REGISTERED NURSE
Little Rock, AR, US, 72201
Position Number: 22102669
County: Pulaski
Posting End Date: March 12, 2026
Job Duties:
Medical review and data correction of claims suspended for various edits, audits or pricing; Prepare and discuss specific reviews with medical consultants; Assists providers, members and vendors with issues related to medical review or coding via calls, emails, meetings or in person; Review provider reconsiderations for medical necessity and communicate decisions with vendors and providers; Maintain appropriate logs for various reviews; Complete monthly vendor audits including medical review as well as system processing review; Medical review of requests for special handled claims. Prepares approved claims for special processing through vendor; Quality Assurance Reviews; Maintains documentation including verifying uploaded documentation for accuracy.
The formal education equivalent of a diploma, associates, or bachelor's degree in nursing. Must be licensed as a Registered Nurse by the Arkansas State Board of Nursing in accordance with ACA 17-87-301. Knowledge of ICD-10, HCPCS and CPT desired. Experience with electronic medical records a plus. Familiarity with medical record review and recent acute care experience desired. Attention to detail, willing to learn, organized, ability to multitask and willingness to be a team player are also desired for this position. This is a non-clinical, office-based position.
The Department of Human Services is a place for people passionate about serving others and changing lives for the better. We care for Arkansans of all ages and ensure places like child care centers and nursing homes are safe. We are the safety net for the most vulnerable Arkansans. Whether you answer the phones, take applications, protect children, or help care for residents or patients at one of our facilities, you make a difference by working at DHS. Plus, working for the State has great perks, including a pension, maternity leave, paid state holidays, and much more. At DHS, we take care of our employees so you can help care for others.
Position Information
Job Series: Nurses – Career-path
Classification: Registered Nurse
Class Code: MNU06P
Pay Grade: MED05
Salary Range: $75,245 - $111,363
Job Summary
Primary Responsibilities
Knowledge and Skills
Minimum Qualifications
Current Registered Nurse (RN) licensure in Arkansas.
Satisfaction of the minimum qualifications, including years of experience and service, does not entitle employees to automatic progression within the job series. Promotion to the next classification level is at the discretion of the department and the Office of Personnel Management, taking into consideration the employee’s demonstrated skills, competencies, performance, workload responsibilities, and organizational needs.
Licensure/Certifications
The State of Arkansas is committed to providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, pregnancy, age, disability, citizenship, national origin, genetic information, military or veteran status, or any other status or characteristic protected by law.
Nearest Major Market: Little Rock