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Manager Utilization Management Jobs in Indiana (NOW HIRING)

Veterans Health Administration

Nurse

Marion, IN · On-site +1

$68K - $145K/yr

Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...

Deaconess

Clinical Denial Analyst (RN)

Evansville, IN · On-site

$28.71 - $40.19/hr

Minimum of two (2) years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital Preferred Certification/License/Experience: * BSN

GQR Healthcare

Travel RN Case Manager

Fort Wayne, IN · On-site

$2.4K - $2.5K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Fort Wayne, Indiana Start Date: August 10, 2026 Profession: Registered Nurse (RN) Facility: Hospital ...

MedSource

IM Physician

Indianapolis, IN · On-site

Participate in quality improvement, utilization management, and patient safety initiatives *Collaborate with hospital leadership, nursing, and medical staff committees *Support implementation of ...

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All JobsUtilization Management 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 Jul 23, 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
Infographic showing various Manager Utilization Management job openings in Indiana as of July 2026, with employment types broken down into 100% Full Time. Highlights an 87% In-person, and 13% Hybrid job distribution, with an average salary of $86,603 per year, or $41.6 per hour.
Registered Nurse - Patient Care Coordinator (Hybrid, 1-2 days/week onsite)

Registered Nurse - Patient Care Coordinator (Hybrid, 1-2 days/week onsite)

Jane Pauley Community Health Center, Inc.

Indianapolis, IN • Hybrid

$16.75 - $22/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

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

Must live within a reasonable distance of the Indianapolis area to commute to the office 1-2 days/week. 

We are currently seeking a Patient Care Coordinator (RN) to join our team. This role is ideal for a registered nurse who is passionate about care coordination, patient advocacy, and driving quality improvement. The Patient Care Coordinator works closely with providers, staff, and external partners to ensure smooth care transitions, support chronic disease management, and improve patient outcomes. 

Job Summary

The Patient Care Coordinator is an essential member of the practice care team, working under the direction of the Practice Manager. This role supports health promotion, disease prevention and management, patient education, nursing care planning, and coordination of care with both internal teams and external facilities. The position is hybrid-remote, with work arrangements tailored to the needs of the RN and JPCHC leadership.

Job Responsibilities (include but are not limited to):

Patient Advocacy & Care Coordination

  • Serve as a patient advocate, helping patients navigate the healthcare system
  • Provide patient education using evidence-based practice and JPCHC-approved resources
  • Support patient self-care management of disease and behavior modification interventions
  • Coordinate continuity of care between primary and specialty providers, hospitals, ERs, and JPCHC teams
  • Conduct telephonic outreach to patients post-hospitalization, discharge, or ER visit
  • Manage care transitions for high-risk patients, ensuring timely follow-up appointments
  • Perform phone triage, medication refills, and prior authorizations within scope of licensure
  • Document all patient interactions accurately and consistently in the EMR

Quality Improvement & Clinical Support

  • Participate in quality improvement (QI) initiatives and provide feedback on clinical best practices
  • Monitor closure of care gaps, quality metrics, overdue labs, and abnormal results
  • Perform proactive outreach to patients due for preventive screenings
  • Support pre-visit planning with providers and staff
  • Assist with data collection, outcomes reporting, clinical audits, and program evaluation related to Patient-Centered Medical Home (PCMH) and Medical Neighborhood initiatives

Preceptorship & Mentorship

  • Serve as a nurse preceptor for newly hired clinical staff or nursing students

Required Skills and Qualifications

  • Current state licensure as a Registered Nurse (RN) required
  • Graduation from an accredited nursing program required
  • Basic Life Support (BLS) certification through AHA required
  • Minimum 2 years' experience in ambulatory, triage, or acute care setting preferred
  • 2-5 years' experience in chronic disease management, case management, utilization management, or adult acute care preferred
  • 1 year of experience or knowledge of Patient-Centered Medical Home (PCMH) initiatives preferred
  • Strong critical thinking, decision-making, and problem-solving skills
  • Ability to assess patients without face-to-face interaction
  • Excellent communication and organizational skills
  • Knowledge of Indiana Nurse Practice Act

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