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Remote Utilization Management Nurse Jobs in Indiana

PharmaCord LLC

Nurse Supervisor

Jeffersonville, IN · On-site +1

$50K/yr

Nurse line triage, Call Center Utilization Management, Call Center Case Management a plus. * Case management or Clinical Trial Nurse experience, a plus. * Bachelor's degree or higher strongly ...

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Remote Utilization Management Nurse information

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$20

$40

$65

How much do remote utilization management nurse jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for remote utilization management nurse in Indiana is $40.23, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 per hour, depending on experience, location, and employer.

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

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

What is a Remote Utilization Management Nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What Does a Remote Utilization Management Nurse Do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

What are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by Remote Utilization Management Nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.
More about Remote Utilization Management Nurse jobs
What are the most commonly searched types of Utilization Management Nurse jobs in Indiana? The most popular types of Utilization Management Nurse jobs in Indiana are:
What are popular job titles related to Remote Utilization Management Nurse jobs in Indiana? For Remote Utilization Management Nurse jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Management Nurse jobs in Indiana look for? The top searched job categories for Remote Utilization Management Nurse jobs in Indiana are:
What cities in Indiana are hiring for Remote Utilization Management Nurse jobs? Cities in Indiana with the most Remote Utilization Management Nurse job openings:
Remote Utilization Management Nurse jobs near you
Infographic showing various Remote Utilization Management Nurse job openings in Indiana as of July 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $83,687 per year, or $40.2 per hour.
Registered Nurse - Patient Care Coordinator (Hybrid, 1-2 days/week onsite)

Registered Nurse - Patient Care Coordinator (Hybrid, 1-2 days/week onsite)

Jane Pauley Community Health Center, Inc.

Indianapolis, IN • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 4 days ago

Jane Pauley Community Health Center rating

7.5

Company rating: 7.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

Job description

Empowering communities through accessible, inclusive, and compassionate care, this is the work we do every day.
At Jane Pauley Community Health Center, every role is connected to something bigger. As a Federally Qualified Health Center (FQHC), we deliver integrated, whole-person care to individuals and families across Indiana, regardless of income or insurance status.
Our teams work at the intersection of clinical excellence and community impact, supporting underserved populations while building a culture rooted in collaboration, respect, and growth. Here, you are not just joining a workplace, you are becoming part of a mission that truly matters.
Must live within a reasonable distance of the Indianapolis area to commute to the office 1-2 days/week.
We are currently seeking a Patient Care Coordinator (RN) to join our team. This role is ideal for a registered nurse who is passionate about care coordination, patient advocacy, and driving quality improvement. The Patient Care Coordinator works closely with providers, staff, and external partners to ensure smooth care transitions, support chronic disease management, and improve patient outcomes.
Job Summary
The Patient Care Coordinator is an essential member of the practice care team, working under the direction of the Practice Manager. This role supports health promotion, disease prevention and management, patient education, nursing care planning, and coordination of care with both internal teams and external facilities. The position is hybrid-remote, with work arrangements tailored to the needs of the RN and JPCHC leadership.
Job Responsibilities (include but are not limited to):
Patient Advocacy & Care Coordination
  • Serve as a patient advocate, helping patients navigate the healthcare system
  • Provide patient education using evidence-based practice and JPCHC-approved resources
  • Support patient self-care management of disease and behavior modification interventions
  • Coordinate continuity of care between primary and specialty providers, hospitals, ERs, and JPCHC teams
  • Conduct telephonic outreach to patients post-hospitalization, discharge, or ER visit
  • Manage care transitions for high-risk patients, ensuring timely follow-up appointments
  • Perform phone triage, medication refills, and prior authorizations within scope of licensure
  • Document all patient interactions accurately and consistently in the EMR

Quality Improvement & Clinical Support
  • Participate in quality improvement (QI) initiatives and provide feedback on clinical best practices
  • Monitor closure of care gaps, quality metrics, overdue labs, and abnormal results
  • Perform proactive outreach to patients due for preventive screenings
  • Support pre-visit planning with providers and staff
  • Assist with data collection, outcomes reporting, clinical audits, and program evaluation related to Patient-Centered Medical Home (PCMH) and Medical Neighborhood initiatives

Preceptorship & Mentorship
  • Serve as a nurse preceptor for newly hired clinical staff or nursing students

Required Skills and Qualifications
  • Current state licensure as a Registered Nurse (RN) required
  • Graduation from an accredited nursing program required
  • Basic Life Support (BLS) certification through AHA required
  • Minimum 2 years' experience in ambulatory, triage, or acute care setting preferred
  • 2-5 years' experience in chronic disease management, case management, utilization management, or adult acute care preferred
  • 1 year of experience or knowledge of Patient-Centered Medical Home (PCMH) initiatives preferred
  • Strong critical thinking, decision-making, and problem-solving skills
  • Ability to assess patients without face-to-face interaction
  • Excellent communication and organizational skills
  • Knowledge of Indiana Nurse Practice Act

Why You'll Love Working Here
  • Purpose-driven work that directly impacts access to care across our communities
  • Robust benefits package (medical, dental, vision) designed to support you and your family
  • Generous PTO because we believe caring for others starts with caring for yourself
  • 401(k) with employer contribution to help you plan for what's ahead
  • Life and disability coverage for peace of mind

Here, you are not just filling a role-you are helping shape healthier communities and advancing equitable care every day!

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