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Remote RN: Utilization Management & Medical Review

Remote / Online - Candidates ideally in
Little Rock, Pulaski County, Arkansas, 72208, USA
Listing for: Arkansas Blue Cross and Blue Shield
Remote/Work from Home position
Listed on 2026-09-30
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 70000 - 100000 USD Yearly USD 70000.00 100000.00 YEAR
Job Description & How to Apply Below

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

This opening is for the Remote RN:
Utilization Management & Medical Review role at Arkansas Blue Cross and Blue Shield.

The Remote RN:
Utilization Management & Medical Review position in the Human Resources, Bio & Pharmacology & Health field is open for applications.

We have an opening for a Remote RN:
Utilization Management & Medical Review in AR, United States within Human Resources, Bio & Pharmacology & Health.

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