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Utilization Reviewer Jobs in Arkansas (NOW HIRING)

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 ...

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

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 ...

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 ...

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 ...

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 ...

This position 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 ...

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 ...

... 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 ...

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

... Utilization Management Pay Rate Type Salary Pay Grade Health-28 Scheduled Weekly Hours 19 Work ... Reviews treatment plans and status of approvals from insurers. Collects and complies data as ...

... 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 Reviewer information

See Arkansas salary details

$25.6K

$31.4K

$36.4K

How much do utilization reviewer jobs pay per year?

As of Aug 12, 2026, the average yearly pay for utilization reviewer in Arkansas is $31,416.00, according to ZipRecruiter salary data. Most workers in this role earn between $28,100.00 and $34,700.00 per year, depending on experience, location, and employer.

What is the difference between Utilization Reviewer vs Medical Coder?

AspectUtilization ReviewerMedical Coder
Required CredentialsTypically requires healthcare-related certifications, such as RHIT, RHIA, or CPCUsually requires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentHealthcare facilities, insurance companies, or utilization review organizationsHospitals, clinics, or medical billing companies
Employer & Industry UsageUsed in insurance, managed care, and healthcare administrationUsed in medical billing, coding, and health information management

While both roles work within healthcare settings, Utilization Reviewers focus on evaluating the necessity of medical services for insurance and care management, whereas Medical Coders translate medical records into standardized codes for billing and documentation. Understanding these differences helps professionals choose the right career path or job search focus.

How does a utilization reviewer typically collaborate with healthcare providers to ensure appropriate patient care?

Utilization Reviewers work closely with physicians, nurses, and other healthcare professionals to assess the necessity and efficiency of medical services provided to patients. They review clinical documentation, verify that treatments meet established guidelines, and may discuss care plans directly with providers to clarify information or suggest alternatives. This collaboration ensures that patients receive appropriate care while controlling costs and complying with insurance or regulatory requirements. Effective communication and a thorough understanding of medical protocols are essential for success in this role.

What does a utilization reviewer do?

A Utilization Reviewer is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient records, treatment plans, and insurance policies to ensure that care meets established guidelines and standards. Their role helps control healthcare costs while maintaining quality patient care and ensuring compliance with regulatory requirements. Utilization Reviewers often communicate with healthcare providers, insurance companies, and patients to gather information and make informed decisions.

What does a utilization reviewer do?

There are different types of Utilization Reviewer jobs, including Nurse Utilization Reviewers, Insurance Utilization Reviewers, Speech Therapy, Physical Therapy, and Occupational Therapy Utilization Reviewers. Regardless of the area of focus, a Utilization Reviewer is responsible for setting best practices, reviewing healthcare program requirements, ensuring the quality of care, controlling costs, and developing and implementing initiatives for review processes. Utilization Reviewers ensure compliance of programs, regularly audit patient and client records, work with staff to implement best practices and correct problem areas, monitor industry trends, and remain up-to-date and train others on industry standards and requirements.

What are the key skills and qualifications needed to thrive as a utilization reviewer?

To thrive as a Utilization Reviewer, you need a clinical background (such as RN or LCSW), in-depth knowledge of medical terminology, and an understanding of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or URAC accreditation is typically required. Strong critical thinking, attention to detail, and effective communication skills help in evaluating patient care and collaborating with providers. These competencies are crucial for ensuring appropriate, cost-effective care while maintaining compliance with healthcare standards.
What are popular job titles related to Utilization Reviewer jobs in Arkansas? For Utilization Reviewer jobs in Arkansas, the most frequently searched job titles are:
What cities in Arkansas are hiring for Utilization Reviewer jobs? Cities in Arkansas with the most Utilization Reviewer job openings:
Infographic showing various Utilization Reviewer job openings in Arkansas as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $31,416 per year, or $15.1 per hour.

Utilization Review Associate

ARcare

Searcy, AR • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago


ARcare rating

7.0

Company rating: 7.0 out of 10

Based on 32 frontline employees who took The Breakroom Quiz

416th of 887 rated healthcare providers


Job 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 balancethrough 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-paidemployee 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 reimbursementfor 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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