Arkansas Blue Cross Blue Shield seeks a Utilization Management Nurse to perform clinical reviews for prior approvals, network exceptions, and inpatient/outpatient services from home. You will assess medical necessity using evidence-based criteria and contribute to cost containment while ensuring quality care.
Requirements include an active RN license in good standing, a Bachelor's degree in Nursing preferred, and at least four years of medical-surgical or critical care nursing experience, with
#J-18808-LjbffrUtilization Management RN - Remote, Multi-State in workfromhome at Unknown Company
- Typical pay
- $84,500–$132,233
For context, most registered nurses earn between $84,500–$132,233 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.