RN Case Manager - Discharge & Utilization Review

Conway Regional Health System; Conway (AR); On-site; USD 65,000 - 85,000; Full time

Job summary

Conway Regional Health System is seeking a Nurse (RN or LPN) to support discharge planning and utilization review. The role focuses on determining medical necessity, coordinating patient care, and ensuring compliance with hospital and regulatory requirements.

Ideal candidates will have Arkansas nursing licensure and at least one year of case management/utilization review experience. This is a safety-sensitive healthcare role.

Qualifications

• RN or LPN with current, active license to practice in Arkansas.
• Proof of the highest level of nursing education achieved.
• At least one year of experience in case management/utilization review is preferred.

Responsibilities

• Apply clinical knowledge to determine acuity levels and utilization through chart review.
• Organize workflow to consistently complete assignments in a timely manner.
• Access and utilize primary data sources effectively.
• Maintain medical records per Medical Information policies.
• Communicate professionally with colleagues and preserve confidentiality.

Skills

Case management

Utilization review

Clinical assessment

Education

Nursing education (RN or LPN)

Job description

Conway Regional Health System is seeking a Nurse (RN or LPN) to support discharge planning and utilization review. The role focuses on determining medical necessity, coordinating patient care, and ensuring compliance with hospital and regulatory requirements.

Ideal candidates will have Arkansas nursing licensure and at least one year of case management/utilization review experience. This is a safety-sensitive healthcare role.