UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Life at ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Life at ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Registered Nurse Utilization Review
Carmel, IN · On-site
$84K/yr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Equal ...
Registered Nurse Utilization Review
Carmel, IN · On-site
$84K/yr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Equal ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
Quick apply
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
Utilization Review RN
$30 - $34/hr
... contract. * Consult with clinical reviewers and/or medical directors to ensure medically ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
Utilization Review RN
$30 - $34/hr
... contract. * Consult with clinical reviewers and/or medical directors to ensure medically ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
... setting reviews to ensure compliance with applicable criteria, medical policy, and member ... contracts. Qualifications * Must have clear and active RN license in the state of IN * AS/BS in ...
... setting reviews to ensure compliance with applicable criteria, medical policy, and member ... contracts. Qualifications * Must have clear and active RN license in the state of IN * AS/BS in ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... N experience preferredHoursMonday - Friday (8:30am-5:00pm)This position is on-site at RHI The ...
Quick apply
... thorough review of the total resources available to patient pre and post-discharge from ... N experience preferredHoursMonday - Friday (8:30am-5:00pm)This position is on-site at RHI The ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Facilitating discharge planning by working closely with Nurses and Clinical Social Workers and/or ...
Reviewing patient admission clinical information using clinical criteria and guidelines available ... Facilitating discharge planning by working closely with Nurses and Clinical Social Workers and/or ...
Contract Utilization Review Nurse information
See Indiana salary details
$20.36 - $24.48
2% of jobs
$24.48 - $28.59
9% of jobs
$31.41 is the 25th percentile. Wages below this are outliers.
$28.59 - $32.71
21% of jobs
The median wage is $36.04 / hr.
$32.71 - $36.83
23% of jobs
$36.83 - $40.94
13% of jobs
$44.15 is the 75th percentile. Wages above this are outliers.
$40.94 - $45.06
10% of jobs
$45.06 - $49.18
8% of jobs
$49.18 - $53.30
5% of jobs
$53.30 - $57.41
5% of jobs
$57.41 - $61.53
2% of jobs
$61.53 - $65.65
2% of jobs
$20
$40
$65
How much do contract utilization review nurse jobs pay per hour?
As of Sep 1, 2026, the average hourly pay for contract utilization review nurse in Indiana is $40.23, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 per hour, depending on experience, location, and employer.
What is a contract utilization review nurse?
A Contract Utilization Review Nurse is a registered nurse who works on a contractual basis to review medical records and health care services for appropriateness, necessity, and efficiency. Their primary role is to ensure that patients receive the right care while helping healthcare organizations comply with regulations and control costs. These nurses often work for insurance companies, hospitals, or third-party review organizations, and they assess requests for medical procedures, hospital admissions, and ongoing treatments. They use established guidelines and clinical criteria to make determinations and frequently interact with healthcare providers to gather additional information. Contract positions may offer flexibility and the opportunity to work remotely.
What are the key skills and qualifications needed to thrive as a contract utilization review nurse?
To thrive as a Contract Utilization Review Nurse, you need a current RN license, strong clinical knowledge, and experience in medical record review and case management. Familiarity with utilization management software, InterQual or MCG guidelines, and health insurance regulations is typically required. Excellent analytical thinking, attention to detail, and effective communication skills help in collaborating with providers and ensuring compliance. These abilities are essential for delivering accurate utilization reviews, optimizing patient outcomes, and supporting cost-effective healthcare operations.
What are some common challenges faced by contract utilization review nurses, and how can they be addressed?
Contract Utilization Review Nurses often face the challenge of managing high caseloads while maintaining accuracy and timeliness in their reviews. Working remotely or across multiple facilities can require strong organizational skills and effective communication with interdisciplinary teams. Adapting quickly to different payer guidelines and documentation systems is also essential. Staying current with changes in healthcare regulations and leveraging technology can help overcome these challenges, ensuring both compliance and quality patient care.
What is the difference between Contract Utilization Review Nurse vs Utilization Review Nurse?
| Aspect | Contract Utilization Review Nurse | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, certification in case management or utilization review often preferred | RN license, certification in case management or utilization review often preferred |
| Work Environment | Typically contracted for specific projects or timeframes, often remote or in healthcare facilities | Usually employed full-time by healthcare organizations, hospitals, or insurance companies |
| Employer & Industry Usage | Contract agencies, healthcare facilities, insurance companies | Hospitals, insurance companies, healthcare organizations |
The main difference is that Contract Utilization Review Nurses work on a temporary, contract basis, often through agencies, while Utilization Review Nurses are usually employed full-time by healthcare or insurance organizations. Both roles require similar credentials and focus on reviewing medical necessity and appropriateness of care.
What are the most commonly searched types of Utilization Review Nurse jobs in Indiana?
The most popular types of Utilization Review Nurse jobs in Indiana are:
What are popular job titles related to Contract Utilization Review Nurse jobs in Indiana?
For Contract Utilization Review Nurse jobs in Indiana, the most frequently searched job titles are:
- Remote Concurrent Review Nurse
- No Experience Utilization Review Nurse
- Remote Behavioral Health Utilization Review
- No Experience Utilization Management Nurse
- Night Utilization Review Nurse
- Remote Utilization Management Nurse
- Remote Medical Record Review Nurse
- Remote Utilization Review Rn
- Utilization Review Nurse
- Flex Schedule Remote Utilization Review Nurse
What job categories do people searching Contract Utilization Review Nurse jobs in Indiana look for?
The top searched job categories for Contract Utilization Review Nurse jobs in Indiana are:
- Remote Hca Utilization Review
- Remote Occupational Therapy Utilization Review
- Weekend Utilization Review
- Utilization Review Manager
- Anthem Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Remote Lpn Utilization Review
- Online Utilization Review
- Entry Level Rn Utilization Review Nurse
- Utilization Review 1099
What cities in Indiana are hiring for Contract Utilization Review Nurse jobs?
Cities in Indiana with the most Contract Utilization Review Nurse job openings:
Schneck Medical Center rating
7.2
Based on 14 frontline employees who took The Breakroom Quiz
427th of 1,064 rated hospitals
Job description
Job Details
SALARY / 8:00am - 5:00pm / with on-call, weekend, & holiday rotation required
ELIGIBLE FOR $2,000 SIGN-ON BONUS!
JOB REQUIREMENTS EDUCATION Minimum: Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing with case management certification
LICENSE/CERTIFICATION Licensed RN in State of Indiana. Certification plan in place within 24 months of hire.
EXPERIENCE Minimum: 2-3 years of acute care clinical experience Preferred: 3-5 years of acute care clinical experience with strong knowledge of medical necessity criteria and payer requirements
JOB DUTIES
- Utilization Review and Medical Necessity
- Concurrent Review and Length of Stay Management
- Retrospective Review
- Payer Communication & Authorization
- Denials Management and Appeals
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
What Schneck Medical Center employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Schneck Medical Center
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Seymour, IN, US
Year founded
1911