Arkansas Licensed Utilization Management Nurse

Job Summary

A company is looking for a Utilization Management Nurse (RN).

Key Responsibilities

• Perform clinical review of prior authorizations and assess appropriateness of care using evidence-based criteria
• Collaborate with healthcare providers to promote quality, accessibility, and cost-effective care delivery
• Conduct comprehensive case reviews and ensure compliance with regulatory standards and organizational policies

Required Qualifications

• Active, unrestricted Registered Nurse (RN) license in good standing
• Minimum 4 years of clinical nursing experience in relevant healthcare settings
• Strong critical thinking and sound clinical judgment skills
• Proficient in Microsoft Office and comfortable navigating multiple systems
• Ability to work independently while building collaborative relationships across teams