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Manager Utilization Management Jobs in Indiana (NOW HIRING)

UHS

Utilization Management Specialist

Plymouth, IN · On-site

Responsibilities Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens ...

UHS

Utilization Management Specialist

Plymouth, IN

Responsibilities Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens ...

UHS

Utilization Management Specialist

Plymouth, IN · On-site

Responsibilities Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens ...

UHS

Utilization Management Specialist

Plymouth, IN · On-site

Responsibilities Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens ...

MISO

Manager Resource Utilization

Carmel, IN · On-site

$166K - $191K/yr

As MISO's Manager - Resource Utilization, you will lead a team at the center of critical transmission planning and interconnection activities that directly impact grid reliability, market efficiency ...

HHC

UTILIZATION REVIEW SPECIALIST

Indianapolis, IN

FLSA Status Non-Exempt Job Role Summary The Utilization Review Specialist interacts with customers ... management, and retro-authorizations Research and responds provider inquires concerning ...

219 Health Network

U.M. Tech

Hobart, IN · On-site

Utilization Management Technician Assigns admission codes for DRG assignment, coordinates Utilization Management Committee physician advisor review activities, assists the Director with preparation ...

New

Powers Health

U.M. Tech

Hobart, IN · On-site

Assigns admission codes for DRG assignment, coordinates Utilization Management Committee physician advisor review activities, assists the Director with preparation for the Utilization Management ...

Powers Health

U.M. Tech

Hobart, IN · On-site

$18.95 - $30.92/hr

Assigns admission codes for DRG assignment, coordinates Utilization Management Committee physician advisor review activities, assists the Director with preparation for the Utilization Management ...

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All JobsManager Utilization Management JobsManager Utilization Management Jobs in Indiana

Manager Utilization Management information

See Indiana salary details

$37.1K

$86.6K

$159.4K

How much do manager utilization management jobs pay per year?

As of Jun 8, 2026, the average yearly pay for manager utilization management in Indiana is $86,603.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,600.00 and $104,200.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

What is the difference between Manager Utilization Management vs Utilization Review Nurse?

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.

What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What does a Manager of Utilization Management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What are the most commonly searched types of Utilization Management jobs in Indiana? The most popular types of Utilization Management jobs in Indiana are:
What are popular job titles related to Manager Utilization Management jobs in Indiana? For Manager Utilization Management jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Manager Utilization Management jobs in Indiana look for? The top searched job categories for Manager Utilization Management jobs in Indiana are:
What cities in Indiana are hiring for Manager Utilization Management jobs? Cities in Indiana with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you
Utilization Management Nurse

Utilization Management Nurse

SIHO Insurance Services, Inc.

Columbus, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Job Title: Utilization Management Nurse
Reports To: Manager of Utilization Management

Brief Description of Duties:
This position is reserved for a licensed Registered Nurse who will perform the Utilization Management (UM) services for SIHO (and affiliated business lines’) members. This individual’s primary role is to ensure that health care services are administered with quality, cost effectiveness, and compliance to plan guidelines. By performing review of services prospectively, retrospectively, and throughout the episode of care, the UM nurse will make coverage determinations influencing how services are allocated to SIHO’s various member populations. A candidate’s ability to perform quality reviews within strict efficiency standards is required for this position. Key responsibilities are as follows:

  • Pre-service, concurrent, and post-service review for medical necessity of health care services utilizing enrollee medical records and established guidelines set by SIHO and/or state and federal (CMS) guidelines
  • Interaction with the member, health care provider, and/or other care team members to complete reviews in most time-efficient manner
  • Interaction with the SIHO Medical Director or external Medical Reviewers as needed to ensure proper medical necessity decisions are made in a timely manner
  • Appropriate documentation of the entire review process utilizing the established documentation system and desk procedures to guarantee accurate reporting metrics and data integrity
  • Complete case review and manage turnaround times to assure determinations are rendered within the contractual and regulatory turnaround times established by SIHO and CMS
  • Assist in problem resolution and provide guidance to members of the team and cohorts
  • Interpret and abide by organizational policies and procedures; review work regularly to ensure that policies and guidelines are appropriately applied
  • Act as a clinical resource to the department and other organization members for services pertaining to medical management, utilization review, and medical necessity
  • Act and perform within the scope of professional nursing practice; display responsibility in supporting and participating in department strategies and efforts focused on quality improvement
  • Responsible for the early identification and assessment of members for inclusion in disease management or care management programs
  • Assist in the identification and reporting of Potential Quality of Care concerns and Fraud, Waste and Abuse incidents
  • Work as an interdisciplinary team member within Medical Management for all lines of business and commercial group plans
  • Show effective prioritization, efficiency and accuracy of work product in alignment with department goals.

Minimum Skills Requirement:

  • Registered Nurse with current, unrestricted license in primary state of employment (position may require additional licensing in other states as necessary)
  • Previous UM or Health Plan experience highly preferred
  • Desire to work in a fast-paced environment with focus on efficiency and attention to detail while maintaining quality
  • Self-directed organizational and prioritization skills, and independent time management skills required
  • Sound clinical background with experience in the clinical field
  • Excellent verbal and written communication skills
  • Microsoft Office Experience: Outlook, Word, Excel

Company Description

Our Vision
SIHO Insurance Services will be the premier healthcare delivery system administration company, known and respected for its Insurance high quality people, innovative products and outstanding services.