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Insurance Utilization Review Jobs in Fort Wayne, IN

Elara Caring

Care Team Supervisor

Fort Wayne, IN · On-site

$22 - $26/hr

Pet insurance for your furry family members As the CareTeamSupervisor , you'll contribute to our ... Monitor systems to confirm authorizations align with scheduled services and Review utilization ...

Elara Caring

Care Team Supervisor

Fort Wayne, IN · On-site

$22 - $26/hr

Pet insurance for your furry family members As the CareTeamSupervisor , you'll contribute to our ... Monitor systems to confirm authorizations align with scheduled services and Review utilization ...

Elara Caring

Care Team Supervisor

Fort Wayne, IN · On-site

$22 - $26/hr

Pet insurance for your furry family members As the Care Team Supervisor , you'll contribute to our ... Monitor systems to confirm authorizations align with scheduled services and Review utilization ...

Elara Caring

Care Team Supervisor

Fort Wayne, IN · On-site

$22 - $26/hr

Pet insurance for your furry family members As the Care Team Supervisor , you'll contribute to our ... Monitor systems to confirm authorizations align with scheduled services and Review utilization ...

Purdue University

Account Clerk

Fort Wayne, IN · On-site

$17/hr

Supports and trains departments regarding SAP utilization. * Uses SAP daily to review, prepare and ... Insurance starts on first day of employment. * Generous Paid Time Off - additional PTO in December.

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Insurance Utilization Review information

See Fort Wayne, IN salary details

$19

$38

$63

How much do insurance utilization review jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for insurance utilization review in Fort Wayne, IN is $38.68, according to ZipRecruiter salary data. Most workers in this role earn between $30.58 and $44.42 per hour, depending on experience, location, and employer.

What is an insurance utilization review?

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 key skills and qualifications needed to thrive in insurance utilization review?

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 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.

How do I get into an insurance utilization review?

To become an insurance utilization review specialist, candidates typically need a background in healthcare, nursing, or a related field, along with knowledge of insurance policies and medical terminology. Certification such as the Certified Professional in Healthcare Quality (CPHQ) or similar credentials can enhance job prospects. Relevant skills include attention to detail, analytical thinking, and familiarity with medical records and insurance software systems.

Is insurance utilization review a stressful job?

Insurance utilization review can be stressful due to the need for accuracy, attention to detail, and meeting strict deadlines. Reviewers often handle complex cases and must balance policy guidelines with patient needs, which can contribute to job pressure. However, the level of stress varies depending on workload, work environment, and individual coping skills.

What are popular job titles related to Insurance Utilization Review jobs in Fort Wayne, IN?

For Insurance Utilization Review jobs in Fort Wayne, IN, the most frequently searched job titles are:

What job categories do people searching Insurance Utilization Review jobs in Fort Wayne, IN look for?

The top searched job categories for Insurance Utilization Review jobs in Fort Wayne, IN are:

What cities near Fort Wayne, IN are hiring for Insurance Utilization Review jobs?

Cities near Fort Wayne, IN with the most Insurance Utilization Review job openings:

Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Fort Wayne, IN as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 83% Physical, 1% Hybrid, and 16% Remote job distribution, with an average salary of $80,457 per year, or $38.7 per hour.

Nurse Practitioner - Psychiatry job available in Fort Wayne, Indiana

Fort Wayne, IN

RecruitWell
Recruiting and Staffing Services • 11 - 50 employees
Learn more about RecruitWellexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

Mental Health Nurse Practitioner | Fort Wayne, IndianaQuick Highlights
  • Location: Fort Wayne, IN
  • Position Type: Full-Time
  • Schedule: Monday–Friday
  • Hours: 8:00 AM – 5:00 PM
  • Setting: Primarily Inpatient Psychiatry with some Intensive Outpatient Program (IOP) coverage
  • Patient Volume: 14–16 patients per day
Availability
  • Full-time, Monday–Friday
  • 8:00 AM – 5:00 PM
  • Rotating after-hours call (initially required, then voluntary with additional stipend)
  • Rotating weekend coverage
Requirements 
  • Active Indiana Nurse Practitioner License
  • Active DEA
  • In state candidates only
Required Certifications & Qualifications
  • Psychiatric Mental Health Nurse Practitioner (PMHNP)
  • Inpatient psychiatric experience required
  • Ability to practice independently
Practice Details
  • Primary responsibility is psychiatric inpatient admissions and treatment
  • Some coverage for Intensive Outpatient Program (IOP)
  • Daily multidisciplinary treatment team meetings
  • Unit supported by Utilization Review (UR) and Social Worker
  • Established leadership and administrative support
  • Opportunity to maintain a private practice outside scheduled work hours
Compensation
  • Competitive base salary
  • Productivity bonus
  • Additional compensation for after-hours call
  • Additional compensation for weekend coverage
  • Paid professional liability insurance with tail coverage
Benefits
  • 401(k)
  • Health, Dental & Vision Insurance
  • Disability & Life Insurance
  • Health Savings Account (HSA)
  • Flexible Spending Account (FSA)
  • Paid Time Off (PTO)
  • Continuing Medical Education (CME)
  • Employee Assistance Program (EAP)
  • Clinician wellness program
  • Referral program
  • Strong administrative and local management support
Ideal Candidate

An experienced Psychiatric Mental Health Nurse Practitioner (PMHNP) with an active Indiana license and DEA who has inpatient psychiatric experience and is seeking a full-time hospital-based role with a consistent weekday schedule, competitive compensation, and comprehensive benefits.
RecruitWell's Core Values:

  • Open communication
  • Sense of urgency
  • Teamwork
  • Accountability
  • Driven to win
  • Higher consciousness
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About RecruitWell

Sourced by ZipRecruiter

RecruitWell is a prestigious entity operating in the recruitment and staffing industry, based out of Boynton Beach, FL, US. Its main focus is on global recruitment, providing both temporary and permanent staffing solutions. The company's primary mission is to provide the right talent to healthcare facilities while ensuring the satisfaction of healthcare professionals. Established with a vision to change the recruitment landscape for healthcare professionals, RecruitWell has been successful in establishing itself as a trusted name in the industry.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Boynton Beach, FL, US

Year founded

2019

Social media

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