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.
#J-18808-LjbffrRemote RN: Utilization Management & Clinical Review in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.