POSITION:

Conway Regional

Case Manager PRN

Conway, AR · On-site

Overview Provides discharge planning and utilization review services in compliance with patients discharge planning needs and the hospital's utilization review program. SAFETY SENSITIVE POSITION:

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 ...

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 ...

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All JobsUtilization Review JobsUtilization Review Jobs in Arkansas

Utilization Review information

See Arkansas salary details

$17

$34

$57

How much do utilization review jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for utilization review in Arkansas is $34.96, according to ZipRecruiter salary data. Most workers in this role earn between $27.64 and $40.14 per hour, depending on experience, location, and employer.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

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 jobs in Arkansas?

For Utilization Review jobs in Arkansas, the most frequently searched job titles are:

What job categories do people searching Utilization Review jobs in Arkansas look for?

The top searched job categories for Utilization Review jobs in Arkansas are:

What cities in Arkansas are hiring for Utilization Review jobs?

Cities in Arkansas with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Arkansas 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 88% Physical, 2% Hybrid, and 10% Remote job distribution, with an average salary of $72,723 per year, or $35 per hour.

UTILIZATION EXPERT - RN - WEEKENDS

Jonesboro, AR • On-site

St Bernards Medical Center
See more jobs at St Bernards Medical Centerexternal

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This job post has expired 5 days ago. Applications are no longer accepted.

Job description

  • JOB REQUIREMENTS

  • Education

  • Licensed to practice in the State of Arkansas. Graduate of an approved school of Nursing. Current RN licensure or permit as a registered nurse in the State of Arkansas, BSN preferred.

  • Experience

  • Minimum of three years clinical nursing experience. Case Management or Utilization Review Experience preferred. Works efficiently with others and demonstrates tact, discretion and diplomacy. Ability to operate technical equipment as acquired through orientation.

  • Physical

  • Normal hospital environment. Exposure to biological hazards. Frequent exposure to unpleasant odors. Close eye work. Hearing of normal and soft tones. Distinguish temperatures by touch and proximity. Carrying up to 40 lbs. Push/pulling up to 350 lbs. Frequent sitting, standing, walking, bending, stooping, climbing and reaching. Operates computer terminals

  • This is a safety sensitive position. Please see the St. Bernards Substance Abuse Policy for further information.

  • JOB SUMMARY

  • The Utilization Review Nurse follows the medical center Utilization Review plan and operates under the policies of the Support Services Dept. The position requires knowledge of field and utilization of discretion and judgment in role of utilization review and clinical documentation duties. The nurse must possess the ability to positively interact with other medical center departments, insurance companies, review agencies, and physician offices. The nurse must provide essential and appropriate medical information to those requiring it and do so in a timely manner and with concern for maintaining patient confidentiality. To achieve optimal clinical and financial outcomes, through utilization, service, quality indicators, and patient flow. Work closely with case management staff to ensure level of care change is communicated and flows smoothly. Works closely with the physicians, allied health nurses, and coding department to facilitate clinical documentation program. This position is required to utilize independent judgment.

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