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Rn Case Manager Utilization Review Jobs in Indiana

Interim Health

RN Case Manager

Bloomington, IN · On-site

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience ...

Salo, Inc Career Site

RN Case Manager

Bloomington, IN · On-site

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience ...

Salo, Inc Career Site

RN Case Manager

Bloomington, IN · On-site

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience ...

Interim HealthCare

RN Case Manager

Bloomington, IN · On-site

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience ...

Interim Health

RN Case Manager

Bloomington, IN · On-site

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience ...

Interim Health

RN Case Manager

Bloomington, IN · On-site

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience ...

Seven Healthcare

RN - Case Management

Fort Wayne, IN · On-site

$2.7K/wk

Conduct utilization review in collaboration with the care team * Complete comprehensive patient ... IN or compact RN license required * Minimum of 2 years of inpatient case manager experience

UHS

MGR - UTILIZATION REVIEW / MGMT

Bloomington, IN · On-site

... not limited to: utilization review, case documentation, payer relationships, regulatory ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...

GQR Global Markets

RN - Case Manager

Fort Wayne, IN · On-site

$2.4K - $2.5K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Fort Wayne, Indiana Start Date: September 21, 2026 Profession: Registered Nurse (RN) Facility: Hospital Estimated ...

GQR

RN - Case Manager

Fort Wayne, IN · On-site

$2.4K - $2.5K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Fort Wayne, Indiana Start Date: September 21, 2026 Profession: Registered Nurse (RN) Facility: Hospital Estimated ...

GQR Healthcare

Travel Case Management RN

Fort Wayne, IN · On-site

$2.4K - $2.5K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Fort Wayne, Indiana Start Date: September 21, 2026 Profession: Registered Nurse (RN) Facility: Hospital ...

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Rn Case Manager Utilization Review information

See Indiana salary details

$16

$47

$80

How much do rn case manager utilization review jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for rn case manager utilization review in Indiana is $47.27, according to ZipRecruiter salary data. Most workers in this role earn between $34.66 and $58.70 per hour, depending on experience, location, and employer.

What is an RN Case Manager Utilization Review?

RN Case Manager Utilization Review nurses are registered nurses who assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, collaborate with healthcare teams, and ensure that care meets established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing healthcare costs and resources. These professionals often work in hospitals, insurance companies, or other healthcare settings to support quality and cost-effective care.

How does an RN Case Manager Utilization Review collaborate with interdisciplinary teams to optimize patient care?

As an RN Case Manager Utilization Review, you will regularly work with physicians, social workers, therapists, and insurance representatives to ensure patients receive appropriate and cost-effective care. This collaboration often involves daily meetings or case conferences to discuss patient progress, discharge planning, and resource utilization. Effective communication and negotiation skills are crucial, as you’ll need to advocate for both patient needs and organizational policies. Building strong relationships with team members enhances the care coordination process and helps resolve any barriers to efficient patient care.

What are the key skills and qualifications needed to thrive as an RN Case Manager Utilization Review?

To thrive as an RN Case Manager in Utilization Review, you need a current RN license, experience in clinical nursing, and a deep understanding of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM (Certified Case Manager) or ACM (Accredited Case Manager) are often required. Strong analytical thinking, attention to detail, and effective communication skills help in collaborating with healthcare teams and advocating for appropriate patient care. These skills are crucial to ensure proper resource utilization, compliance with policies, and optimal patient outcomes.

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

AspectRn Case Manager Utilization ReviewRn Case Manager
CertificationsRN license, possibly certifications in case management or utilization reviewRN license, case management certification optional
Work EnvironmentUtilization review departments, insurance companies, hospitalsHospitals, clinics, community health settings
Primary FocusAssessing medical necessity, reviewing patient records for insurance approvalCoordinating patient care, discharge planning, case management

The main difference is that Rn Case Manager Utilization Review focuses on evaluating medical necessity for insurance purposes, while Rn Case Manager handles broader patient care coordination. Both roles require RN licensure, but their daily tasks and work environments differ significantly.

What cities in Indiana are hiring for Rn Case Manager Utilization Review jobs?

Cities in Indiana with the most Rn Case Manager Utilization Review job openings:

RN Case Manager

Bloomington, IN • On-site

Interim Health
See more jobs at Interim Healthexternal

Full-time

Posted 11 days ago

Job description

Our Registered Nurse Case Managers (RNCM) have been called to care when they're needed most. At Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients.

What we offer our Registered Nurse Case Managers (RNCM):  

Competitive pay, benefits, and incentives.

Truly flexible scheduling – a dedication to work/life balance – Full-time position

$7,500 Sign-On-Bonus

Daily Pay option available 

No Overtime Required 

1:1 patient care 

Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day. 

As a Registered Nurse Case Manager (RNCM), you will:

Conduct In Person patient interviews and comprehensive physical assessments.

Oversee the implementation and ongoing assessment of the patient's plan of care through the management of home health aides, LPNs, RNs, and other caregivers.

Communicate patient conditions and collaborate with appropriate providers to deliver care when patient needs evolve.

Provide education to patients and families on proper home health care procedures. Ie. Wound care, IV administration, medication management.

Work to decrease readmissions by promoting preventative care and ensuring continuity of care.

To qualify as a Registered Nurse Case Manager (RNCM) with us, you will need:  

Licensure: Current unrestricted license to practice as a Registered Nurse (RN) in the state associated with this position 

Current CPR/AED/BLS/First Aid certification 

Reliable transportation to/from care sites and/or work locations.

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred.

OASIS experience preferred.

Practical trach and/or ventilator experience preferred, not required.

At Interim HealthCare, we know that being our best is non-negotiable – that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.  

We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

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PandoLogic. Keywords: Medical Case Manager, Location: Bloomington, IN - 47401 , PL: 604293225