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Evening Optum Utilization Review Jobs in Indiana

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Specialty Pharmacist Full Time

Terre Haute, IN · On-site

$91K - $163K/yr

Specialty Pharmacist Explore opportunities with CPS, part of the Optum family of businesses. We're ... Review and manage specialty medication therapies for complex, chronic, or high-cost conditions

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Evening Optum Utilization Review information

What is an evening Optum utilization review?

Evening Optum Utilization Review jobs involve evaluating medical records and healthcare services during evening hours to determine if they meet established guidelines for medical necessity, appropriateness, and efficiency. Professionals in this role typically review patient cases, collaborate with healthcare providers, and ensure compliance with insurance or regulatory requirements. These positions are essential for managing healthcare costs and ensuring patients receive appropriate care, often requiring clinical experience and familiarity with utilization management processes.

What are the key skills and qualifications needed to thrive as an evening Optum utilization review?

To thrive as an Evening Optum Utilization Review Nurse, you need a valid RN license, clinical experience, and a solid understanding of utilization management principles. Familiarity with case management software, electronic health records (EHRs), and knowledge of regulatory guidelines such as Medicare and Medicaid are typically required. Strong analytical thinking, attention to detail, and effective communication skills enable you to assess medical necessity and coordinate care efficiently. These competencies ensure accurate and timely reviews, compliance with regulations, and optimal outcomes for both patients and the organization.

What are some common challenges faced by utilization review nurses working evening shifts at Optum, and how can they be addressed?

Utilization Review nurses working evening shifts at Optum often encounter challenges such as limited access to providers or support staff during non-standard hours, which can make obtaining timely information more difficult. Additionally, they may need to manage increased autonomy and prioritize cases with less immediate supervision. To address these challenges, evening UR nurses rely heavily on strong communication skills, proactive documentation, and efficient use of digital tools and resources. Collaboration with daytime teams through thorough handoffs and clear case notes also helps ensure continuity of care and decision-making.

What is the difference between Evening Optum Utilization Review vs Evening Optum Claims Reviewer?

AspectEvening Optum Utilization ReviewEvening Optum Claims Reviewer
Primary RoleAssess medical necessity and appropriateness of care for insurance claimsReview and process insurance claims for accuracy and completeness
CertificationsTypically requires clinical credentials (e.g., RN, LPN, or other healthcare licenses)Usually requires insurance or claims processing certifications
Work EnvironmentHealthcare settings, insurance companies, or third-party administratorsInsurance companies, healthcare payers, or claims processing centers
Industry UsageCommonly used in health insurance and managed careCommon in health insurance and claims processing sectors

Both roles are integral to health insurance operations but focus on different aspects: Utilization Review evaluates the necessity of care, while Claims Review verifies claim accuracy. Understanding these differences helps in choosing the right career path or job focus within the insurance industry.

What are the most commonly searched types of Optum Utilization Review jobs in Indiana?

The most popular types of Optum Utilization Review jobs in Indiana are:

What are popular job titles related to Evening Optum Utilization Review jobs in Indiana?

For Evening Optum Utilization Review jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Evening Optum Utilization Review jobs in Indiana look for?

The top searched job categories for Evening Optum Utilization Review jobs in Indiana are:

What cities in Indiana are hiring for Evening Optum Utilization Review jobs?

Cities in Indiana with the most Evening Optum Utilization Review job openings:

Evening Optum Utilization Review jobs near you
Infographic showing various Evening Optum Utilization Review job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, 2% Contract, and 1% Nights. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution.

Intake Coordinator - Evening Shift

Fort Wayne, IN • On-site

Avenues Recovery
Offices of Mental Health Practitioners • 1 - 10 employees
Learn more about Avenues Recoveryexternal

$16.50 - $22.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 3 days ago

Job description

Who We Are

Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with eighteen locations across seven states. Offering the very highest standard of medical and clinical treatment, our services span every level of care - including detox, residential, PHP IOP, and outpatient services. Avenues is both JCAHO and CARF accredited, and in full compliance with all ASAM standards. Yet despite our excellence, our greatest strength remains the staff we cull from across the nation. If you're a compassionate professional who appreciates stimulating yet meaningful work, we warmly invite you to join our all-star team.

Now Hiring an Intake Coordinator (Evening Shift 3p-11:30p) at Avenues Recovery at Fort Wayne, IN!

What You'll Do

  • Coordinate closely with admissions call center team and facility staff to facilitate smooth and timely admissions
  • Assist in arranging scheduling, transportation, and other necessary details to facilitate efficient transitions into treatment
  • Collaborate with Utilization Review team to secure all referrals and authorizations needed prior to admission
  • Collaborate with Case Manager on special insurance needs (FMLA, COBRA) and creation of aftercare plan
  • Cultivate warm and trusting rapport with clients to promote confidence in and commitment to treatment
  • Communicate program features, services, and any requested information to those interested in treatment

What We're Looking For

  • High School Diploma or GED required
  • Minimum one year experience in treatment industry preferred
  • Exceptional oral and written communication skills
  • Excellent collaborative and interpersonal skills
  • Keen judgement and acute observational skills

Where you'll work:
Avenues Recovery Center at Fort Wayne is a 100- bed residential facility offering drug and alcohol
detox and inpatient rehabilitation services. With its unparalleled clinical program, skilled and
dedicated staff, and fresh, modern premises, Avenues at Fort Wayne provides the ultimate setting
for clients to open up and begin healing and rediscovering themselves. Our star staff includes
therapists and clinicians, nurses and nurse practitioners, group facilitators and behavioral health
technicians - all of whom help to create a warm, accepting atmosphere, and provide care in the
most compassionate and dignified manner. With all services and amenities under one roof,
beginning your recovery journey has never been more gratifying.


Why Join Us?

Avenues features a rich, fulfilling workplace culture where each person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:

  • 401K with 100% employer match
  • Medical Insurance
  • Dental
  • Vision
  • Accident
  • Critical Illness
  • Hospital Indemnity
  • Voluntary Short-Term Disability
  • Voluntary Long -Term Disability
  • Employer-Paid Life and AD&D
  • LifeTime Benefit Term Insurance with Long Term Care
  • Legal Coverage
  • Pet Insurance
  • Identity Theft Protection
  • Employer-Paid Employee Assistance Program
  • Flexible Spending Account (FSA) - Medical
  • Dependent Care FSA (DCF)

Join our growing team and discover the magic here at Avenues!


Apply today!


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