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Insurance Nurse Reviewer Jobs in Indiana (NOW HIRING)

Logan Community Resources Inc

NURSE - LPN

South Bend, IN · On-site

$25.25 - $34.25/hr

... insurance Full time employees eligible for Public Service Loan Forgiveness Program Employee ... Reviews all risk plans for effectiveness. * Teaches Core A and B for staff as assigned.

Cna

Claims Quality Review Sr Consltant

Indianapolis, IN · Hybrid

$72K - $141K/yr

At CNA, we strive to create a culture in which people know they matter and are part of something ... A solid understanding of the insurance industry, its practices and operations. * Technical ...

Elevance Health

Utilization Management Rep I

Indianapolis, IN · On-site

$15.25 - $20.75/hr

Refers cases requiring clinical review to a Nurse reviewer. * Responsible for the identification ... Medical terminology training and experience in medical or insurance field preferred. * For URAC ...

SIHO Insurance Services, Inc.

Be Seen First

Utilization Management Nurse

Columbus, IN · On-site

By performing review of services prospectively, retrospectively, and throughout the episode of care ... Outlook, Word, Excel Company Description Our Vision SIHO Insurance Services will be the premier ...

Traditions Management

Nurse

Lafayette, IN · On-site

... insurance • Dental insurance • Vision insurance • Retirement plan • Paid time off • ... For further information, please review the Know Your Rights notice from the Department of Labor.

Traditions Management

Nurse

Westfield, IN · On-site

... insurance • Dental insurance • Vision insurance • Retirement plan • Paid time off • ... For further information, please review the Know Your Rights notice from the Department of Labor.

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All JobsInsurance Nurse Reviewer JobsInsurance Nurse Reviewer Jobs in Indiana

Insurance Nurse Reviewer information

See Indiana salary details

$26

$35

$40

How much do insurance nurse reviewer jobs pay per hour?

As of Jul 29, 2026, the average hourly pay for insurance nurse reviewer in Indiana is $35.24, according to ZipRecruiter salary data. Most workers in this role earn between $32.50 and $39.33 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Insurance Nurse Reviewer position, and why are they important?

To thrive as an Insurance Nurse Reviewer, you need a current nursing license, clinical experience, and a strong understanding of medical terminology and claims review processes. Familiarity with utilization review software, health insurance claims systems, and URAC or CM certification is often required. Attention to detail, critical thinking, and effective written and verbal communication skills help you excel in this position. These qualifications and abilities are vital for accurately evaluating medical records, ensuring compliance, and making informed decisions regarding healthcare coverage.

What does a typical day look like for an Insurance Nurse Reviewer?

On a typical day, an Insurance Nurse Reviewer spends much of their time reviewing patient medical records, evaluating insurance claims for medical necessity, and documenting their findings in detail. The role often involves collaborating with physicians, case managers, and adjusters to clarify information or seek additional insights when necessary. You may also participate in team meetings to discuss complex cases, ensure adherence to regulatory standards, and stay current with evolving policies. The work is largely independent but requires strong communication skills and a systematic approach to managing multiple cases effectively.

What is an Insurance Nurse Reviewer job?

An Insurance Nurse Reviewer is a licensed nurse who evaluates medical claims to ensure they meet policy guidelines and medical necessity. They review patient records, treatment plans, and healthcare provider documentation to determine coverage eligibility. Their role helps insurance companies manage costs while ensuring patients receive appropriate care. Strong clinical knowledge and attention to detail are essential for assessing claims accurately.

What are the most commonly searched types of Insurance Nurse Reviewer jobs in Indiana? The most popular types of Insurance Nurse Reviewer jobs in Indiana are:
What are popular job titles related to Insurance Nurse Reviewer jobs in Indiana? For Insurance Nurse Reviewer jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Insurance Nurse Reviewer jobs in Indiana look for? The top searched job categories for Insurance Nurse Reviewer jobs in Indiana are:
Insurance Nurse Reviewer jobs near you
Infographic showing various Insurance Nurse Reviewer job openings in Indiana as of July 2026, with employment types broken down into 81% Full Time, 13% Part Time, and 6% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $73,302 per year, or $35.2 per hour.
Utilization Reviewer (FT)

Utilization Reviewer (FT)

Rehabilitation Hospital of Indiana

Indianapolis, IN • On-site

Full-time

Retirement

Posted 29 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 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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