Arkansas Blue Cross Blue Shield seeks an experienced Utilization Management Nurse to review prior approvals, network exceptions, and medical necessity for inpatient and outpatient services. The role emphasizes evidence-based decision-making, collaboration with providers, and cost-effective care across contracted lines of business.
The ideal candidate is an RN with an active license, a BSN preferred, and at least four years of clinical nursing experience in medical/surgical, surgical, ICU, or
#J-18808-LjbffrRemote Utilization Management RN: Quality & Cost Care in workfromhome at Unknown Company
This position is listed as contract and onsite.