Top 27 Clinical documentation & utilization review nurses Jobs in Arkansas

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Interactive Resources Ir —Little Rock, AR
- $35 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Surgery
Utilization Management Registered Nurse
Humana —Arkansas
- $71,100 - $97,800 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Utilization Review Nurse
CHI St Vincent Health —Little Rock, AR
- $33.41 - $44.11 an hour
- Full-time
- Nursing
- RN License
- Hospital
4d
Specialist-Clinical Documentation III RN
Baptist Memorial Health Care —Jonesboro, AR
- Nursing
- RN License
- 5 years
Case Manager / Utilization Review Nurse
Conway Regional Heath System —Conway, AR
- Full-time
- Nursing
- RN License
- Inpatient
Utilization Review/Case Manager, Full-Time
Arkansas Methodist Medical Center —Paragould, AR
- Full-time
- Mid-level
- Computer skills
- LPN
Utilization Review Nurse RN or LPN
Unity Health —Searcy, AR
- Full-time
- Nursing
- RN License
- Hospital
Clinical Services Specialist RN
AFMC —Fort Smith, AR
- Full-time
- Nursing
- Microsoft Outlook
- RN License
Utilization Specialist
Conway Behavioral Health —Conway, AR
- PRN
- CPR Certification
- Nursing
- RN License
UTILIZATION EXPERT - RN - WEEKENDS
St. Bernards Healthcare —Jonesboro, AR
- Weekends as needed
- Nursing
- RN License
- Hospital
9d
UR Specialist Supervisor
Baptist Health Arkansas —Little Rock, AR
- Full-time
- Nursing
- RN License
- Bachelor of Science
Case Manager PRN
Conway Regional Heath System —Conway, AR
- PRN
- Nursing
- RN License
- Inpatient
Clinical Denials Audit Analyst RN, Full Time
Unity Health —Searcy, AR
- Full-time
- Nursing
- RN License
- Computer literacy
EHR Coordinator RN, FT, 8-5p, SMC
Unity Health —Searcy, AR
- Full-time
- Nursing
- Heavy lifting
- RN License
Charge Capture Specialist - LPN or Coder
Baptist Health Arkansas —Little Rock, AR
- Full-time
- Management
- Mid-level
- LPN
System Manager-CDI
Baptist Health Arkansas —Little Rock, AR
- 8 hour shift
- Nursing
- Anatomy knowledge
- Management
MDS Coordinator
dermott city nursing home —Dermott, AR
- Full-time
- Anatomy knowledge
- Skilled nursing facility
- HIPAA
- Travel reimbursement
- Free parking
Quick Apply
Medical Records Nurse ( LPN )
Paris Health And Rehabilitation Center —Paris, AR
- Full-time
- 18 years or older
- Nursing
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
13d
MDS Coordnator - RN - Skilled Nursing Facility
Lawrence Health Services —Walnut Ridge, AR
- $30 - $34 an hour
- Full-time
- Nursing
- Skilled nursing facility
- RN License
- AD&D insurance
- Paid holidays
Quick Apply
12d
MDS Coordinator Part Time
The Blossoms at Rogers —Rogers, AR
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply

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clinical documentation & utilization review nurses jobs near arkansas

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Interactive Resources Ir -
Little Rock, AR

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Job Details

Full-time | Contract
$35 an hour

Qualifications

Microsoft Excel
Microsoft Outlook
RN License
Word embeddings

Full Job Description

Location: Little Rock , Arkansas
Type: Contract
Job #11535
Salary: $35

Location Type: On-Site

Utilization Management Nurse (RN)

Location: Remote or Hybrid (United States)
Job Type: Full-Time

Overview

We are seeking an experienced Utilization Management Nurse (RN) to join a healthcare organization focused on delivering high-quality, cost-effective care. In this role, you will perform clinical reviews for inpatient and outpatient services, ensuring appropriate levels of care and medical necessity through evidence-based guidelines and regulatory standards.

The Utilization Management Nurse works collaboratively with providers and internal teams to support quality outcomes, member safety, and responsible utilization of healthcare services.

Key Responsibilities

Perform clinical review of prior authorizations, benefit inquiries, network exceptions, and inpatient/outpatient medical and surgical services.
Assess appropriateness of care and medical necessity using evidence-based criteria, clinical guidelines, and organizational policies.
Collaborate with healthcare providers and internal stakeholders to promote quality, accessibility, and cost-effective care delivery.
Conduct and document comprehensive case reviews for services including diagnostics, procedures, surgeries, and out-of-network requests.
Screen, organize, and prioritize determination requests according to regulatory mandates and timelines.
Ensure compliance with URAC standards, state regulations, and nursing scope of practice.
Support care coordination and cost containment initiatives while maintaining member-focused clinical judgment.
Remain current on medical procedures, healthcare delivery trends, and organizational standards.
Manage inbound/outbound calls and work queues efficiently within required turnaround times.
Perform additional duties as assigned.

Required Qualifications

Active, unrestricted Registered Nurse (RN) license in good standing (state of practice required).
Minimum 4 years of clinical nursing experience in one or more of the following settings:
- Medical-Surgical
- Surgical Services
- Intensive Care Unit (ICU)
- Critical Care
Strong critical thinking and sound clinical judgment skills.
Excellent verbal and written communication abilities.
Detail-oriented with strong documentation and interpretation skills.
Proficient in Microsoft Office (Word, Excel, Outlook) and comfortable navigating multiple systems.
Ability to work independently while building collaborative relationships across teams.

Apply Now

Refine Your Search

clinical documentation & utilization review nurses jobs in arkansas

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Utilization Management Registered Nurse

Utilization Review Nurse

Specialist-Clinical Documentation III RN

Case Manager / Utilization Review Nurse

Utilization Review/Case Manager, Full-Time

Utilization Review Nurse RN or LPN

Clinical Services Specialist RN

Utilization Specialist

UTILIZATION EXPERT - RN - WEEKENDS

UR Specialist Supervisor

Case Manager PRN

Clinical Denials Audit Analyst RN, Full Time

EHR Coordinator RN, FT, 8-5p, SMC

Charge Capture Specialist - LPN or Coder

System Manager-CDI

MDS Coordinator

Medical Records Nurse ( LPN )

MDS Coordnator - RN - Skilled Nursing Facility

MDS Coordinator Part Time

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Utilization Management Nurse (RN)

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