... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
FLSA Status Non-Exempt Job Role Summary The Utilization Review Specialist interacts with customers ... and Insurance terminology Ability to prioritize workload/schedules and perform duties without ...
FLSA Status Non-Exempt Job Role Summary The Utilization Review Specialist interacts with customers ... and Insurance terminology Ability to prioritize workload/schedules and perform duties without ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
FLSA Status Non-Exempt Job Role Summary The Utilization Review Specialist interacts with customers ... Insurance terminology • Ability to prioritize workload/schedules and perform duties without ...
FLSA Status Non-Exempt Job Role Summary The Utilization Review Specialist interacts with customers ... Insurance terminology • Ability to prioritize workload/schedules and perform duties without ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR contacts external case managers/managed care organizations for certification of insurance ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR contacts external case managers/managed care organizations for certification of insurance ...
Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD ... Maintain accurate records, compile reports, and support utilization review program operations
Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD ... Maintain accurate records, compile reports, and support utilization review program operations
Utilization Review Coordinator
Plainfield, IN · On-site
$47K - $56K/yr
Assure tracking of insurance reviews, and that reviews are completed in a timely manner. Your ... utilization management, and/or case management. Your Care Matters What we provide for our team ...
Utilization Review Coordinator
Plainfield, IN · On-site
$47K - $56K/yr
Assure tracking of insurance reviews, and that reviews are completed in a timely manner. Your ... utilization management, and/or case management. Your Care Matters What we provide for our team ...
RN Utilization Review
$73K - $75K/yr
... Insurance RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization ... review services to maximize quality care and cost-effective outcomes. ARE YOU AN IDEAL CANDIDATE?
New
RN Utilization Review
$73K - $75K/yr
... Insurance RN Utilization Review PRIMARY PURPOSE : To provide timely, evidence-based utilization ... review services to maximize quality care and cost-effective outcomes. ARE YOU AN IDEAL CANDIDATE?
New
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR contacts external case managers/managed care organizations for certification of insurance ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR contacts external case managers/managed care organizations for certification of insurance ...
Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD ... Maintain accurate records, compile reports, and support utilization review program operations
Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD ... Maintain accurate records, compile reports, and support utilization review program operations
Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD ... Maintain accurate records, compile reports, and support utilization review program operations
Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD ... Maintain accurate records, compile reports, and support utilization review program operations
Apply standardized criteria, regulatory guidelines, and insurance requirements to support ... Maintain accurate records, compile reports, and support utilization review program operations
Apply standardized criteria, regulatory guidelines, and insurance requirements to support ... Maintain accurate records, compile reports, and support utilization review program operations
... Utilization Review Nurse (RN) to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... Utilization Review Nurse (RN) to coordinate patients' services across the continuum of care by ... Medical, Dental, and Vision Insurance * NPH 401(k) plan with up to 4% Company match * Employee ...
... thorough review of the total resources available to patient pre and post-discharge from ... Documents all insurance information appropriately on forms and in computer system as applicable.
... thorough review of the total resources available to patient pre and post-discharge from ... Documents all insurance information appropriately on forms and in computer system as applicable.
... thorough review of the total resources available to patient pre and post-discharge from ... Documents all insurance information appropriately on forms and in computer system as applicable.
... thorough review of the total resources available to patient pre and post-discharge from ... Documents all insurance information appropriately on forms and in computer system as applicable.
... thorough review of the total resources available to patient pre and post-discharge from ... Documents all insurance information appropriately on forms and in computer system as applicable.
Quick apply
... thorough review of the total resources available to patient pre and post-discharge from ... Documents all insurance information appropriately on forms and in computer system as applicable.
Insurance Utilization Review information
See Indiana salary details
$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
How much do insurance utilization review jobs pay per hour?
As of Jun 9, 2026, the average hourly pay for insurance utilization review in Indiana is $40.23, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 per hour, depending on experience, location, and employer.
What are the most common challenges faced by Insurance Utilization Review professionals?
One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.
What are the key skills and qualifications needed to thrive in the Insurance Utilization Review position, and why are they important?
To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.
What is an Insurance Utilization Review job?
An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.
What are the most commonly searched types of Insurance Utilization Review jobs in Indiana? The most popular types of Insurance Utilization Review jobs in Indiana are:
What are popular job titles related to Insurance Utilization Review jobs in Indiana? For Insurance Utilization Review jobs in Indiana, the most frequently searched job titles are:
- Remote Utilization Management
- Appeals Nurse Remote
- No Experience Utilization Review Nurse
- Medical Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Remote Utilization Management Nurse
- Utilization Review Specialist
- Utilization Review Physician
- Remote Utilization Review Rn
- Part Time Utilization Review Nurse
What job categories do people searching Insurance Utilization Review jobs in Indiana look for? The top searched job categories for Insurance Utilization Review jobs in Indiana are:
- Remote Anthem Utilization Review Nurse
- Remote Insurance Utilization Review
- Remote Utilization Review
- Remote Optum Utilization Review
- Remote Utilization Review Nurse Practitioner
- Flex Schedule Utilization Review
- Anthem Utilization Review Nurse
- Lpn Utilization Review Nurse
- Nurse Practitioner Utilization Review
- Work From Home Utilization Review
What cities in Indiana are hiring for Insurance Utilization Review jobs? Cities in Indiana with the most Insurance Utilization Review job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 9 days ago
Job description
About Us
Healing Body and Mind.
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day
Overview
NeuroPsychiatric Hospitals of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits of joining NPH
Responsibilities
Qualifications
Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.
Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW
Healing Body and Mind.
NeuroPsychiatric Hospitals is a national leader in behavioral healthcare, specializing in patients with acute psychiatric and complex medical needs. Our hospitals use an interdisciplinary, multi-specialty approach that delivers high-quality, patient-centered care when it's needed most.
With locations in Indiana, Michigan, Texas, and Arizona, we're expanding access to our unique model of care across the United States. Join us and be part of a team dedicated to making a lasting difference in the lives of patients and families every day
Overview
NeuroPsychiatric Hospitals of Indianapolis is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits of joining NPH
- Competitive pay rates
- Medical, Dental, and Vision Insurance
- NPH 401(k) plan with up to 4% Company match
- Employee Assistance Program (EAP) Programs
- Generous PTO and Time Off Policy
- Special tuition offers through Capella University
- Work/life balance with great professional growth opportunities
- Employee Discounts through LifeMart
Responsibilities
- Filing documents as needed.
- Initial Precertification with payors.
- Concurrent Clinical review with payors.
- Document in the electronic system daily in real time.
- Admission audit.
- Ensures that CON's/RON's and CMS certifications are completed by provider.
- Consistently demonstrates professionalism with all internal and external customers as evidenced by positive customer and peer Communicates effectively with all staff and patients as evidenced by the establishment and maintenance of productive working relationships.
- Maintains knowledge of current trends and developments in the field by reading appropriate books; journals and other literature and attending related seminars or conferences.
- Maintains a professional approach with Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
- Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
- Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply.
- Complies with hospital expectations regarding ethical behavior and standards of conduct.
- Complies with federal and hospital requirements in the areas of protected health information and patient information.
- Reconsiderations, assists with appeals as needed, arrange peer to peer level reviews, and report the outcomes to the VP of Care Management and Team.
- Provides education to nursing staff. ;eadership team, and providers regarding documentation.
- Actively works with the business office regarding resolution of appeals/denials and retrospective reviews.
Qualifications
Education: Bachelor's in Behavioral Health, Social Work, Counseling, Nursing or Psychology required. Master's degree preferred.
Experience: Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 years of case management experience, including discharge planning in a hospital setting required.
Licensure: Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable.
Skills: Must have strong knowledge of medications and demonstrate exceptional time management, data entry, and communication skills. Must be detail oriented.#INDEEDLOW