Utilization Review RN
Indianapolis, IN · On-site
... 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 ...
Indianapolis, IN · On-site
... 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 ...
Indianapolis, IN · On-site
... 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 ...
Indianapolis, IN · On-site
$30 - $34/hr
Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract. * Consult with clinical reviewers and/or medical directors to ensure medically ...
Indianapolis, IN · On-site
$30 - $34/hr
Ensures member access to medical necessary, quality healthcare in a cost effective setting according to contract. * Consult with clinical reviewers and/or medical directors to ensure medically ...
... review. How you will make an impact: * Managing incoming calls or incoming post services claims ... Determines contract and benefit eligibility; provides authorization for inpatient admission ...
... review. How you will make an impact: * Managing incoming calls or incoming post services claims ... Determines contract and benefit eligibility; provides authorization for inpatient admission ...
... review. How you will make an impact: * Managing incoming calls or incoming post services claims ... Determines contract and benefit eligibility; provides authorization for inpatient admission ...
... review. How you will make an impact: * Managing incoming calls or incoming post services claims ... Determines contract and benefit eligibility; provides authorization for inpatient admission ...
... review. How you will make an impact: * Managing incoming calls or incoming post services claims ... Determines contract and benefit eligibility; provides authorization for inpatient admission ...
... review. How you will make an impact: * Managing incoming calls or incoming post services claims ... Determines contract and benefit eligibility; provides authorization for inpatient admission ...
$63K - $68K/yr
Manage contract workflows in Ironclad following legal review and approval, including routing ... Reconcile contract utilization reports and purchasing activity and communicate any discrepancies or ...
$63K - $68K/yr
Manage contract workflows in Ironclad following legal review and approval, including routing ... Reconcile contract utilization reports and purchasing activity and communicate any discrepancies or ...
Indianapolis, IN · On-site
$63K - $68K/yr
Manage contract workflows in Ironclad following legal review and approval, including routing ... Reconcile contract utilization reports and purchasing activity and communicate any discrepancies or ...
Indianapolis, IN · On-site
$63K - $68K/yr
Manage contract workflows in Ironclad following legal review and approval, including routing ... Reconcile contract utilization reports and purchasing activity and communicate any discrepancies or ...
Indianapolis, IN · Remote
$36 - $40/hr
Ensure accuracy and timeliness of all review cases in accordance with contract requirements ... of Utilization Review/Management (UR/UM) and/or Prior Authorization experience * 2+ years of ...
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Indianapolis, IN · Remote
$36 - $40/hr
Ensure accuracy and timeliness of all review cases in accordance with contract requirements ... of Utilization Review/Management (UR/UM) and/or Prior Authorization experience * 2+ years of ...
Indianapolis, IN · On-site
$1.6K - $1.7K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis, Indiana Start Date: June 14, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
Indianapolis, IN · On-site
$1.6K - $1.7K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis, Indiana Start Date: June 14, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
Evansville, IN · On-site
$1.6K - $1.7K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville, Indiana Start Date: January 18, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1686 ...
Evansville, IN · On-site
$1.6K - $1.7K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville, Indiana Start Date: January 18, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1686 ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Conduct regular account reviews to assess performance, needs, and opportunities * Develop and ... Cross-functional collaboration * Monitor contract utilization, renewals, and expansions ...
Indianapolis, IN · On-site
... utilization of resources, service delivery and compliance with external review agencies. Provides ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...
Indianapolis, IN · On-site
... utilization of resources, service delivery and compliance with external review agencies. Provides ... Knowledge of Medicare benefits and insurance processes and contracts. * Knowledge of accreditation ...
Wabash, IN · On-site
Monitor purchasing activity for alignment with preferred supplier programs, contract utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.
Wabash, IN · On-site
Monitor purchasing activity for alignment with preferred supplier programs, contract utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.
Evansville, IN · On-site
$77K - $103K/yr
Analyze payer performance, reimbursement trends, and utilization patterns to support negotiation ... For further information, please review the Know Your Rights notice from the Department of Labor.
Evansville, IN · On-site
$77K - $103K/yr
Analyze payer performance, reimbursement trends, and utilization patterns to support negotiation ... For further information, please review the Know Your Rights notice from the Department of Labor.
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
Granger, IN · On-site
Contract Utilization & Customer Satisfaction * Promote the use of system-wide contracted products ... Provide input and feedback on vendor performance to support scorecard reviews. * Identify cost ...
$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
To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.
A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.
A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.

Full-time
Medical
Posted 11 days ago
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Advantages of this Opportunity:
Interested in being considered?
Apply now for immediate consideration! You may contact Christine Morta at (407) 233-0769.
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HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003