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Remote RN Utilization Management Nurse — Quality, Cost & Care

Remote / Online - Candidates ideally in
Fayetteville, Washington County, Arkansas, 72701, USA
Listing for: Arkansas Blue Cross and Blue Shield
Remote/Work from Home position
Listed on 2026-10-26
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, Nurse Practitioner, Travel Nurse
Salary/Wage Range or Industry Benchmark: 66000 - 84000 USD Yearly USD 66000.00 84000.00 YEAR
Job Description & How to Apply Below

Arkansas Blue Cross and Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and benefit inquiries from a home office in Arkansas or other eligible states. The role focuses on medical necessity and evidence-based criteria to guide cost-effective care.

Candidates should have an RN license in good standing, a Bachelor's degree in Nursing preferred, and at least four years of clinical nursing experience with utilization

This posting is for the Remote RN Utilization Management Nurse — Quality, Cost & Care role at Arkansas Blue Cross and Blue Shield, based in AR, United States.

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.

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