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Remote RN: Utilization Management & Care Optimization

Remote / Online - Candidates ideally in
Fayetteville, Washington County, Arkansas, 72701, USA
Listing for: Arkansas Blue Cross and Blue Shield
Full Time, Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Nursing
    RN 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 experienced Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and benefit inquiries. The role evaluates medical necessity using evidence-based criteria and contributes to cost containment and quality of care.

The position requires a RN license in good standing, a BSN preferred, and at least four years of clinical nursing experience in medical-surgical, ICU, or related areas.

Are you ready to take on the Remote RN:
Utilization Management & Care Optimization role at Arkansas Blue Cross and Blue Shield?

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote RN:
Utilization Management & Care Optimization role in the description above.

We appreciate your interest in this position.

Join Arkansas Blue Cross and Blue Shield and contribute to our ongoing work.

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