2

Remote Cvs Utilization Management Nurse Jobs in Indiana

Utilization Management Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and ... Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job ...

next page

Showing results 1-20

Remote Cvs Utilization Management Nurse information

What is the difference between Remote Cvs Utilization Management Nurse vs Remote Cvs Case Manager?

AspectRemote Cvs Utilization Management NurseRemote Cvs Case Manager
CredentialsRN license, certifications in utilization reviewRN license, case management certification
Work EnvironmentUtilization review teams, insurance companiesPatient advocacy, care coordination teams
Employer & IndustryHealth insurance, managed care organizationsHealth insurance, healthcare providers

Both roles require RN licensure and related certifications, but the Utilization Management Nurse focuses on reviewing medical necessity and approving services, while the Case Manager emphasizes coordinating patient care and discharge planning. Understanding these differences helps job seekers find the right fit within the healthcare and insurance industries.

What are the most commonly searched types of Cvs Utilization Management Nurse jobs in Indiana?

The most popular types of Cvs Utilization Management Nurse jobs in Indiana are:

What cities in Indiana are hiring for Remote Cvs Utilization Management Nurse jobs?

Cities in Indiana with the most Remote Cvs Utilization Management Nurse job openings:

Infographic showing various Remote Cvs Utilization Management Nurse job openings in Indiana as of July 2026, with employment types broken down into 57% Full Time, 40% Part Time, and 3% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution.

Utilization Management Supervisor

Franciscan Alliance

Indianapolis, IN • Remote

Full-time

Posted 8 days ago


Franciscan Health rating

6.8

Company rating: 6.8 out of 10

Based on 272 frontline employees who took The Breakroom Quiz

498th of 898 rated healthcare providers


Job description

Work From HomeWork From Home Work From Home, Indiana 46544

The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan.

WHO WE ARE

With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.

WHAT YOU CAN EXPECT

  • Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.

  • Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve.

  • Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.

  • Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.

  • Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.

  • Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.

QUALIFICATIONS

  • Bachelor's Degree in Nursing required

  • Active Indiana Registered Nurse (RN) license required

  • 5 years of Nursing/Patient Care required

  • 2 years of Utilization or Case Management experience preferred

TRAVEL IS REQUIRED:

Up to 20%JOB RANGE:Supervisor Utilization Management: $82,347.20 - $113, 235.20INCENTIVE:Not Applicable

EQUAL OPPORTUNITY EMPLOYER

It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.

Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.

Franciscan Alliance is committed to equal employment opportunity.

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on thebenefit section of our career site, jobs.franciscanhealth.org.


What Franciscan Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom