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Authorization Utilization Review Jobs in Indiana

BCBA

Indianapolis, IN ยท On-site

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

BCBA - Part-time

Indianapolis, IN ยท On-site

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

BCBA

Indianapolis, IN ยท On-site

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

Junior BCBA

Indianapolis, IN

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

Junior BCBA

Indianapolis, IN ยท On-site

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

BCBA - Part-time

Indianapolis, IN

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

Junior BCBA

Indianapolis, IN ยท On-site

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

BCBA

Indianapolis, IN

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

BCBA - Part-time

Indianapolis, IN ยท On-site

$70K - $86K/yr

Reviews client assessments, treatment plans, behavior plans, and other protocols at a minimum of ... Maintains high authorization utilization of assigned caseload * May provide direct therapy to ...

Clinical Supervisor-LCSW, LCAC

Indianapolis, IN ยท On-site

$57K - $78K/yr

... Utilization Review support to drive authorization and retention throughout treatmentWhat We're Looking ForMaster's degree or higher in related field preferred3 years experience working with chemical ...

Showing results 41-60

Authorization Utilization Review information

What are the key skills and qualifications needed to thrive as an authorization utilization review specialist?

To thrive as an Authorization Utilization Review Specialist, you need a solid understanding of medical terminology, healthcare regulations, and insurance policies, often backed by a clinical background or relevant certifications. Familiarity with utilization management software, electronic health records (EHR), and payer portals is typically required. Strong attention to detail, analytical thinking, and effective communication are vital soft skills for coordinating with providers and payers. These skills ensure accurate authorization decisions, regulatory compliance, and efficient patient care coordination.

What are some common challenges faced by professionals in authorization utilization review roles, and how can they be addressed?

Professionals in Authorization Utilization Review often encounter challenges such as managing high caseloads, navigating complex insurance guidelines, and ensuring timely communication with providers and patients. Staying organized and up-to-date with evolving payer requirements is essential to avoid delays or denials. Building strong collaboration with clinical teams and leveraging electronic health record systems can help streamline workflows and improve efficiency in the review process.

What is the difference between Authorization Utilization Review vs Claims Reviewer?

AspectAuthorization Utilization ReviewClaims Reviewer
CredentialsTypically requires healthcare or insurance-related certifications, such as RN, CPC, or licensed healthcare professionalsOften requires similar credentials, focusing on insurance policies and claims processing
Work EnvironmentHospitals, insurance companies, healthcare facilitiesInsurance companies, third-party administrators, healthcare organizations
Industry UsageUsed to assess medical necessity before approving servicesUsed to evaluate claims for payment accuracy and compliance

Authorization Utilization Review and Claims Reviewer roles both involve insurance and healthcare knowledge, but Authorization Utilization Review focuses on pre-authorization of services, while Claims Review centers on post-service claims assessment. Understanding these differences helps clarify career paths and job expectations in healthcare insurance.

What is authorization utilization review?

Authorization Utilization Review is a process used by healthcare organizations and insurance companies to assess the medical necessity and appropriateness of medical services before they are provided. The main goal is to ensure that patients receive care that is effective, efficient, and covered by their health plan. This review typically involves evaluating patient records, treatment plans, and provider requests to decide if the requested services meet established guidelines. By doing so, it helps control healthcare costs and ensures quality care for patients.
What cities in Indiana are hiring for Authorization Utilization Review jobs? Cities in Indiana with the most Authorization Utilization Review job openings:
Infographic showing various Authorization Utilization Review job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Pharmaceutical Liaison

Avenues Recovery

Indianapolis, IN โ€ข On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 19 days ago


Job description

Who We Are

Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with eighteen locations across seven states. With an unrivaled, evidence - based clinical curriculum and highly individualized care, Avenues continues to set new standards in the world of addiction treatment. Our programs - spanning detox, residential, PHP, IOP and outpatient services - have transformed the lives of thousands to date. But our secret superpower is our people. If you are a talented, passionate clinician looking to make a real difference in the recovery community, the Avenues family warmly welcomes you!


Now hiring a Pharmaceutical Liaison for our residential facility in Indianapolis, IN!


What You'll Do

  • Serve as the main point of contact for medication orders and pharmacy communications
  • Ensure all clients receive their medications on time, tracking refills and addressing any delays.
  • Obtain and document prescription information, including approvals, denials, and prior authorizations and notate on shift reports and in EMR
  • Facilitate communication between the prescriber, pharmacy and the patient
  • Ensure patient medication educational needs are met and documented by authorized personnel
  • Collaborate with Utilization Review and billing departments to mitigate financial barriers

What We're Looking For

  • High School diploma or GED required
  • Valid Driver's license and CPR certification preferred
  • Industry-related experience preferred
  • If in recovery, a minimum one - year period of sustained sobriety required
  • Strong interpersonal and multitasking skills
  • Warm, compassionate and empathetic personality
  • Dignified character that models recovery principles

Where You'll Work

Avenues Recovery Center at Covington is a residential facility offering drug and alcohol detoxification and inpatient rehabilitation services. Merging highly individualized, targeted treatment plans with compassionate and respectful care, here you'll discover a truly unique treatment experience. Avenues Covington is staffed by a round- the clock team of seasoned doctors, nurses, psychiatric specialists, addiction counselors and behavioral health technicians, as well as CNAs to provide constant support with Assisted Daily Living Services. Our team utilizes an array of evidence - based therapy modalities - including CBT, DBT. EMDR, MAT and Motivational Interviewing - to achieve the best possible outcomes for every client. Avenues' new facility is spacious, inviting and fully wheelchair - accessible, providing the serene and soothing environment so conducive to recovery.


Why Join Us?

Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:

  • 401K with employer match
  • Eligible for HRSA STAR federal student loan repayment
  • Medical Insurance
  • Dental
  • Vision
  • Accident
  • Critical Illness
  • Hospital Indemnity
  • Voluntary Short-Term Disability
  • Voluntary Long -Term Disability
  • Employer-Paid Life and AD&D
  • LifeTime Benefit Term Insurance with Long Term Care
  • Legal Coverage
  • Pet Insurance
  • Identity Theft Protection
  • Employer-Paid Employee Assistance Program
  • Flexible Spending Account (FSA) - Medical
  • Dependent Care FSA (DCF)


Join our growing team and discover the magic here at Avenues!


Apply today!