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Part Time Utilization Review Social Worker Jobs in Indiana

Social Worker The Veterans Health Administration is seeking Social Workers to support VA facilities ... Multiple; full-time, part-time, and/or intermittent schedules may be available Remote: No Telework:

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Part Time Utilization Review Social Worker information

How to make $100,000 as a social worker?

To earn $100,000 as a part-time utilization review social worker, gaining specialized certifications, such as in healthcare or mental health, can increase earning potential. Working in high-demand settings, taking on additional hours, or advancing to supervisory roles can also help reach higher income levels while maintaining a part-time schedule.

Can social workers work in utilization review?

Yes, social workers can work in utilization review roles, where they assess the necessity and appropriateness of healthcare services. These positions often require knowledge of healthcare policies, strong communication skills, and sometimes certification in medical or healthcare social work. Utilization review social workers evaluate patient records and collaborate with healthcare teams to ensure proper care management.

What is a good second career for a social worker?

A social worker, including a part-time utilization review social worker, can transition into careers such as case management, healthcare administration, or mental health counseling, leveraging skills in assessment, communication, and advocacy. Certifications in related fields or additional training can facilitate this shift, and experience with documentation and client interaction is valuable in many alternative roles.

Can you make $200,000 as a social worker?

Part Time Utilization Review Social Workers typically earn less than $200,000 annually, as this salary level is more common in senior or specialized roles within healthcare or administrative settings. Achieving such a high income usually requires extensive experience, advanced certifications, or management positions, which are less common in part-time roles.
What are the most commonly searched types of Utilization Review Social Worker jobs in Indiana? The most popular types of Utilization Review Social Worker jobs in Indiana are:
What are popular job titles related to Part Time Utilization Review Social Worker jobs in Indiana? For Part Time Utilization Review Social Worker jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Part Time Utilization Review Social Worker jobs in Indiana look for? The top searched job categories for Part Time Utilization Review Social Worker jobs in Indiana are:
What cities in Indiana are hiring for Part Time Utilization Review Social Worker jobs? Cities in Indiana with the most Part Time Utilization Review Social Worker job openings:
Registered Nurse - Utilization Review

Registered Nurse - Utilization Review

Trinity Health

Mishawaka, IN • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago


Trinity Health rating

6.5

Company rating: 6.5 out of 10

Based on 353 frontline employees who took The Breakroom Quiz

605th of 890 rated healthcare providers


Job description

Employment Type:
Part timeShift:
Rotating Shift
Description:
This is a remote position but will need onsite training in Mishawaka Indiana.
Shift: PRN/Days - 8 hr shift
Considering local candidates only!!!
Why Choose Saint Joseph Health System?
  • At Saint Joseph Health System, our values guide every decision we make. Even when challenges arise, we remain committed to our mission: caring for every person who needs us. We invest in our people, our technology, and our capabilities so we can continue delivering exceptional, compassionate care to our communities.

What We Offer
  • Tuition reimbursement for all full-time and part-time colleagues starting on day one
  • Comprehensive benefits beginning day one (Medical, Dental, Vision, PTO, Life Insurance, STD/LTD, and more)
  • Retirement savings plan with employer match
  • Generous paid time off program plus 7 paid holidays
  • No mandatory overtime
  • Employee referral incentive program
  • Access to state-of-the-art equipment, unlimited CEUs, and a supportive team-focused work environment
What You Will Do
  • Conduct clinical reviews of patient records to evaluate medical necessity, appropriateness of admission, treatment, and length of stay across all payor types
  • Apply standardized criteria, regulatory guidelines, and insurance requirements to support reimbursement and compliance
  • Collaborate with physicians, nursing staff, and interdisciplinary teams to ensure appropriate resource utilization and care planning
  • Review admissions and ongoing patient cases; recommend or escalate cases that do not meet criteria to leadership or the Utilization Review Committee
  • Facilitate timely discharges, transfers, and recertifications when level of care is no longer appropriate
  • Partner with Medicare, Medicaid, and private insurers to ensure accurate documentation and reimbursement processes
  • Respond to denials and authorization changes by reviewing medical records and communicating outcomes to care teams and patients
  • Identify trends and utilization concerns; contribute to performance improvement and quality initiatives
  • Maintain accurate records, compile reports, and support utilization review program operations
  • Provide education to clinical staff on documentation requirements, coverage guidelines, and utilization processes
  • Support compliance with all regulatory, accreditation, and organizational standards
  • Participate in committee meetings and assist in development of utilization review plans and processes

What You Will Need
  • Graduate of an accredited Registered Nurse (RN) program; Bachelor's Degree in Nursing preferred
  • Active RN license (state-specific requirement applies)
  • Minimum of 2 years of acute care nursing experience
  • Prior utilization review, case management, or payer review experience preferred
  • Strong knowledge of Medicare, Medicaid, and commercial insurance guidelines
  • Solid understanding of clinical care practices, diagnoses, treatment modalities, and hospital operations
  • Excellent communication skills with the ability to collaborate effectively across teams
  • Strong analytical and critical thinking skills to assess clinical appropriateness and compliance
  • Proficiency in computer systems and Microsoft Office applications
  • Ability to manage multiple priorities in a fast-paced healthcare environment
  • Flexibility to adapt to changing schedules, workflows, and departmental needs

Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

Pay

Benefits

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US