RN Utilization Management: Clinical Review & Cost Control
Listed on 2026-09-30
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Nursing
Clinical Nurse Specialist, RN Nurse, Healthcare Nursing
Arkansas Blue Cross and Blue Shield is seeking an Utilization Management Nurse to conduct clinical reviews for prior approvals, network exceptions, benefit inquiries, and inpatient/outpatient services. You will evaluate medical necessity using evidence-based criteria and corporate guidelines to promote quality and cost containment.
The role requires a Bachelor's degree in Nursing and an active RN license in good standing, with at least four years of clinical nursing experience in
The RN Utilization Management:
Clinical Review & Cost Control position in the Bio & Pharmacology & Health field is open for applications.
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This posting is for the RN Utilization Management:
Clinical Review & Cost Control role at Arkansas Blue Cross and Blue Shield, based in AR, United States.
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