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Utilization Review Jobs in Arkansas (NOW HIRING)

ARcare

Utilization Review Associate

Augusta, AR · On-site

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...

ARcare

Utilization Review Associate

Augusta, AR · On-site

Utilization Review Associate Job Type: Full-time, 40 hours per week required (hourly POSITION SUMMARY Assist with planning and coordinating the duties of Utilization Review. This position is ...

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 ...

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:

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:

Medical University of South Carolina

... Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 32 Work ... Reviews treatment plans and status of approvals from insurers. Collects and complies data as ...

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Utilization Review information

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$34

$57

How much do utilization review jobs pay per hour?

As of Aug 9, 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.

Is utilization review work from home?

Utilization review jobs can often be performed remotely, especially with the increased adoption of telecommuting in healthcare and insurance industries. Many employers offer work-from-home options, provided the reviewer has the necessary certifications and access to electronic health records or claims systems. However, some positions may require on-site presence for meetings or audits.

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.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, which can be stressful due to strict deadlines, high accuracy requirements, and the need to balance patient care with insurance policies. The job often requires strong attention to detail, communication skills, and the ability to handle complex cases under time pressure.

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 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, such as the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects. Relevant skills include knowledge of medical coding, insurance policies, and strong analytical abilities.
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 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $72,723 per year, or $35 per hour.

Utilization Review Associate

ARcare

Augusta, AR • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago

ARcare rating

7.0

Company rating: 7.0 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

417th of 887 rated healthcare providers

Job description

Description
Job Title: Utilization Review Associate
Job Type: Full-time, 40 hours per week required (hourly
POSITION SUMMARY
Assist with planning and coordinating the duties of Utilization Review. This position is responsible for assisting with HEDIS measures, GICA, AWVs, reporting, and other collaborative projects with both internal and external entities such as third-party payers.
ESSENTIAL FUNCTIONS
Reasonable Accommodations Statement
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Essential Functions Statement(s)
  • Assist with maintaining records and reporting related to Utilization Review.
  • Upload all required information including but not limited to annual wellness supporting documents.
  • Prepare reports providing status of programs, services, and quality initiatives related to Utilization Review.
  • Assists in scheduling and coordinating for Utilization Review.
  • Assists in tracking and reporting on all required documentation for collaborative projects.
  • Provide patients and families information about available ARcare initiatives and services.
  • Meet professional obligations through efficient work habits such as meeting deadlines, honoring schedules, coordinating resources, and meetings in an effective and timely manner.
  • Perform all duties relevant to the position as requested.

SKILLS & ABILITIES
Education: High school diploma
Experience: two years experience with Microsoft Office and office work
Computer Skills: Able to learn and utilize electronic medical record, electronic data systems, and electronic communications. Proficient in Microsoft Office.
About Arcare
Founded on the belief that healthcare is a right, not a privilege, Arcare exists to make comprehensive, high-quality care accessible to everyone, especially in rural and underserved communities. What began in the rural Arkansas delta has grown into a multi-state healthcare network, but our mission remains the same: Health for All. That mission drives everything we do, from accepting every patient, regardless of insurance status or ability to pay, to expanding access to care and improving health outcomes in the communities we serve
We believe strong communities start with strong teams. We foster a supportive, collaborative environment where employees are valued, encouraged to grow, and empowered to make a meaningful impact through their work. We invest in our people by supporting professional development, encouraging leadership growth, and providing opportunities to build long-term careers within the organization. A healthy work-life balance and a predictable schedule are part of our workplace culture.
Whether caring for patients in the clinic, supporting operations behind the scenes, or serving communities through outreach and education, our teams are united by a shared purpose: delivering compassionate, accessible care that improves lives.
Arcare offers competitive pay and a strong company-paid benefits package for full-time employees, including:
  • Work-life balance through a predictable schedule. Schedules are established early and rarely change, so employees enjoy a steady workweek rhythm.
  • No routine nights or weekends for most positions. (Some clinical roles may have limited weekend coverage based on clinic needs.)
  • Company-paid employee medical, dental, and vision insurance
  • Free care at any Arcare clinic for employees and covered family members enrolled in the Arcare health plan, starting the first day of your employment
  • Company-paid life insurance and long-term disability coverage
  • 96 hours of paid vacation time for full-time employees who work 40 hours per week. Accrual begins on the first day of employment. Accrual rates increase upon tenure.
  • 96 hours of paid sick time for full-time employees who work 40 hours per week. Accrual begins on the first day of employment.
  • Paid holidays, including one floating holiday and one birthday holiday to be used during the month of the employee's birthday.
  • 401(k) retirement plan with company matching up to 200% of the employee's contribution of up to 4% after one year of employment
  • Company-paid renewal of applicable licenses and certifications, subject to supervisor and HR approval based on the employee's position and job duties
  • Possible Continuing Education reimbursement for current employees, subject to supervisor and HR approval based on the employee's position and job duties

Loan Repayment Opportunities
Many Arcare locations serve medically underserved communities. Eligible clinical team members may qualify for federal loan repayment programs through HRSA, including the National Health Service Corps Loan Repayment Program and the Nurse Corps Loan Repayment Program. Eligibility and award approval are determined by HRSA based on role, location, discipline, and program requirements.
Application Assistance:If you need assistance with the application process, please email humanresources@arcare.net.
Equal Opportunity Employer:Arcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.

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