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Insurance Utilization Review Jobs in Indiana (NOW HIRING)

$309K - $413K/yr

Knowledge of medical and utilization review techniques. * Required Licenses and Certifications ... Health insurance industry experience * Experience in INPATIENT Rehabilitation * Medicare policy ...

$309K - $413K/yr

Knowledge of medical and utilization review techniques. * Required Licenses and Certifications ... Health insurance industry experience * Experience in INPATIENT Rehabilitation * Medicare policy ...

Counselor

Martinsville, IN · On-site

$20.25 - $27.25/hr

... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...

... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...

Counselor

Martinsville, IN · On-site

$20.25 - $27.25/hr

... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...

Counselor

Martinsville, IN · On-site

$20.25 - $27.25/hr

... insurance * Substance Use Disorder Treatment and Recovery Loan Repayment Program (STAR LRP ... Maintain an assigned caseload, including case management, utilization review updates, treatment ...

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Insurance Utilization Review information

See Indiana salary details

$20

$40

$65

How much do insurance utilization review jobs pay per hour?

As of Jul 23, 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 cities in Indiana are hiring for Insurance Utilization Review jobs? Cities in Indiana with the most Insurance Utilization Review job openings:
Infographic showing various Insurance Utilization Review job openings in Indiana as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $83,687 per year, or $40.2 per hour.
Psychologist/HSPP

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 3 days ago


Jane Pauley Community Health Center rating

7.5

Company rating: 7.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz


Job description

Empowering communities through accessible, inclusive, and compassionate care, this is the work we do every day.
At Jane Pauley Community Health Center, every role is connected to something bigger. As a Federally Qualified Health Center (FQHC), we deliver integrated, whole-person care to individuals and families across Indiana, regardless of income or insurance status.
Our teams work at the intersection of clinical excellence and community impact, supporting underserved populations while building a culture rooted in collaboration, respect, and growth. Here, you are not just joining a workplace, you are becoming part of a mission that truly matters.
We're seeking a Psychologist/HSPP delivers comprehensive behavioral health services within a team-based primary care environment. This role provides direct patient care, clinical leadership, and care coordination while supporting quality, compliance, and continuous improvement across the practice site. The Provider works collaboratively with medical, behavioral health, and operational teams to ensure safe, effective, and accessible care for all patients.
Job Summary
Job Responsibilities (include but are not limited to):

Clinical & Patient Care
  • Provide behavioral health services to patients, including assessment, diagnosis, and treatment.
  • Maintain full-time, on-site clinical coverage as assigned.
  • Provide clinical direction and oversight to team members delivering direct patient care.
  • Coordinate care across inpatient and outpatient settings when appropriate.
  • Participate in patient satisfaction and quality improvement initiatives.

Care Coordination & Referrals
  • Utilize JPCHC and Community Health Network inpatient and outpatient facilities.
  • Refer patients to appropriate providers and services in alignment with organizational standards, patient preference, insurance requirements, and clinical judgment.
  • Collaborate with referring providers to ensure continuity of care.

Quality & Compliance
  • Support the development and implementation of:
    • Quality assurance programs
    • Utilization review
    • Clinical pathways
    • Performance improvement initiatives
  • Ensure care delivery meets federal, state, payer, and accreditation standards.

Education & Team Development
  • Support the education and training of staff in the delivery of behavioral health services.
  • Provide consultation and guidance to clinical and support staff.

Administrative & Leadership Responsibilities
  • Ensure compliance with all licensing, regulatory, and accreditation requirements at the practice site.
  • Support documentation, billing, and payer compliance (including Medicare and Medicaid).
  • Supervise clinical services delivered by non-provider team members under your direction.
  • Assist in recruitment, onboarding, and orientation of new Providers.
  • Participate in utilization review, quality monitoring, and medical staff activities.
  • Provide input into operational and staffing decisions to support safe, effective care delivery.

Required Skills and Qualifications
  • Must hold an active Indiana license as a Psychologist, including Health Service Provider in Psychology (HSPP) designation or be eligible to obtain within an approved timeframe.
  • Doctor of Psychology (PsyD) or Doctor of Philosophy (PhD) in Clinical Psychology, Counseling Psychology, or a related behavioral health field required.
  • Must maintain all required state licensure, DEA (if applicable), and professional certifications in good standing throughout employment.

Why You'll Love Working Here
  • Purpose-driven work that directly impacts access to care across our communities
  • Robust benefits package (medical, dental, vision) designed to support you and your family
  • Generous PTO because we believe caring for others starts with caring for yourself
  • 401(k) with employer contribution to help you plan for what's ahead
  • Life and disability coverage for peace of mind

Here, you are not just filling a role-you are helping shape healthier communities and advancing equitable care every day!

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