Remote RN: Utilization Management & Clinical Review

Arkansas Blue Cross Blue Shield is seeking a Utilization Management Nurse who evaluates prior approvals, network exceptions, and benefit inquiries to ensure medical necessity in line with evidence-based guidelines. The role supports cost containment and quality care while coordinating with providers and internal staff.

Qualified candidates hold a current RN license in the relevant states and have at least four years of clinical nursing experience in medical-surgical, surgical, ICU, or critical