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Nurse Practitioner Utilization Review Jobs in Indiana

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Nurse Practitioner Utilization Review information

See Indiana salary details

$67.6K

$127.9K

$200.3K

How much do nurse practitioner utilization review jobs pay per year?

As of Sep 4, 2026, the average yearly pay for nurse practitioner utilization review in Indiana is $127,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $105,600.00 and $145,100.00 per year, depending on experience, location, and employer.

What is a nurse practitioner utilization review?

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.

What are common day-to-day responsibilities for a nurse practitioner utilization review?

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.

What are the key skills and qualifications needed to thrive in the nurse practitioner utilization review position, and why are they important?

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.

What are the most commonly searched types of Nurse Practitioner Utilization Review jobs in Indiana?

The most popular types of Nurse Practitioner Utilization Review jobs in Indiana are:

What are popular job titles related to Nurse Practitioner Utilization Review jobs in Indiana?

For Nurse Practitioner Utilization Review jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Nurse Practitioner Utilization Review jobs in Indiana look for?

The top searched job categories for Nurse Practitioner Utilization Review jobs in Indiana are:

Nurse Practitioner Utilization Review jobs near you
Infographic showing various Nurse Practitioner Utilization Review job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 1% Temporary, and 4% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $127,861 per year, or $61.5 per hour.

Utilization Reviewer (UR) - Fulltime

Rehabilitation Hospital of Indiana

Indianapolis, IN • On-site

Full-time

Retirement

This job post has expired today. Applications are no longer accepted.

Job description

The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for 2025-2026 and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness. RHI is the only Traumatic Brain Injury (TBI) Model System in the state of Indiana and one of only 16 in the U.S We offer a competitive compensation and benefits package, along with a 401k match and tuition reimbursement program.
Summary:
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful transition to the discharge setting and or goal achievement, and durability of outcome.
Essential Functions
  • Assesses all of patient's payer sources for rehabilitation course, determines resources available for patient, and ensures maximal use of available health coverage resources for each patient.
  • Completes pre-certification and prior authorization timely for admission and or services.
  • Documents all insurance information appropriately on forms and in computer system as applicable.
  • Functions as liaison with payer representatives to manage the rehabilitation process in keeping with the patient's financial resources, including verification of benefits for this and future settings.
  • Completes retro authorizations as applicable and ensures follow through relative to authorizations for all services through the complete revenue cycle.
  • Other duties as assigned.

Education and Experience
  • Greater than two (2) years of UR experience with a strong clinical background and competence with a rehabilitation population
  • Bachelor's degree in related field with 3-5 years' experience
  • LPN or RN experience preferred

Hours
  • Monday - Friday (8:30am-5:00pm)
  • This position is on-site at RHI

The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.

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