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Utilization Review Jobs in Arkansas (NOW HIRING)

ARcare

Utilization Review Associate

Searcy, AR · On-site

Utilization Review Associate Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-25% POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This ...

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 ...

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 ...

UHS

UR COORDINATOR

Fayetteville, AR · On-site

Responsibilities Full Time Utilization Review Coordinator Needed! Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides acute inpatient ...

UHS

UR COORDINATOR

Fayetteville, AR · On-site

Responsibilities Full Time Utilization Review Coordinator Needed! Springwoods Behavioral Health , an 80-bed behavioral health facility located in Fayetteville, Arkansas, provides acute inpatient ...

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Utilization Review information

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$34

$57

How much do utilization review jobs pay per hour?

As of Sep 8, 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, 79% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 89% Physical, 2% Hybrid, and 9% Remote job distribution, with an average salary of $72,723 per year, or $35 per hour.

Utilization Review Specialist

The Springs

North Little Rock, AR • On-site

$68K/yr

Full-time

Posted 6 days ago

Job description

) Utilization Review Specialist - North Little Rock, AR (72113)
Are you an experienced healthcare professional looking for an opportunity to make a difference in patient care management? We're seeking a Utilization Review Specialist to join our team in North Little Rock, AR, helping ensure effective resource use while maintaining high-quality care within a managed care system.
About the Role:
This position plays a key role in reviewing patient care plans, collaborating with interdisciplinary teams, and ensuring compliance with insurance and regulatory requirements. The right candidate will be detail-oriented, organized, and able to manage multiple priorities in a fast-paced, office-based environment.
Key Responsibilities:
  • Review and Update Records: Ensure patient records and care plans are accurate before submission to insurance providers.
  • Admissions & Discharges: Verify documentation for new admissions and discharges is complete and timely.
  • Daily Workflow: Prepare due lists, send update notifications, and follow up on pending authorizations.
  • Utilization Review: Conduct pre-authorizations and concurrent reviews to confirm the necessity and appropriateness of care.
  • Collaboration: Partner with providers, case managers, and other healthcare professionals to support effective care planning.
  • Compliance: Maintain adherence to state, federal, and organizational guidelines.
  • Appeals Management: Review and respond to appeals related to utilization decisions.
  • Quality Initiatives: Participate in projects aimed at improving patient outcomes and operational efficiency.
Qualifications:
  • Long-term care experience required
  • Active COTA or PTA license
  • Minimum 1 year of experience in MDS, COTA, PTA, or related field, preferably in a managed care setting
  • Strong understanding of managed care principles and clinical guidelines
  • Ability to handle a high caseload with excellent organizational skills
  • Experience or willingness to learn systems such as PCC, Care Auth, Net Health, Availity, and Home & Community services
  • Proficient in Microsoft Excel, Outlook, PDFs, and web-based platforms
Preferred Skills:
  • Experience with Electronic Health Record (EHR) systems
  • Strong multitasking abilities in a high-volume office setting
  • Effective communication and problem-solving skills
Work Environment:
  • On-site position at our North Little Rock, AR office
  • Fast-paced, team-oriented environment requiring strong time management and attention to detail

If you are looking for a role where your skills directly contribute to improving patient care and operational outcomes, we'd love to hear from you. Apply today to join our team!
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