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Contract Remote Um Nurse Jobs in Indiana (NOW HIRING)

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Contract Remote Um Nurse information

What is the difference between Contract Remote Um Nurse vs Contract Remote Medical Coder?

AspectContract Remote Um NurseContract Remote Medical Coder
Required CredentialsRN license, Urology certificationCertification in coding (CPC, CCS)
Work EnvironmentRemote healthcare settings, telehealthRemote medical billing and coding
Employer & Industry UsageHospitals, clinics, urology practicesInsurance companies, healthcare providers
Search & Comparison IntentJob duties, certifications, remote workCertification requirements, remote coding jobs

The Contract Remote Um Nurse and Contract Remote Medical Coder roles both involve remote healthcare work but differ in credentials and job focus. Um Nurses require nursing licenses and clinical knowledge, while Medical Coders focus on coding certifications. Both roles are remote and serve healthcare providers, but they cater to different professional skills and industry needs.

What are the most commonly searched types of Remote Um Nurse jobs in Indiana? The most popular types of Remote Um Nurse jobs in Indiana are:
What are popular job titles related to Contract Remote Um Nurse jobs in Indiana? For Contract Remote Um Nurse jobs in Indiana, the most frequently searched job titles are:
What cities in Indiana are hiring for Contract Remote Um Nurse jobs? Cities in Indiana with the most Contract Remote Um Nurse job openings:
Infographic showing various Contract Remote Um Nurse job openings in Indiana as of May 2026, with employment types broken down into 45% Full Time, 15% Part Time, and 40% Contract. Highlights an 5% In-person, and 95% Remote job distribution.
Clinical Reviewer (Part-Time, Remote)

Clinical Reviewer (Part-Time, Remote)

Astyra Corporation

Indianapolis, IN • Remote

$35 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 7 days ago


Job description

Job Summary

The purpose of this position is to utilize clinical expertise to review medical records against established criteria in accordance with contract requirements.

Location: Remote (U.S.-based)
Licensure Requirement: Must hold an active clinical license in the State of Indiana or a Compact State license

Work Schedule:

  • Up to 25 hours per week
  • Weekend and/or holiday availability required based on business needs

Training Requirement:

  • Must be fully available to attend 100% of training
  • Schedule: Monday–Friday, 9:00 AM – 6:00 PM EST
  • Duration: Minimum of 3 weeks
Key Responsibilities
  • Ensure accuracy and timeliness of all review cases in accordance with contract requirements
  • Manage daily workload and queues; adjust workflow as needed to meet departmental demands
  • Collaborate with Supervisor on quality monitoring and improvement activities
  • Maintain current knowledge of clinical practices and review processes
  • Serve as a liaison for providers regarding customer service issues and resolution
  • Perform various review types as assigned based on workload
  • Build and maintain professional relationships with internal and external stakeholders
  • Attend required trainings and team meetings
  • Cross-train to support business and client needs
  • Comply with all corporate policies, including HIPAA Privacy and Security regulations

Note: Responsibilities may evolve based on business needs.
 

Required Qualifications
  • Active, unrestricted LPN/LVN or RN license in Indiana or Compact State
  • Associate’s degree (Bachelor’s preferred) or diploma from an accredited nursing program
  • 2+ years of Utilization Review/Management (UR/UM) and/or Prior Authorization experience
  • 2+ years of medical necessity review experience
  • 1+ year of InterQual and/or Milliman Care Guidelines (MCG) experience
  • Strong knowledge of medical records, terminology, and disease processes
  • Excellent clinical assessment and critical thinking skills
  • Strong written and verbal communication skills
  • Ability to navigate multiple systems efficiently
  • Strong organizational skills and flexibility
Preferred Qualifications
  • 3+ years of clinical experience (acute care, behavioral health, and/or med-surgical)
  • Knowledge of NCQA and URAC standards
  • Experience working in a team-based environment
  • Proficiency in Microsoft Office
  • Strong time management and prioritization skills
  • Demonstrated ability to maintain confidentiality and ensure HIPAA compliance
Weekend and holiday flexibility is required
Proper email communication will only be done to and from @astyra.com email addresses. Please ensure you are communicating with approved Astyra recruiters by checking this point when receiving offers and messages from us. Please ensure you are communicating within these guidelines and proper channels for the quickest possible interview consideration!
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