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Remote Utilization Review Rn Jobs in Fishers, IN

Sedgwick

RN Field Case Manager

Indianapolis, IN · On-site +1

$74.60K - $94.60K/yr

... RN Field Case Manager This Field Case Manager will cover our Indianapolis, IN region and must live ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Indianapolis, IN · On-site +1

$74.60K - $94.60K/yr

... RN Field Case Manager This Field Case Manager will cover our Indianapolis, IN region and must live ... remote work environment that allows face to face interaction with injured workers and medical ...

Humana

Care Coordinator, RN Field Based

Cumberland, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Lawrence, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Greenwood, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Clermont, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Cumberland, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Greenwood, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

Humana

Care Coordinator, RN Field Based

Greenwood, IN · Remote

Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours ... Your recorded screen will be reviewed, and you will subsequently be informed if you will be moving ...

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Remote Utilization Review Rn information

See Fishers, IN salary details

$20

$39

$64

How much do remote utilization review rn jobs pay per hour?

As of May 31, 2026, the average hourly pay for remote utilization review rn in Fishers, IN is $39.58, according to ZipRecruiter salary data. Most workers in this role earn between $31.30 and $45.43 per hour, depending on experience, location, and employer.

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

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges Remote Utilization Review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

What is a Remote Utilization Review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What is the difference between Remote Utilization Review Rn vs Remote Case Manager Rn?

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are popular job titles related to Remote Utilization Review Rn jobs in Fishers, IN? For Remote Utilization Review Rn jobs in Fishers, IN, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Fishers, IN look for? The top searched job categories for Remote Utilization Review Rn jobs in Fishers, IN are:
What cities near Fishers, IN are hiring for Remote Utilization Review Rn jobs? Cities near Fishers, IN with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
RN Field Case Manager

RN Field Case Manager

Sedgwick

Indianapolis, IN • On-site, Remote

$74.60K - $94.60K/yr

Full-time

Medical, Dental, Retirement, PTO

Posted 24 days ago

Sedgwick rating

7.5

Company rating: 7.5 out of 10

Based on 305 frontline employees who took The Breakroom Quiz

193rd of 259 rated insurance

Job description

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve.

Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies

Certified as a Great Place to Work

Fortune Best Workplaces in Financial Services & Insurance

RN Field Case Manager

This Field Case Manager will cover our Indianapolis, IN region and must live in this area in order to be considered. Must have as least 1.5 years of prior Field Case Manager workers compensation experience.

PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return-to-work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home-based office.

ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work.

  • Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury.
  • Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals.
  • Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting.
  • Enable our Caring counts mission supporting injured employees from some of the world's best brands and organizations.
  • Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
  • Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more.
  • Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.

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ESSENTIAL RESPONSIBLITIES MAY INCLUDE

  • Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process.
  • Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation.
  • Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source

EDUCATION AND LICENSING

RN licensure preferred; or bachelor's degree in health or human services field required with one of the following certifications: CCM, CDMS, orCRC. Valid driver's license required. High speed internet required. Employment may be contingent upon successful completion of a motor vehicle record (MVR) check.

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

TAKING CARE OF YOU BY

  • Offering a blended work environment.
  • Supporting meaningful work that promotes critical thinking and problem solving.
  • Providing on-going learning and professional growth opportunities.
  • Promoting a strong team environment and a culture of support.
  • Recognizing your successes and celebrating your achievements.
  • We offer a diverse and comprehensive benefits package including:
    • Three Medical, and two dental plans to choose from.
    • Tuition reimbursement eligible.
    • 401K plan that matches 50% on every $ you put in up to the first 6% you save.
    • 4 weeks PTO your first full year.

NEXT STEPS

If your application is selected to advance to the next round, a recruiter will be in touch.

#nurse #fieldcasemanager

Sedgwickis an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.

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