Arkansas Blue Cross Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and benefit inquiries. You will evaluate inpatient and outpatient services for medical necessity using evidence-based criteria and collaborate with providers to promote cost-effective care.
The role requires an active RN license, a bachelor’s degree preferred, and at least four years of nursing practice in medical-surgical, ICU, or critical
#J-18808-LjbffrRemote Utilization Management RN for Quality & Cost in workfromhome at Unknown Company
- Typical pay
- $86,320–$130,102
For context, most registered nurses earn between $86,320–$130,102 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.