Arkansas Blue Cross Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and various inpatient/outpatient cases. This role ensures medical necessity aligns with evidence-based guidelines and corporate policies.
The RN must hold an active license, have 4+ years of clinical nursing practice, and be capable of remote work from several western states while maintaining compliance and cost containment goals.
#J-18808-LjbffrRemote Utilization Management RN - Medical Review & Care Optimization in workfromhome at Unknown Company
- Typical pay
- $75,140–$129,633
For context, most registered nurses earn between $75,140–$129,633 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 able to be worked remotely.