... 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.
... 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 ...
The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position ...
The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position ...
The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position ...
The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position ...
The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position ...
The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position ...
The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position ...
The Utilization Management Specialist is responsible for calls, investigative work, and clinical reviews with the insurance companies, managed care entities, and external reviewers. This position ...
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 ...
Quick apply
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 ...
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity - Act and perform within the scope of professional ...
Quick apply
By performing review of services prospectively, retrospectively, and throughout the episode of care ... utilization review, and medical necessity - Act and perform within the scope of professional ...
Patient Access Insurance Specialist, Verification of Benefits Department, Full-Time Days
South Bend, IN · On-site
$16.75 - $20.50/hr
Life Insurance * 403(b) Matching Retirement Fund * Competitive Paid Time Off (PTO) * Shift ... Collaborate with departments such as Utilization Review, Surgery Scheduling, Social Services, and ...
Patient Access Insurance Specialist, Verification of Benefits Department, Full-Time Days
South Bend, IN · On-site
$16.75 - $20.50/hr
Life Insurance * 403(b) Matching Retirement Fund * Competitive Paid Time Off (PTO) * Shift ... Collaborate with departments such as Utilization Review, Surgery Scheduling, Social Services, and ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville ... Benefits: * Day 1 Insurance * Cigna medical, MetLife dental and vision insurance * License ...
UR Coordinator (PRN)
Kouts, IN · On-site
... insurance companies and other third party reviewers to establish the length of stay or number of certified days. • Coordinate with the insurance company doctor in appeals process and denials ...
UR Coordinator (PRN)
Kouts, IN · On-site
... insurance companies and other third party reviewers to establish the length of stay or number of certified days. • Coordinate with the insurance company doctor in appeals process and denials ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...
Performs medical review activities pertaining to utilization review, quality assurance, and medical ... Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel ...
... utilization review process for all patients. Responsible for accurately entering patient data and documentation into records systems while interacting with doctors, nurses, insurance agencies, and ...
... utilization review process for all patients. Responsible for accurately entering patient data and documentation into records systems while interacting with doctors, nurses, insurance agencies, and ...
Pediatrician
$147K - $190K/yr
Insurance requirements dictate referral outside the network; or * Referral is not in the patient ... Participate in quality assessment, utilization review, and quality improvement initiatives ...
Pediatrician
$147K - $190K/yr
Insurance requirements dictate referral outside the network; or * Referral is not in the patient ... Participate in quality assessment, utilization review, and quality improvement initiatives ...
... insurance requirements, and clinical judgment. * Collaborate with referring providers to ensure ... Utilization review * Clinical pathways * Performance improvement initiatives * Ensure care delivery ...
... insurance requirements, and clinical judgment. * Collaborate with referring providers to ensure ... Utilization review * Clinical pathways * Performance improvement initiatives * Ensure care delivery ...
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
Retirement
Posted 19 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
Education and Experience
Hours
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.
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)
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.
About Rehabilitation Hospital of Indiana
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Indianapolis, IN, US
Year founded
1992