Arkansas Blue Cross and Blue Shield is seeking an Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and benefit inquiries from a home office in Arkansas or other eligible states. The role focuses on medical necessity and evidence-based criteria to guide cost-effective care.
Candidates should have an RN license in good standing, a Bachelor's degree in Nursing preferred, and at least four years of clinical nursing experience with utilization
#J-18808-LjbffrRemote RN Utilization Management Nurse Quality, Cost & Care in workfromhome at Unknown Company
- Typical pay
- $84,500–$135,200
For context, most registered nurses earn between $84,500–$135,200 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and onsite.