Position Specific Requirements:
Education: Licensed Practical Nurse with an unrestricted license
Experience: Experience in med/surg (hospital nursing preferred).
Utilization review experience preferred.
Experience in utilization review, quality assurance, discharge planning or other cost management programs preferred.
Directly related experience using Milliman criteria or healthcare criteria preferred.
Behaviorial health experience in multiple levels of care for Behaviorial Health Utilization Management preferred.
Call center knowledge desirable.
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and Blue Shield Association and is licensed to offer health plans in all 75 counties
of Arkansas. Copyright © 2001-2014 Arkansas Blue Cross and Blue Shield