• Case Manager Registered Nurse…

    CVS Health (Little Rock, AR)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (07/25/25)
    - Related Jobs

  • Care Manager RN - ( Remote )

    Highmark Health (Little Rock, AR)
    …Health **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... care services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management,… more
    Highmark Health (07/12/25)
    - Related Jobs

  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Little Rock, AR)
    …Patient Programs. **Education & Experience** + Associates - Nursing + Bachelors - Nursing + RN - Registered Nurse , State and/or Compact State Licensure - ... for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse ( RN ). + 5...Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. +… more
    Prime Therapeutics (07/24/25)
    - Related Jobs

  • Disease Management Nurse - Remote

    Sharecare (Little Rock, AR)
    …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification… more
    Sharecare (07/12/25)
    - Related Jobs

  • Clinical Review Nurse - Concurrent…

    Centene Corporation (Little Rock, AR)
    …perspective on workplace flexibility. Clinical Review Nurse - Concurrent Review & Outpatient Services - Remote - Arkansas **Position Purpose:** Performs ... care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member...Practical Nurse - State Licensure required. + RN - Registered Nurse Licensure,… more
    Centene Corporation (07/18/25)
    - Related Jobs