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RN Utilization Review Specialist

Job in Fort Smith, Sebastian County, Arkansas, 72917, USA
Listing for: Arkansas Foundation for Medical Care
Full Time position
Listed on 2026-07-14
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 65000 - 85000 USD Yearly USD 65000.00 85000.00 YEAR
Job Description & How to Apply Below

Arkansas Foundation for Medical Care is seeking a Registered Nurse to perform utilization review by analyzing patient records for medical necessity under government reimbursement rules. Work may include prior authorization, concurrent review, or post-service assessment, with guidance from physician leadership.

The candidate should hold an Arkansas RN license (diploma/associate degree; BSN desirable) with 3 years of clinical nursing experience, knowledge of ICD-9/ICD-10 coding, and HIT/EHR

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