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Case Manager Utilization Review Nurse Jobs in Decatur, IN

RN Case Manger

Fort Wayne, IN · On-site

$75K - $90K/yr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Case Manager

Fort Wayne, IN · On-site

$19.75 - $25.50/hr

... reviewing and rewriting, as well as setting new goals as circumstances change. This case plan will ... Teach home management, financial management, childcare, discipline, nutrition and personal skills ...

Case Manager

Fort Wayne, IN · On-site

$19.75 - $25.50/hr

CASE MANAGER -2nd Shift Department: Allen County Community Corrections FLSA Status: Non-Exempt ... Reviews and processes report from all referral sources, reviews deficiencies, when necessary, makes ...

Case Manager

Fort Wayne, IN · On-site

$28.64/hr

CASE MANAGER -2nd Shift Department: Allen County Community Corrections FLSA Status: Non-Exempt ... Reviews and processes report from all referral sources, reviews deficiencies, when necessary, makes ...

Case Manager

Fort Wayne, IN

$19.75 - $25.50/hr

CASE MANAGER -2nd Shift Department: Allen County Community Corrections FLSA Status: Non-Exempt ... Reviews and processes report from all referral sources, reviews deficiencies, when necessary, makes ...

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Case Manager Utilization Review Nurse information

See Decatur, IN salary details

$18

$45

$77

How much do case manager utilization review nurse jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for case manager utilization review nurse in Decatur, IN is $45.86, according to ZipRecruiter salary data. Most workers in this role earn between $34.09 and $55.43 per hour, depending on experience, location, and employer.

What is the difference between Case Manager Utilization Review Nurse vs Case Manager?

AspectCase Manager Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., URAC)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

While both roles involve patient care coordination, the Case Manager Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance approvals, whereas the Case Manager handles broader patient care coordination and discharge planning. Both roles require nursing credentials and are vital in healthcare settings, but their specific responsibilities differ.

How does a case manager utilization review nurse typically collaborate with physicians and other healthcare providers?

Case Manager Utilization Review Nurses regularly work with physicians, social workers, and other healthcare professionals to ensure patients receive appropriate care while managing resource utilization. They often participate in interdisciplinary team meetings to discuss care plans, review patient progress, and address any barriers to discharge. Building strong communication channels and maintaining up-to-date clinical knowledge are essential, as nurses must advocate for patients while also supporting evidence-based practices and regulatory compliance. This collaborative environment helps streamline patient care and optimize outcomes.

What is a case manager utilization review nurse?

A Case Manager Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and ensure that treatments meet established guidelines and insurance requirements. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulations. These nurses also help facilitate communication between patients, providers, and payers to support effective care management.

What are the key skills and qualifications needed to thrive as a case manager utilization review nurse, and why are they important?

To excel as a Case Manager Utilization Review Nurse, you need a solid background in nursing, strong clinical assessment skills, and a valid RN license, often with case management certification. Familiarity with utilization review software, electronic health record (EHR) systems, and knowledge of insurance and regulatory guidelines is essential. Exceptional communication, critical thinking, and negotiation abilities set top performers apart in this role. These qualifications ensure effective patient advocacy, cost-effective care, and compliance with healthcare standards.

What does a case manager utilization review nurse do?

A case manager utilization review nurse evaluates medical cases to determine the necessity, appropriateness, and efficiency of healthcare services. They review patient records, collaborate with healthcare providers, and ensure treatment plans comply with insurance and regulatory guidelines, often using electronic health record systems. This role requires clinical nursing experience and knowledge of healthcare policies.
What job categories do people searching Case Manager Utilization Review Nurse jobs in Decatur, IN look for? The top searched job categories for Case Manager Utilization Review Nurse jobs in Decatur, IN are:
What cities near Decatur, IN are hiring for Case Manager Utilization Review Nurse jobs? Cities near Decatur, IN with the most Case Manager Utilization Review Nurse job openings:
Infographic showing various Case Manager Utilization Review Nurse job openings in Decatur, IN as of August 2026, with employment types broken down into 85% Full Time, 14% Part Time, and 1% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $95,392 per year, or $45.9 per hour.

Utilization Review Analyst

Parkview Health

Fort Wayne, IN • On-site

Full-time

This job post has expired today. Applications are no longer accepted.


Parkview Health rating

7.3

Company rating: 7.3 out of 10

Based on 277 frontline employees who took The Breakroom Quiz

305th of 887 rated healthcare providers


Job description

Summary 

Performs clerical, customer service and issue resolution duties within the UM/Reimbursement area. The main focus is to obtain insurance authorizations and complete data entry functions to assist in the improvement of the revenue cycle. 

Education 

Must be a high school graduate or the equivalent with GED. 

Experience 

Must have one year's experience in a medical office, hospital or healthcare setting. 

Other Qualifications 

Demonstrates understanding of managed care concepts. Must have good verbal and written communication skills. Must have excellent people skills and the ability to solve problems efficiently and effectively. Must have good organizational skills and flexibility when dealing with multiple tasks at the same time. 


What Parkview Health employees say

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About Parkview Health

Sourced by ZipRecruiter

Parkview Health, headquartered in Fort Wayne, IN, US, operates within the healthcare industry providing a wide range of medical services and community wellness programs. These include primary care, specialty health services, emergency care, rehabilitation, and home health services among others. The non-profit health system was founded in 1878 and continues to serve its surrounding communities with a dedication to quality health and wellness.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Fort Wayne, IN, US

Year founded

1995