Remote RN - Utilization Management & Case Review

Arkansas Blue Cross Blue Shield is seeking an experienced Utilization Management Nurse to perform clinical reviews for prior approvals, benefit inquiries, and inpatient/outpatient services. This role requires interpreting evidence-based criteria, guidelines, and policies to determine medical necessity and promote cost-effective care.

The position is work-from-home with eligibility in AR, WA, OR, UT, ID, ND, or MN.