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-LjbffrUtilization Management Nurse in workfromhome at Unknown Company
This position is listed as full time and onsite.