Arkansas Blue Cross Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews of prior approvals, network exceptions, and inpatient/outpatient procedures. The role ensures medical necessity and cost-effective care through adherence to guidelines and policies.
The ideal candidate holds an active RN license, a BSN preferred, and at least four years of clinical practice in medical-surgical, ICU, or related areas.
#J-18808-LjbffrRemote RN: Utilization Management & Clinical Review in workfromhome at Unknown Company
This position is listed as full time and onsite.