Utilization Review SpecialistVirtualVocations • Little Rock, Arkansas, United States
Utilization Review Specialist
VirtualVocations • Little Rock, Arkansas, United States
30+ days ago
Job type
- Full-time
Job description
A company is looking for a Utilization Review Specialist.
Key Responsibilities
Review and process Independent Review (IR) requests for potential conflicts of interest
Request and organize additional medical documentation for Physician Advisors
Ensure all work meets Client, State, Federal, and URAC compliance standards
Qualifications
High school diploma or equivalent required
Minimum of 1 year in a healthcare-related setting required
Knowledge of HIPAA rules and regulations required
Prior experience in utilization review, medical management, or insurance preferred
Create a job alert for this search
Utilization Review Specialist • Little Rock, Arkansas, United States
Related jobs A company is looking for a Utilization Management Supervisor (Remote within Arkansas).Key Responsibilities Manage and oversee Utilization Management activities Ensure clinical programs meet high...Show more 
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...Show more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...Show more A company is looking for a Manager, Patient Access to lead and grow their Patient Care Representatives.Key Responsibilities Lead, coach, and develop a high-performing Patient Access team to deliv...Show more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...Show more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...Show more A company is looking for a Utilization Management Nurse to review and monitor healthcare service utilization for members.
Key Responsibilities Conducts concurrent and retrospective reviews of faci...Show more A company is looking for a Utilization Management Nurse RN - Remote.Key Responsibilities Validates authorization for procedures and manages concurrent cases to resolution Conducts medical necess...Show more A company is looking for a Utilization Management Intake Coordinator.Key Responsibilities Handles incoming authorization requests efficiently and accurately Determines authorization requirements...Show more A company is looking for a Utilization Rev Appeals Specialist.Key Responsibilities Review patient medical records to determine reasons for denials and required appeals Collaborate with various d...Show more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...Show more 
Federal Work Study - Testing Center Proctor.The Testing Center is seeking (1) Federal Work Study student at 20 hours per week for the Fall 2025 & Spring 2026 terms.
Completion of the Free Applicatio...Show more A company is looking for a Utilization Management Assistant to join their healthcare team.Key Responsibilities Answer first level calls in Utilization Review for HealthCheck360 participants Eval...Show more A company is looking for an Intake Specialist.Key Responsibilities Accurately enter referrals and communicate with referral sources to ensure documentation is completed Review medical records fo...Show more A company is looking for an Outcomes Specialist.Key Responsibilities Identify and implement operational performance improvement projects aligned with organizational goals Collaborate with variou...Show more DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day.
As a Dasher, you’ll stay busy with a var...Show more 
Full-time and PRN positions available for day shifts and night shifts.Full-time hourly rate range $32.Compensation will be determined based on years of experience and applicable certifications.This...Show more A company is looking for a Utilization Management RN.Key Responsibilities Monitor admissions and perform medical necessity reviews for initial and continued stays Collaborate with the multidisci...Show more
Arkansas Licensed Utilization Supervisor
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 2 days ago • Promoted
Restaurant Delivery - Sign Up and Start Earning
DoorDash • Jacksonville, AR, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Dashers - Sign Up and Start Earning
DoorDash • White Hall, AR, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Patient Access Manager
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 3 days ago • Promoted
Restaurant Delivery - Sign Up in Minutes
DoorDash • White Hall, AR, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Delivery Driver - Sign Up in Minutes
DoorDash • Maumelle, AR, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Utilization Management Nurse
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 30+ days ago • Promoted
Maine Licensed Utilization Management Nurse
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 30+ days ago • Promoted
Utilization Management Coordinator
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 30+ days ago • Promoted
Utilization Review Appeals Specialist
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 4 days ago • Promoted
Restaurant Delivery - Flexible Onboarding
DoorDash • Pine Bluff, AR, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Federal Work Study - Testing Center Proctor
InsideHigherEd • Beebe, Arkansas, United States
Full-time
Last updated: 30+ days ago • Promoted
Utilization Management Assistant
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 30+ days ago • Promoted
Intake Specialist
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 30+ days ago • Promoted
RN Outcomes Specialist
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 4 days ago • Promoted
Restaurant Delivery - Flexible Schedule
DoorDash • Pine Bluff, AR, United States
Full-time +1
Last updated: 30+ days ago • Promoted
Registered Nurse
Encompass Health • England, AR, US
Full-time
Last updated: 11 days ago • Promoted
Florida Licensed Utilization Management RN
VirtualVocations • Little Rock, Arkansas, United States
Full-time
Last updated: 30+ days ago • Promoted