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Discharge Planner Utilization Review Jobs in Indiana

TEEMA Group

RN Care Manager

Evansville, IN · On-site

$85K - $95K/yr

Discharge Planning * Utilization Review (UR/UM) * Home Health or Care Coordination * Strong communication + critical thinking skills * Ability to work in a fast-paced, team-based environment 🕒 ...

Acadia Healthcare

Utilization Assistant

Fort Wayne, IN · On-site

Provide administrative support to the Utilization department. Responsibilities ESSENTIAL FUNCTIONS ... reviews and discharge planning. * Assist physician in peer review by serving as information ...

Beacon Health System

W/Alt UM Nurse (BHS)

Granger, IN · On-site

Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial ... review decisions and fiscal communications. * Facilitating discharge planning by working closely ...

Beacon Health System

W/Alt UM Nurse (BHS)

Granger, IN · On-site

Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial ... review decisions and fiscal communications. * Facilitating discharge planning by working closely ...

Beacon Health System

W/Alt UM Nurse (BHS)

Granger, IN · On-site

Reports to the Manager, Utilization Management Department. Serves as a liaison between Memorial ... review decisions and fiscal communications. * Facilitating discharge planning by working closely ...

Major Hospital

UR Specialist-Non Exempt

Shelbyville, IN · On-site

... related to utilization review. Demonstrated ability to work independently and manage multiple ... Acute care and D/C planning experience preferred. * Skilled to Care for Certain Age-Related Patient ...

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Discharge Planner Utilization Review information

What is a discharge planner utilization review?

Discharge Planner Utilization Review professionals are healthcare workers who coordinate patient discharges from hospitals or medical facilities while ensuring appropriate utilization of healthcare services. They assess patients' continuing care needs, develop safe discharge plans, and review the necessity and efficiency of the care provided. Their role bridges clinical care and administrative requirements, helping to prevent unnecessary hospital stays and ensuring patients transition smoothly to home or other care settings. These professionals often work closely with physicians, nurses, social workers, and insurance companies to promote optimal patient outcomes and cost-effective healthcare.

How does a discharge planner utilization review collaborate with interdisciplinary teams to ensure effective patient transitions?

Discharge Planner Utilization Review professionals work closely with physicians, nurses, social workers, and insurance representatives to coordinate safe and timely patient discharges. They facilitate communication between team members, assess patients' post-hospital needs, and help secure appropriate resources such as home health care or rehabilitation services. Their role is vital in preventing readmissions by ensuring that all aspects of a patient's care plan are addressed and that transitions occur smoothly. Regular interdisciplinary meetings and case conferences are common practices to align on patient care goals.

What are the key skills and qualifications needed to thrive as a discharge planner utilization review?

To thrive as a Discharge Planner Utilization Review professional, you generally need a clinical background such as RN or social worker licensure, strong knowledge of discharge planning protocols, and familiarity with healthcare regulations. Proficiency with electronic health records (EHRs), case management software, and utilization review tools is typically required. Excellent communication, problem-solving, and organizational skills help in coordinating care and advocating for patient needs. These competencies ensure safe, efficient patient transitions and compliance with healthcare policies, ultimately optimizing patient outcomes and resource use.

What is the difference between Discharge Planner Utilization Review vs Discharge Planner?

AspectDischarge Planner Utilization ReviewDischarge Planner
Primary RoleEvaluates medical necessity and appropriateness of patient discharges for insurance and healthcare complianceCoordinates patient discharges, ensures proper placement, and communicates with healthcare teams
CredentialsTypically requires a social work, nursing, or healthcare background with certification in utilization reviewUsually requires social work or nursing credentials, with focus on discharge planning
Work EnvironmentHospitals, insurance companies, or healthcare facilities involved in utilization reviewHospitals, rehab centers, or skilled nursing facilities

While both roles involve discharge processes, Discharge Planner Utilization Review focuses on assessing medical necessity for insurance purposes, whereas Discharge Planner manages patient discharge logistics and coordination. Understanding these differences helps clarify career paths and employer expectations in healthcare settings.

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For Discharge Planner Utilization Review jobs in Indiana, the most frequently searched job titles are:

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The top searched job categories for Discharge Planner Utilization Review jobs in Indiana are:

What cities in Indiana are hiring for Discharge Planner Utilization Review jobs?

Cities in Indiana with the most Discharge Planner Utilization Review job openings:

Discharge Planner Utilization Review jobs near you
Infographic showing various Discharge Planner Utilization Review job openings in Indiana as of July 2026, with employment types broken down into 4% As Needed, 73% Full Time, 18% Part Time, and 5% Contract. Highlights an 95% Physical, and 5% Remote job distribution.

Utilization Reviewer (UR) - Fulltime

Rehabilitation Hospital of Indiana

Indianapolis, IN • On-site

Full-time

Retirement

Posted 18 days ago

Job description

The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for 2025-2026 and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness.  RHI is the only Traumatic Brain Injury (TBI) Model System in the state of Indiana and one of only 16 in the U.S We offer a competitive compensation and benefits package, along with a 401k match and tuition reimbursement program.

Summary:

The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful transition to the discharge setting and or goal achievement, and durability of outcome.

Essential Functions

  • Assesses all of patient's payer sources for rehabilitation course, determines resources available for patient, and ensures maximal use of available health coverage resources for each patient.
  • Completes pre-certification and prior authorization timely for admission and or services.
  • Documents all insurance information appropriately on forms and in computer system as applicable.
  • Functions as liaison with payer representatives to manage the rehabilitation process in keeping with the patient's financial resources, including verification of benefits for this and future settings.
  • Completes retro authorizations as applicable and ensures follow through relative to authorizations for all services through the complete revenue cycle.
  • Other duties as assigned.

Education and Experience

  • Greater than two (2) years of UR experience with a strong clinical background and competence with a rehabilitation population
  • Bachelor's degree in related field with 3-5 years' experience
  • LPN or RN experience preferred

Hours

  • Monday - Friday (8:30am-5:00pm)
  • This position is on-site at RHI

The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.

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