UTILIZATION REVIEW RN
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Indianapolis, IN · On-site
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Indianapolis, IN · On-site
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Indianapolis, IN · On-site
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Indianapolis, IN · On-site
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Indianapolis, IN · On-site
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Indianapolis, IN · On-site
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Medical
Dental
Vision
Retirement
PTO
... Utilization Review Coordinator to coordinate patients' services across the continuum of care by ... Cooperates and maintains good rapport with nursing staff, medical staff, and other departments.
Indianapolis, IN · On-site
Medical
... reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Qualifications * Must have clear and active RN license in the state of IN * AS ...
Indianapolis, IN · On-site
Medical
... reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Qualifications * Must have clear and active RN license in the state of IN * AS ...
Indianapolis, IN · On-site
$30 - $34/hr
Medical
Dental
Vision
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
Indianapolis, IN · On-site
$30 - $34/hr
Medical
Dental
Vision
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
Fort Wayne, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ... Health Nurse Practitioner (PMHNP) with an active Indiana license and DEA who has inpatient ...
Fort Wayne, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
Unit supported by Utilization Review (UR) and Social Worker * Established leadership and ... Health Nurse Practitioner (PMHNP) with an active Indiana license and DEA who has inpatient ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
Indianapolis, IN · On-site
Retirement
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Indianapolis, IN · On-site
Retirement
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
The Nurse Practitioner will accurately document patient interactions in the electronic health record, participate in utilization review processes to ensure patient care and collaborate with ...
Indianapolis, IN · On-site
Retirement
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Indianapolis, IN · On-site
Retirement
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Indianapolis, IN · On-site
Retirement
... thorough review of the total resources available to patient pre and post-discharge from ... N experience preferredHoursMonday - Friday (8:30am-5:00pm)This position is on-site at RHI The ...
Quick apply
Indianapolis, IN · On-site
Retirement
... thorough review of the total resources available to patient pre and post-discharge from ... N experience preferredHoursMonday - Friday (8:30am-5:00pm)This position is on-site at RHI The ...
Indianapolis, IN · On-site
Retirement
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Indianapolis, IN · On-site
Retirement
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
Columbus, IN · On-site
Nurse Practitioner (NP) Location: Columbus, Indiana Facility: Indiana Treatment Centers Employment ... Participate in interdisciplinary treatment-team meetings, utilization reviews, compliance ...
Columbus, IN · On-site
Nurse Practitioner (NP) Location: Columbus, Indiana Facility: Indiana Treatment Centers Employment ... Participate in interdisciplinary treatment-team meetings, utilization reviews, compliance ...
$67.6K - $79.6K
3% of jobs
$79.6K - $91.7K
7% of jobs
$91.7K - $103.8K
12% of jobs
$104.7K is the 25th percentile. Wages below this are outliers.
$103.8K - $115.8K
34% of jobs
$115.8K - $127.9K
9% of jobs
$138.3K is the 75th percentile. Wages above this are outliers.
$127.9K - $140K
12% of jobs
$140K - $152K
6% of jobs
$152K - $164.1K
5% of jobs
$164.1K - $176.2K
5% of jobs
$176.2K - $188.2K
3% of jobs
$188.2K - $200.3K
3% of jobs
$67.6K
$127.9K
$200.3K
To thrive as a Nurse Practitioner Utilization Review, you need advanced clinical knowledge, current NP licensure, and expertise in reviewing medical records for appropriateness of care. Familiarity with utilization management software, ICD-10/CPT coding, and case management systems is typically required, along with relevant certifications such as URAC or CCM. Strong analytical thinking, attention to detail, effective written communication, and collaboration skills help you excel in evaluating care plans and working with multi-disciplinary teams. These abilities ensure accurate assessment of healthcare services, optimal resource use, and regulatory compliance within healthcare organizations.
A Nurse Practitioner Utilization Review typically spends their day evaluating patient records, determining medical necessity of treatments, and ensuring care meets established guidelines and payer requirements. This role involves frequent collaboration with physicians, case managers, and insurance representatives to clarify or appeal decisions as needed. You may also participate in team meetings, develop recommendations for optimizing utilization, and provide education to clinical staff regarding documentation or policy changes. The work is often remote or office-based, with a predictable schedule and minimal direct patient contact. This structure allows for a balanced workload and a focus on analytical aspects of patient care.
A Nurse Practitioner Utilization Review (NP UR) job involves evaluating medical records to ensure treatments are medically necessary, cost-effective, and compliant with healthcare guidelines. NP UR professionals work with insurance companies, healthcare organizations, or government agencies to review patient care decisions, approve or deny claims, and recommend alternative treatments when needed. They use clinical expertise to assess whether services align with best practices and healthcare policies. This role is typically non-clinical, involving case reviews, documentation, and collaboration with healthcare providers. It helps improve patient care efficiency while controlling costs.
The most popular types of Nurse Practitioner Utilization Review jobs in Indiana are:
For Nurse Practitioner Utilization Review jobs in Indiana, the most frequently searched job titles are:
The top searched job categories for Nurse Practitioner Utilization Review jobs in Indiana are:

7.2
Based on 14 frontline employees who took The Breakroom Quiz
428th of 1,059 rated hospitals
SALARY / 8:00am - 5:00pm / with on-call, weekend, & holiday rotation required
ELIGIBLE FOR $2,000 SIGN-ON BONUS!
JOB REQUIREMENTS EDUCATION Minimum: Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing with case management certification
LICENSE/CERTIFICATION Licensed RN in State of Indiana. Certification plan in place within 24 months of hire.
EXPERIENCE Minimum: 2-3 years of acute care clinical experience Preferred: 3-5 years of acute care clinical experience with strong knowledge of medical necessity criteria and payer requirements
JOB DUTIES
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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Health care and social assistance
1,001 - 5,000 Employees
Seymour, IN, US
1911