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Remote RN: Utilization Management & Clinical Review

Remote / Online - Candidates ideally in
Lakeville, Dakota County, Minnesota, 55044, USA
Listing for: Arkansas Blue Cross Blue Shield
Full Time, Remote/Work from Home position
Listed on 2026-11-01
Job specializations:
  • Nursing
    RN Nurse, Clinical Nurse Specialist, Healthcare Nursing
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 Blue Shield seeks an Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and inpatient/outpatient procedures, ensuring medical necessity with evidence-based criteria.

The role emphasizes cost containment, quality care, and adherence to corporate guidelines, with RN licensure and a BSN preferred. Remote work is available from multiple states.

For the Remote RN:
Utilization Management & Clinical Review position at Arkansas Blue Cross Blue Shield, we are reviewing applications now.

Learn more about the Remote RN:
Utilization Management & Clinical Review role in the description above.

We appreciate your interest in this position.

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

Take a moment to read everything above and see whether this role is right for you.

This posting is for the Remote RN:
Utilization Management & Clinical Review role at Arkansas Blue Cross Blue Shield, based in Minneota, MN, United States.

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