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Remote Aetna Utilization Review Jobs in Indiana (NOW HIRING)

CVS Health

Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... We will be reviewing applications on a rolling basis with the opportunity tentatively closing on ...

CVS Health

Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... We will be reviewing applications on a rolling basis with the opportunity tentatively closing on ...

CVS Health

Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... We will be reviewing applications on a rolling basis with the opportunity tentatively closing on ...

Ourhrconnect

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:

CVS Health

Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... We will be reviewing applications on a rolling basis with the opportunity tentatively closing on ...

CVS Health

Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... We will be reviewing applications on a rolling basis with the opportunity tentatively closing on ...

CVS Health

Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... We will be reviewing applications on a rolling basis with the opportunity tentatively closing on ...

CVS Health

Remote/Virtual (Using your own personal laptop/computer) Program Overview: * Unpaid Educational ... We will be reviewing applications on a rolling basis with the opportunity tentatively closing on ...

Ourhrconnect

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Licenses and Certifications:

CSAA

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

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All JobsAetna Utilization Review JobsRemote Aetna Utilization Review JobsRemote Aetna Utilization Review Jobs in Indiana

Remote Aetna Utilization Review information

What are the key skills and qualifications needed to thrive as a remote Aetna Utilization Review nurse?

To thrive as a Remote Aetna Utilization Review nurse, you need an active RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with Aetna's systems, utilization management software, and knowledge of medical necessity criteria such as MCG or InterQual are typically required. Excellent communication, attention to detail, and time management are vital soft skills for coordinating care and efficiently handling remote assessments. These skills ensure accurate evaluations, regulatory compliance, and optimal resource utilization in a healthcare payer setting.

What are some common challenges faced in a remote Aetna Utilization Review role and how can they be managed?

One common challenge in a remote Aetna Utilization Review position is maintaining effective communication with healthcare providers and internal teams, as much of the coordination happens virtually. To manage this, professionals often rely on secure digital communication tools and establish clear protocols for timely responses. Another challenge is staying updated with changing healthcare regulations and Aetna policies, which requires proactive learning and frequent collaboration with colleagues. Developing strong organizational skills and participating in regular virtual team meetings can help ensure efficient workflow and compliance.

What is the difference between Remote Aetna Utilization Review vs Remote UnitedHealthcare Utilization Review?

AspectRemote Aetna Utilization ReviewRemote UnitedHealthcare Utilization Review
CertificationsTypically requires nursing or healthcare-related licenses, certifications in utilization reviewSimilar licensing and certifications, often requiring nursing or healthcare credentials
Work EnvironmentRemote, healthcare insurance setting, reviewing medical necessity and coverageRemote, healthcare insurance setting, assessing medical claims and coverage appropriateness
Employer & Industry UsageUsed by Aetna insurance providers for member care managementUsed by UnitedHealthcare for claims review and member care decisions

Both Remote Aetna Utilization Review and Remote UnitedHealthcare Utilization Review involve remote assessments of medical necessity and coverage. They require similar healthcare credentials and operate within the health insurance industry, focusing on claims and member care management for their respective providers.

What is a remote Aetna Utilization Review?

Remote Aetna Utilization Review jobs involve evaluating medical necessity, appropriateness, and efficiency of healthcare services provided to Aetna members. Professionals in these roles, often nurses or clinicians, review patient records and claims remotely to ensure treatments meet established guidelines and policies. The goal is to support quality care while managing healthcare costs and preventing unnecessary procedures. These positions require clinical experience, attention to detail, and familiarity with insurance processes.
What are the most commonly searched types of Aetna Utilization Review jobs in Indiana? The most popular types of Aetna Utilization Review jobs in Indiana are:
What are popular job titles related to Remote Aetna Utilization Review jobs in Indiana? For Remote Aetna Utilization Review jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Remote Aetna Utilization Review jobs in Indiana look for? The top searched job categories for Remote Aetna Utilization Review jobs in Indiana are:
What cities in Indiana are hiring for Remote Aetna Utilization Review jobs? Cities in Indiana with the most Remote Aetna Utilization Review job openings:
Remote Aetna Utilization Review jobs near you
Infographic showing various Remote Aetna Utilization Review job openings in Indiana as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Telehealth Call Center Clinician

New Vista Behavioral Health

Indianapolis, IN • Remote

$30 - $34/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

Telehealth Call Center Clinician
Remote Opportunity (Must be Licensed in Indiana)
Shifts: 3 x 12 hours (2pm - 2 am)


Pay: $30 - $34 per hour


About New Vista:

At NewVista, we are the behavioral health experts. We strive to treat every patient with impeccable precision and care as if they are family. NewVista Behavioral Health is a forward-thinking development and operating company of behavioral health hospitals, substance abuse rehabilitation centers, and behavioral health providers serving the adult and geriatric population

Position Overview

The Telehealth Call Center Clinician provides clinical assessment, care coordination, and referral services via telehealth. This role works collaboratively with interdisciplinary teams and external providers to ensure timely, compliant, and high-quality patient care. This is a remote position for candidates licensed to practice in the state of Indiana.

Key Responsibilities

  • Conducts level-of-care assessments and completes ASAM documentation via telehealth platforms.
  • Coordinates care with interdisciplinary treatment teams and external providers, providing timely clinical updates.
  • Communicates effectively while adhering to HIPAA and 42 CFR Part 2 regulations; documents all interactions accurately.
  • Provides community resource information and facilitates “warm referrals” to support patient engagement.
  • Collaborates with utilization review staff regarding authorizations and ongoing care needs.
  • Completes comprehensive, timely documentation in compliance with organizational, clinical, and regulatory standards.
  • Demonstrates strong crisis intervention skills while maintaining patient confidentiality.
  • Maintains working knowledge of applicable clinical regulations and best practices.
  • Completes the admissions process, including verification of benefits and securing required authorizations.

Education Requirements

  • High school diploma or GED required.
  • Bachelor’s degree preferred (BSW, LSW, or RN), or
  • Master’s degree in Social Work, Counseling, or a related field with appropriate licensure.

Licensure Requirements

  • Active Indiana licensure required.
  • Eligible licenses include:
  • LSW
  • LCSW
    Why You’ll Love It Here (Full‑Time Benefits)
  • Multiple medical plan options, Vista Wellness (physician/pharmacy), Dental, Vision
  • Generous PTO and paid holidays
    401(k) with company contribution; Life and disability coverage
    Tuition reimbursement up to $15,000 and student loan forgiveness programs

Apply