What You Will Do As the Utilization Review Specialist, you will be responsible for verifying ... The IHTC research program provides patients access to new therapies, and an opportunity to improve ...
New
What You Will Do As the Utilization Review Specialist, you will be responsible for verifying ... The IHTC research program provides patients access to new therapies, and an opportunity to improve ...
New
Reviewing patient admission clinical information using clinical criteria and guidelines available ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Reviewing patient admission clinical information using clinical criteria and guidelines available ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Reviewing patient admission clinical information using clinical criteria and guidelines available ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Reviewing patient admission clinical information using clinical criteria and guidelines available ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Reviewing patient admission clinical information using clinical criteria and guidelines available ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Reviewing patient admission clinical information using clinical criteria and guidelines available ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Increase Therapy Utilization & Revenue Growth * Drive measurable increases in therapy utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.
Increase Therapy Utilization & Revenue Growth * Drive measurable increases in therapy utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.
Increase Therapy Utilization & Revenue Growth * Drive measurable increases in therapy utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.
Increase Therapy Utilization & Revenue Growth * Drive measurable increases in therapy utilization ... For further information, please review the Know Your Rights notice from the Department of Labor.
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
W/Alt UM Nurse (BHS)
Granger, IN · On-site
Critical utilization management functions during the admission phase include admission review for ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Critical utilization management functions during the admission phase include admission review for ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Critical utilization management functions during the admission phase include admission review for ... and/or Therapists. * These functions apply to associates assigned to Epworth Center only:
Therapy Coordinator
Huntington, IN · On-site
$35 - $38/hr
Medical
Dental
Vision
Life
Retirement
PTO
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Huntington, IN · On-site
$35 - $38/hr
Medical
Dental
Vision
Life
Retirement
PTO
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Huntington, IN · On-site
$35 - $38/hr
Medical
Dental
Vision
Life
Retirement
PTO
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Huntington, IN · On-site
$35 - $38/hr
Medical
Dental
Vision
Life
Retirement
PTO
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Huntington, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
Therapy Coordinator
Huntington, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... utilization review, quality assurance, resident care conferences, admissions, department head ... Must hold a degree in Physical Therapy, Physical Therapist Assistant, Occupational Therapy ...
Therapy Coordinator
Huntington, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
Therapy Coordinator
Huntington, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
As one of the nation's largest contract therapy providers, Reliant offers unmatched clinical ... utilization review, quality assurance, resident care conferences, admissions, department head ...
UR Coordinator (PRN)
Kouts, IN · On-site
... Therapy (DBT) program for children and adolescents ages 10 - 18 who struggle with emotional ... reviewers to establish the length of stay or number of certified days. • Coordinate with the ...
UR Coordinator (PRN)
Kouts, IN · On-site
... Therapy (DBT) program for children and adolescents ages 10 - 18 who struggle with emotional ... reviewers to establish the length of stay or number of certified days. • Coordinate with the ...
Reviewer - Therapy Services
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Reviewer - Therapy Services
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Reviewer - Therapy Services
Indianapolis, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Reviewer - Therapy Services
Indianapolis, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Reviewer - Therapy Services
Indianapolis, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Reviewer - Therapy Services
Indianapolis, IN · On-site
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Regional Director - Clinical Quality
Indianapolis, IN · On-site
$110 - $140/hr
Collaborate with operations, quality, compliance, nursing, medical, admissions, utilization review ... Master's degree in counseling, social work, marriage and family therapy, psychology, or a related ...
Regional Director - Clinical Quality
Indianapolis, IN · On-site
$110 - $140/hr
Collaborate with operations, quality, compliance, nursing, medical, admissions, utilization review ... Master's degree in counseling, social work, marriage and family therapy, psychology, or a related ...
Reviewer - Therapy Services - Commercial
Indianapolis, IN · On-site
$29.16 - $52.96/hr
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Reviewer - Therapy Services - Commercial
Indianapolis, IN · On-site
$29.16 - $52.96/hr
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Reviewer - Therapy Services - Commercial
Indianapolis, IN · On-site
$29.16 - $52.96/hr
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Reviewer - Therapy Services - Commercial
Indianapolis, IN · On-site
$29.16 - $52.96/hr
Medical
Dental
Vision
Life
Retirement
PTO
... review of medical records to determine if requests for therapy services (physical therapy ... Utilization Management and/or Skilled Nursing experience preferred. * Prior Authorization and ...
Therapy Utilization Review information
See Indiana salary details
$14.87 - $18.15
14% of jobs
$20.87 is the 25th percentile. Wages below this are outliers.
$18.15 - $21.44
14% of jobs
$21.44 - $24.73
17% of jobs
The median wage is $26.53 / hr.
$24.73 - $28.01
11% of jobs
$28.01 - $31.30
8% of jobs
$31.30 - $34.58
6% of jobs
$37.05 is the 75th percentile. Wages above this are outliers.
$34.58 - $37.87
7% of jobs
$37.87 - $41.15
7% of jobs
$41.15 - $44.44
5% of jobs
$44.44 - $47.72
5% of jobs
$47.72 - $51.01
5% of jobs
$14
$30
$51
How much do therapy utilization review jobs pay per hour?
As of Aug 15, 2026, the average hourly pay for therapy utilization review in Indiana is $30.39, according to ZipRecruiter salary data. Most workers in this role earn between $21.25 and $38.65 per hour, depending on experience, location, and employer.
What is the difference between Therapy Utilization Review vs Speech-Language Pathologist?
| Aspect | Therapy Utilization Review | Speech-Language Pathologist |
|---|---|---|
| Credentials | Typically requires healthcare or insurance-related certifications | Requires a master's degree in speech-language pathology and state licensure |
| Work Environment | Insurance companies, healthcare organizations, or utilization review departments | Hospitals, clinics, schools, or private practice |
| Industry Usage | Focuses on evaluating therapy necessity and coverage | Provides direct therapy services to patients with speech or language disorders |
While Therapy Utilization Review involves assessing the necessity of therapy services for insurance coverage, Speech-Language Pathologists provide direct patient care. Both roles require healthcare knowledge, but they differ in focus: one is review-based, the other is clinical service delivery.
What are some common challenges faced by professionals in therapy utilization review, and how can they be managed?
One of the main challenges in Therapy Utilization Review is balancing the clinical needs of patients with insurance guidelines and organizational policies. Professionals often need to make difficult decisions about treatment approvals while communicating effectively with both therapists and insurance providers. Staying current on clinical guidelines, maintaining strong documentation skills, and developing firm but empathetic communication abilities can help manage these challenges. Collaboration with interdisciplinary teams is also essential to ensure patients receive appropriate care while meeting regulatory requirements.
What is therapy utilization review?
Therapy Utilization Review is a process used by healthcare organizations and insurance companies to evaluate the necessity, efficiency, and appropriateness of therapy services being provided to patients. This review ensures that treatments such as physical, occupational, or speech therapy are medically necessary and align with established guidelines. The goal is to optimize patient care while managing costs and preventing overuse or misuse of therapy services. Professionals in this role review patient records, treatment plans, and progress notes, often collaborating with therapists and other healthcare providers.
What are the key skills and qualifications needed to thrive as a therapy utilization review specialist?
To thrive as a Therapy Utilization Review specialist, you need a solid background in clinical therapy practice (such as physical, occupational, or speech therapy), often supported by licensure and clinical experience. Familiarity with medical review software, electronic health records (EHRs), and utilization management systems is typically required, along with knowledge of insurance guidelines and regulatory standards. Strong analytical thinking, attention to detail, and clear communication skills help professionals effectively assess treatment plans and collaborate with both providers and payers. These skills and qualities are essential for ensuring that patients receive medically necessary, cost-effective therapy while maintaining compliance with regulations.
What are popular job titles related to Therapy Utilization Review jobs in Indiana?
For Therapy Utilization Review jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Therapy Utilization Review jobs in Indiana look for?
The top searched job categories for Therapy Utilization Review jobs in Indiana are:
- Aetna Utilization Review Nurse
- Medical Claims Review Nurse
- Freelance International Utilization Review Nurse
- From Home Anthem Utilization Review Nurse
- Remote Preservice Review Nurse
- Remote Navihealth Utilization Review
- Remote Hca Utilization Review
- Lpn Utilization Review Nurse
- Online Utilization Review
- Utilization Review Nurse Compact License
Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Job description
About IHTC
At the Innovative Hematology (IHI), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.
What You Will Do
As the Utilization Review Specialist, you will be responsible for verifying patient eligibility with payers and works in conjunction with the pharmacy staff and providers to coordinate referrals, precertification, or prior authorizations for medications.
The Opportunity
Knowledge:
Skills:
Abilities:
Requirements
Benefits
IHI is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package.
IHI is the only ederally designated comprehensive hemophilia program in Indiana, and serves the entire state through services available in Indianapolis and at outreach clinics.
IHI is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services.
IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHTC research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.
The Indiana Hemophilia and Thrombosis Center is an Equal Opportunity Employer.
At the Innovative Hematology (IHI), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.
What You Will Do
As the Utilization Review Specialist, you will be responsible for verifying patient eligibility with payers and works in conjunction with the pharmacy staff and providers to coordinate referrals, precertification, or prior authorizations for medications.
The Opportunity
- Secure appropriate medical documentation requested by third-party insurance providers.
- Verify insurance coverage for pharmacy benefits.
- Prior to expected date of service, prepare and submit precertification and prior authorizations to payers. Follow up with patients, insurance companies, pharmacy staff, and physicians regarding denials, as well as working with providers and staff to resubmit paperwork to obtain a determination.
- Notify patients, providers and front office staff prior to date of service if referrals, precertification, or prior authorizations are not approved.
- Remain up to date on outpatient billing and benefit changes for third-party insurance carriers. Maintain compliance with all government and non-government insurance company policies and procedures as they relate to outpatient services.
- Ensure correct reporting of patient diagnosis and procedure coding.
- Ensure compliance with LCD/NCDs. Communicate issues with medical necessity or other findings to providers/fellow team members, and utilization review supervisor as needed.
- Prepare and submit pharmacy claims to third party insurance carriers.
- Secure appropriate medical documentation as required by third party insurance carriers.
- Follow up with third party insurance carriers on unpaid claims or balances.
- Research payer regulations and claim guidelines on payment and claim submission criteria to ensure compliant billing practices by utilizing website and associated tools established for payers as applicable.
- Verify insurance coverage for pharmacy services prior to services being rendered.
- Ensure accurate and through documentation of steps taken to resolve prior authorization and claim issues are recorded in billing software(s).
- Monitor claims for accuracy and authorization. Communicate claim issues to team lead and/or utilization review supervisor on a regular basis.
- Work with team lead/utilization review supervisor to establish goals and communicate associated progress as needed.
Knowledge:
- Billing practices, clinic policies, and operating procedures.
- Coding and clinic operating policies.
Skills:
- Proficient in clinical and administrative software systems.
Abilities:
- Understand and interpret policies and regulations.
- Read and interpret medical charts.
- Review documents for accuracy and completeness.
- Communicate effectively and collaborate with staff and providers.
Requirements
- High school diploma or GED
- Minimum1 year related experience
Benefits
IHI is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package.
IHI is the only ederally designated comprehensive hemophilia program in Indiana, and serves the entire state through services available in Indianapolis and at outreach clinics.
IHI is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services.
IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHTC research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.
The Indiana Hemophilia and Thrombosis Center is an Equal Opportunity Employer.