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.
#J-18808-LjbffrRemote RN: Utilization Management & Care Optimization in workfromhome at Unknown Company
This position is listed as full time and onsite.