Remote RN: Utilization Management & Medical Review
Jonesboro, Craighead County, Arkansas, 72402, USA
Listed on 2026-09-22
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Nursing
RN Nurse, Healthcare Nursing, Clinical Nurse Specialist, Nurse Educator
Arkansas Blue Cross and Blue Shield is seeking an Utilization Management Nurse to perform clinical review of prior approvals, network exceptions, benefit inquiries, inpatient admissions and outpatient procedures. The role evaluates medical necessity using evidence-based criteria and promotes cost containment through informed decision making.
The candidate should hold a Bachelor's degree in Nursing and an active RN license, with at least four years of clinical nursing experience in relevant
We are currently recruiting a Remote RN:
Utilization Management & Medical Review for our team in AR, United States.
This is a strong opportunity to take on the Remote RN:
Utilization Management & Medical Review role at Arkansas Blue Cross and Blue Shield.
As a Remote RN:
Utilization Management & Medical Review, you will play an important part at Arkansas Blue Cross and Blue Shield in AR, United States.
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