Remote Utilization RN Care & Cost Optimizer

Arkansas Blue Cross and Blue Shield seeks an Utilization Management Nurse to conduct clinical reviews for prior approvals and related services. The role requires an active RN license, a Bachelor’s in Nursing preferred, and at least four years of clinical nursing experience in medical-surgical, surgical, ICU, or critical care settings.

The nurse will assess medical necessity, use evidence-based criteria, and promote cost-effective, high-quality care while complying with corporate policies.

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