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Utilization Jobs in Arkansas (NOW HIRING)

Acadia Healthcare

Utilization Specialist

Conway, AR · On-site

Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Responsibilities ESSENTIAL FUNCTIONS: * Act as liaison between managed care organizations and the ...

ARcare

Utilization Review Associate

Searcy, 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 ...

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 ...

Medical University of South Carolina

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 ...

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 ...

Medical University of South Carolina

Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours ...

Medical University of South Carolina

Entity MUSC Community Physicians (MCP) Worker Type Employee Worker Sub-Type Regular Cost Center CC005921 MCP - Utilization Management Pay Rate Type Hourly Pay Grade Health-28 Scheduled Weekly Hours ...

HHS

Linen Utilization Manager

Benton, AR · On-site

Location: Saline Memorial Hospital Pay Rate: Salary - Salary Plan, 52,500.00 USD Annual Work Shift: All salaried managers are expected to work 50 to 55 hours per week. (United States of America) W ...

Hhs

Linen Utilization Manager

Hot Springs, AR · On-site

Location: Saline Memorial Hospital Pay Rate: Salary - Salary Plan, 52,500.00 USD Annual Work Shift: All salaried managers are expected to work 50 to 55 hours per week. (United States of America) W ...

HHS

Linen Utilization Manager

Hot Springs, AR · On-site

Location: Saline Memorial Hospital Pay Rate: Salary - Salary Plan, 52,500.00 USD Annual Work Shift: All salaried managers are expected to work 50 to 55 hours per week. (United States of America) W ...

Hhs

Linen Utilization Manager

Benton, AR · On-site

Location: Saline Memorial Hospital Pay Rate: Salary - Salary Plan, 52,500.00 USD Annual Work Shift: All salaried managers are expected to work 50 to 55 hours per week. (United States of America) W ...

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All JobsUtilization JobsUtilization Jobs in Arkansas

Utilization information

See Arkansas salary details

$17

$34

$57

How much do utilization jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for utilization 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 specialist?

Utilization specialists are professionals who review and evaluate the necessity, appropriateness, and efficiency of the use of healthcare services, procedures, and facilities. They work closely with healthcare providers, insurance companies, and patients to ensure that care is delivered according to established guidelines and that resources are used effectively. Their goal is to help manage costs while ensuring patients receive the appropriate level of care.

What are some of the common challenges faced by utilization review specialists when assessing medical necessity of services?

Utilization Review Specialists often encounter the challenge of balancing patient advocacy with cost-effective care. They must stay updated on evolving insurance policies and clinical guidelines, which can be complex and change frequently. Additionally, coordinating with physicians and healthcare staff to obtain necessary documentation and clarifying treatment plans can be time-consuming. Strong communication skills and attention to detail are essential to ensure timely and accurate reviews, while also maintaining positive working relationships with clinical teams.

What are the key skills and qualifications needed to thrive as a utilization review specialist, and why are they important?

To thrive as a Utilization Review Specialist, you need a background in healthcare (often as an RN or LPN/LVN), strong analytical skills, and knowledge of insurance and medical necessity criteria. Familiarity with utilization management software, ICD-10/CPT coding, and regulatory guidelines like Medicare and Medicaid is typically required. Excellent attention to detail, critical thinking, and effective communication skills set top performers apart in this role. These abilities are crucial to accurately evaluating patient care needs, ensuring regulatory compliance, and optimizing resource use within healthcare organizations.

What is the difference between Utilization vs Resource Coordinator?

AspectUtilizationResource Coordinator
Primary FocusMeasuring and optimizing how staff time is usedManaging and assigning resources for projects
Required CredentialsOften no specific credentials, but industry experience helpsTypically requires organizational or project management skills
Work EnvironmentCorporate, healthcare, or consulting firmsProject teams, staffing agencies, or departments
Common UsageTracking staff utilization ratesAllocating resources to projects or tasks

Utilization focuses on measuring how effectively staff time is used, often to improve productivity. Resource Coordinator involves actively managing and assigning resources to ensure project needs are met. While related, utilization is more about analysis, and resource coordination is about execution and management.

How to become a utilization reviewer?

To become a utilization reviewer, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of medical coding and insurance policies. Relevant certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can enhance job prospects. Strong analytical skills and attention to detail are essential for reviewing medical records and determining appropriate service utilization.

What are the most commonly searched types of Utilization jobs in Arkansas?

The most popular types of Utilization jobs in Arkansas are:

Utilization jobs near you
Infographic showing various Utilization job openings in Arkansas as of August 2026, with employment types broken down into 2% As Needed, 88% Full Time, 8% Part Time, and 2% Contract. Highlights an 91% Physical, 2% Hybrid, and 7% Remote job distribution, with an average salary of $72,723 per year, or $35 per hour.

Utilization Specialist

Conway Behavioral Health

Conway, AR • On-site

Full-time

Re-posted 8 days ago

Job description

Overview

PURPOSE STATEMENT: 

Proactively monitor utilization of services for patients to optimize reimbursement for the facility.  

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Act as liaison between managed care organizations and the facility professional clinical staff. 
  • Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. 
  • Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay.  
  • Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. 
  • Conduct quality reviews for medical necessity and services provided.   
  • Facilitate peer review calls between facility and external organizations.  
  • Initiate and complete the formal appeal process for denied admissions or continued stay.  
  • Assist the admissions department with pre-certifications of care.  
  • Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates. 

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • Required Education: High school diploma or equivalent. 
  • Preferred Education: Associate's, Bachelor's, or Master's degree in Social Work, Behavioral or Mental Health, Nursing, or a related health field. 
  • Experience: Clinical experience is required, or two or more years' experience working with the facility's population. Previous experience in utilization management is preferred 

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. 
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility.   
  • First aid may be required based on state or facility requirements. 

 

ADDITIONAL REGULATORY REQUIREMENTS: 

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Employment Type: OTHER

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