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Remote Utilization Review Nurse Practitioner Jobs in Indiana

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Remote Utilization Review Nurse Practitioner information

What is a remote utilization review nurse practitioner?

A Remote Utilization Review Nurse Practitioner is a licensed advanced practice nurse who evaluates the necessity, efficiency, and appropriateness of healthcare services, treatments, and hospital admissions, typically from a remote or home-based setting. They review patient medical records to ensure care meets established guidelines and insurance requirements, helping to control costs and ensure quality care. Their role often involves collaborating with physicians, insurance companies, and healthcare facilities to determine coverage and recommend alternative treatments when necessary. Working remotely, they rely heavily on electronic health records and telecommunication tools to perform their duties.

How does a remote utilization review nurse practitioner typically collaborate with healthcare teams while working offsite?

Remote Utilization Review Nurse Practitioners frequently collaborate with interdisciplinary teams through virtual meetings, secure messaging platforms, and electronic health record (EHR) systems. They work closely with physicians, case managers, and insurance representatives to review patient care plans, ensure medical necessity, and support appropriate resource utilization. Despite working remotely, maintaining clear communication and timely documentation is essential for seamless coordination and decision-making. Many organizations provide robust digital tools and regular team check-ins to facilitate collaboration and support remote staff.

What are the key skills and qualifications needed to thrive as a remote utilization review nurse practitioner, and why are they important?

To thrive as a Remote Utilization Review Nurse Practitioner, you need an advanced nursing degree (NP), active state licensure, and strong knowledge of clinical guidelines and insurance criteria. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) are often required. Critical thinking, strong communication, and a detail-oriented approach set top performers apart in this remote role. These skills ensure accurate, compliant, and efficient review of patient care while supporting healthcare cost management and patient advocacy.

What is the difference between Remote Utilization Review Nurse Practitioner vs Telehealth Nurse Practitioner?

AspectRemote Utilization Review Nurse PractitionerTelehealth Nurse Practitioner
CertificationsNP license, possibly certification in utilization reviewNP license, general telehealth certifications
Work EnvironmentReviewing medical records, insurance data remotelyProviding patient care via telehealth platforms
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, telehealth companies

The main difference is that Remote Utilization Review Nurse Practitioners focus on reviewing medical necessity and insurance claims remotely, while Telehealth Nurse Practitioners provide direct patient care via telehealth platforms. Both roles require NP licensure, but their daily tasks and work environments differ significantly.

What cities in Indiana are hiring for Remote Utilization Review Nurse Practitioner jobs?

Cities in Indiana with the most Remote Utilization Review Nurse Practitioner job openings:

Infographic showing various Remote Utilization Review Nurse Practitioner 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.

Nurse Practitioner (PRN) - In-Home Health Assessments

Matrix Medical Network

Bloomington, IN โ€ข Remote

$1.8K - $11K/mo

Full-time, Per diem

Retirement

Re-posted 14 days ago


Job description

Overview

About Us

Matrix Medical Network pioneered the first national in-home clinical network, and today we’re an independent provider of comprehensive health assessments serving people across the nation. We deliver exceptional, personalized care that improves health, lowers costs, and empowers people to live their best lives. With deep roots in clinical assessment and care management services, our national network of clinicians breaks through traditional barriers to care by meeting those members wherever they call home. We help older adults and other at-risk individuals enjoy a better quality of care, experience improved health outcomes, and identify chronic conditions that may otherwise go undiagnosed.

Our job opportunities allow you to leverage your expertise and compassion to make a direct impact on the health and well-being of others. Join our team and be rewarded with competitive compensation and flexible scheduling while making a difference in the community!


Responsibilities

About the Role

During a visit that can last up to one hour, Matrix providers review and observe a member’s current health, medical history, medication adherence, social environment and other risks. This provides unmatched insight into a member’s overall health and well-being that can be difficult to capture during routine office visits. The Matrix Comprehensive Health Assessment (CHA) helps to improve quality of care and allows us to potentially close multiple care gaps with a single visit. Our providers:

  • Conduct adult / geriatric assessments to include medical history, diagnosis and treatment, health education, physician referrals, case management referrals, follow-up and clear documentation according to Matrix guidelines and protocols
  • Administer and order point of care and lab-based testing as needed
  • Work with physicians, case managers, social workers, family members, key caregivers, and ancillary medical personnel as appropriate
  • Collaborate with Primary Care Physician (PCP) on patient education and follow up as necessary
  • Provide services at the member’s place of residence which can be in their homes or Skilled Nursing Facilities

 

Benefits of Working at Matrix

 

  • Flexibility – Visits are scheduled based on YOUR availability. We conduct assessments Sunday – Saturday from 8 am – 7 pm. You can work during the day, evening, and/or weekend based on your schedule.
  • Competitive Pay – Earn income based on the number of assessments you complete. Increase your earning potential by offering greater availability and traveling to see members outside your home location. Those completing a monthly average of 20 – 100 visits earn $1,800 – $11,500 per month. This is based on the per assessment completion rate range of $90 – $115 depending on your state of residence.  
  • Benefits – Including mileage reimbursement, 401(k), employee referral bonuses, and limited voluntary benefits.
  • Education and Support – We invest in YOU! In addition to comprehensive onboarding training we will assign you a preceptor, provide 1:1 feedback, and offer free access to earn continuing education.
  • Additional Licensure – Should business need exist; we will support you in obtaining additional state licensure and credentialing in neighboring states – or others you may want to visit while completing health assessments.
  • Full-time (FT) Opportunities – Our PRN providers can transition to FT roles supporting their home location, or a state or region – and receive a FT sign on bonus.

Qualifications

Skills & Experience That Shine

  • Master’s Degree or commensurate experience and satisfactory completion of NP licensure
  • Current NP licensure in state of practice to include prescription authority or the ability to obtain prescriptive authority as needed
  • AANP, AACN, or ANCC board certification in Adult, Adult Gerontology Primary Care, Adult Gerontology Acute Care, Family, Emergency, or Acute Care specialty
  • Current BLS, ACLS or CPR certification
  • 1 year of NP experience
  • Able to travel up to 80-90% of the time for extended periods of time to include overnight travel and weekends across the assigned state and possibly neighboring states
  • Valid state driver's license for the state of residence
  • Automobile insurance coverage requiring for the state of residence (or ability to obtain)
    • Bodily Injury:  $100,000 per person/$300,000 per incident
    • Property Damage: $50,000
    • Collision and comprehensive deductibles:  $1,000 or less
  • Strong computer skills and familiarity with employee health/medical record software
  • Excellent verbal and written communication skills

The Matrix Culture

  • Leading With Empathy & Trust – We believe in each other, which empowers all of us to connect with purpose and transparency. We take action from a place of trusting our peers, and we always have each other’s best interests at heart.
  • Diversity & Inclusion – The potential of our company is based on the diversity of experiences and backgrounds of everyone who works at Matrix. That’s why we’re proud of our diverse and talented team.
  • Committed to Career Advancement – The strength of our company is in its people. We’re committed to career progression and fostering an environment where employees can grow and thrive. By investing in our clinical and corporate teams, we enhance individual capabilities and strengthen the organization.

Matrix Medical Network is an Equal Employment Opportunity Employer. It is the policy of Matrix to provide equal employment opportunities without regard to race, color, religion, sex, gender identity or expression, pregnancy, age, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law. It is also the policy of Matrix that qualified individuals with disabilities receive equal opportunity in regard to job application procedures, hiring, and all aspects of the employment process. Matrix is committed to the full inclusion of all qualified individuals. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of Matrix to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship.  If reasonable accommodation is needed to participate in the job application or interview process, pre-employment testing, to otherwise participate in the selection process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact MatrixHR@matrixhealth.net.

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