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Entry Level Utilization Management Nurse Jobs in Indiana

Union Health

RN-CASE MANAGEMENT

Terre Haute, IN · On-site

The RN House Care Manager plays a key role on the Case Management team! Join us as we provide ... needs, utilization management, transfer coordination, and discharge planning. * Issue Medicare ...

Union Health

RN-CASE MANAGEMENT

Terre Haute, IN · On-site

The RN House Care Manager plays a key role on the Case Management team! Join us as we provide ... needs, utilization management, transfer coordination, and discharge planning. * Issue Medicare ...

Union Hospital

RN-CASE MANAGEMENT

Terre Haute, IN · On-site

The RN House Care Manager plays a key role on the Case Management team! Join us as we provide ... needs, utilization management, transfer coordination, and discharge planning. * Issue Medicare ...

Union Health

RN-CASE MANAGEMENT

Terre Haute, IN · On-site

The RN House Care Manager plays a key role on the Case Management team! Join us as we provide ... needs, utilization management, transfer coordination, and discharge planning. * Issue Medicare ...

Confidential

Registered Nurse (RN) Unit Manager

Winfield, IN · On-site

$37.75 - $49.75/hr

The Unit Manager - RN/LPN coordinates resource utilization, timely and appropriate care interventions, and interdisciplinary communication to enhance patient and family satisfaction, adherence to ...

MedSource

IM Physician

Indianapolis, IN · On-site

Participate in quality improvement, utilization management, and patient safety initiatives *Collaborate with hospital leadership, nursing, and medical staff committees *Support implementation of ...

UnitedHealthcare At Home

Registered Nurse

Logansport, IN · On-site

$39.18 - $58.76/hr

Registered Nurse In Home Health Explore opportunities with Caretenders, a part of LHC Group, a ... Adheres to and participates in the agency's utilization management model * Ability to function in ...

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Showing results 21-40

All JobsUtilization Management Nurse JobsEntry Level Utilization Management Nurse JobsEntry Level Utilization Management Nurse Jobs in Indiana

Entry Level Utilization Management Nurse information

See Indiana salary details

$37.1K

$85.1K

$155.1K

How much do entry level utilization management nurse jobs pay per year?

As of Aug 10, 2026, the average yearly pay for entry level utilization management nurse in Indiana is $85,148.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,400.00 and $99,400.00 per year, depending on experience, location, and employer.

What are some common challenges faced by entry level utilization management nurses during their first year on the job?

Entry Level Utilization Management Nurses often encounter challenges such as adapting to the fast-paced decision-making required in assessing medical necessity, interpreting insurance policies, and learning to communicate effectively with both providers and insurance representatives. Navigating complex healthcare regulations and documentation requirements can also be overwhelming at first. However, most organizations provide thorough onboarding, mentorship, and ongoing training to help new nurses build confidence and proficiency in these areas.

What are the key skills and qualifications needed to thrive as an entry level utilization management nurse?

To thrive as an Entry Level Utilization Management Nurse, you need an active RN license, a solid understanding of clinical guidelines, and a basic knowledge of healthcare regulations such as Medicare and Medicaid. Familiarity with utilization review software, electronic health records (EHRs), and clinical documentation systems is typically required. Strong analytical thinking, attention to detail, effective communication, and the ability to collaborate with healthcare teams are essential soft skills in this role. These skills and qualifications ensure accurate patient care reviews, compliance with regulations, and the delivery of cost-effective, quality healthcare.

What is an entry level utilization management nurse?

An Entry Level Utilization Management Nurse is a registered nurse who works within healthcare organizations or insurance companies to review medical cases and ensure that patients receive appropriate, cost-effective care. They assess treatment plans, evaluate the necessity of medical procedures, and help coordinate services to avoid unnecessary hospitalizations. These nurses use clinical guidelines and their medical knowledge to make recommendations, often working closely with physicians, healthcare providers, and insurance representatives. The position is typically suited for nurses who are early in their careers and interested in the intersection of clinical practice and healthcare administration.

What is the difference between Entry Level Utilization Management Nurse vs Utilization Review Nurse?

AspectEntry Level Utilization Management NurseUtilization Review Nurse
CertificationsRN license, possibly some utilization management trainingRN license, often additional certifications like CCM or URAC
Work EnvironmentHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare facilities, third-party review organizations
Job FocusAssessing patient needs for appropriate care, initial reviewReviewing medical necessity, approving or denying services

While both roles involve reviewing healthcare services, the Entry Level Utilization Management Nurse typically focuses on initial assessments and coordinating patient care, whereas the Utilization Review Nurse often concentrates on detailed reviews for approval or denial of services, often requiring additional certifications.

What are the most commonly searched types of Utilization Management Nurse jobs in Indiana? The most popular types of Utilization Management Nurse jobs in Indiana are:
What are popular job titles related to Entry Level Utilization Management Nurse jobs in Indiana? For Entry Level Utilization Management Nurse jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Entry Level Utilization Management Nurse jobs in Indiana look for? The top searched job categories for Entry Level Utilization Management Nurse jobs in Indiana are:
Entry Level Utilization Management Nurse jobs near you
Infographic showing various Entry Level Utilization Management Nurse job openings in Indiana as of July 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 100% In-person job distribution, with an average salary of $85,148 per year, or $40.9 per hour.

RN-CASE MANAGEMENT

Union Health

Terre Haute, IN • On-site

Full-time

Medical, Retirement, PTO

Re-posted 24 days ago

Union Health rating

5.6

Company rating: 5.6 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

798th of 887 rated healthcare providers

Job description

You belong at Union!
The RN House Care Manager plays a key role on the Case Management team!
Join us as we provide compassionate service and high-quality care to the Wabash Valley Communities. We are committed to helping you find a role that recognizes your interests, expertise, and talent and helping you achieve your long-term career goals and aspirations. At Union, you'll experience an inclusive environment in which you are empowered to be your best self every day.
In addition to competitive pay, Union co-workers enjoy:
  • Part-time and Full-time schedules
  • Comprehensive Benefits
  • Paid Time Off starting day one.
  • Tuition reimbursement up to $5,250 each year.
  • Career Paths
  • Success Sharing
  • 403b Retirement Employer Match.
  • Much More!

Be part of an organization that is dedicated to your work-life balance, career, growth, and development. Union Health, U Matter and U Belong.
How can we help? Call us at 812-238-7827 or email us at recruiting@union.health
RN House Care Manager - IP
  1. Assesses and conducts reviews for medical necessity, appropriateness of admission/continued stay/level of care, and post-discharge reviews.
  2. Reviews medical records and assesses patient to effectively communicate with physicians.
  3. Intervenes when determinations are not in alignment.
  4. Collaborates with UR Committee Physicians and makes appropriate referrals.
  5. Supports the prevention of payer denials.
  6. Examines clinical situation to make appropriate decisions to support medical necessity of facility settings using established screening criteria to ensure all required documentation is present.
  7. Identifies potential unnecessary services and care delivery settings and, if appropriate, recommends alternatives to the care team.
  8. Works in partnership with the Care Manager and physician to incorporate an interdisciplinary approach to support continuity of care and identified needs, utilization management, transfer coordination, and discharge planning.
  9. Issue Medicare Notices as applicable (IM Message, MOON, Code 44 Education, etc.)
  10. Maintains clinical knowledge specific to the group of patients being managed.
  11. Maintains knowledge of Medicare guidelines and policies.
  12. Maintains knowledge of value based programs specific to Medicare.
  13. Assesses the patient and family for continuing care needs, including education and financial needs.
  14. Reviews medical records and interviews patient and/or family as appropriate, assesses and investigates patient's needs and acts accordingly.
  15. Communicates and collaborates with patient, family, social worker and/or resource coordinator, and entire health care team to develop and implement a discharge plan appropriate for the patient's needs.
  16. Helps to determine and coordinate plans of care, including physical, financial, and psychosocial needs to help improve quality outcomes and decrease costs.
  17. Demonstrates understanding of the physical and emotional needs of patient and/or family.
  18. Uses knowledge of usual length of stay to initiate a plan for discharge.
  19. Supports the process of patient choice in establishing a discharge plan.
  20. Reviews medical records and interviews patient and/or family as appropriate, assesses and investigates patient's needs and acts accordingly.
  21. Identifies and addresses actual/potential barriers to discharge.
  22. Completes tasks as necessary to meet plan of care goals; tasks may include, but are not limited to:
  23. Assistance with arrangement of transportation
  24. Working with patient on financial assistance for medicine
  25. Making referrals to community resources (DME providers, home health care, skilled nursing facilities, mental health providers, etc.)
  26. Collaborates with agencies such as, but are not limited to: APS, CPS, etc.
  27. Assistance with advanced directives as applicable.
  28. Coordinates with physicians and nursing to confer if interventions need to be modified or adjusted.
  29. Effectively manages length of stay by:
  30. Using clinical knowledge to identify a target discharge date.

Education, Training & Experience
  1. Must have graduated from an accredited nursing program - BSN preferred
  2. Must have active IN RN license
  3. Case Management Experience Preferred.
  4. Hospital Experience
  5. Must have active BLS certification

Please note that the salary information provided on the career site for this position opening may not necessarily reflect the accurate compensation associated with the role.
We encourage candidates to inquire further and engage in direct communication with Union Health for comprehensive salary details.
As an EOE/AA employer, Union Hospital, Inc. will not discriminate in its employment practices due to an applicant's age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran or disability status.

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