RN Case Manager
Michigan City, IN · On-site
Inpatient Care Manager II The Inpatient Care Manager II is critical for working with assigned ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
RN Case Manager
Michigan City, IN · On-site
Inpatient Care Manager II The Inpatient Care Manager II is critical for working with assigned ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
RN Case Manager
Michigan City, IN · On-site
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
RN Case Manager
Michigan City, IN · On-site
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
RN Case Manager
Michigan City, IN · On-site
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
RN Case Manager
Michigan City, IN · On-site
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
RN Case Manager
Michigan City, IN · On-site
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
RN Case Manager
Michigan City, IN · On-site
... Manager II is critical for working with assigned patients, including assessing, facilitating ... utilization, care planning quality, and facilitates discharge planning on admission and concurrent ...
Be Seen First
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Brief Description of Duties: This position is reserved for a ... This individual's primary role is to ensure that health care services are administered with quality ...
Quick apply
Be Seen First
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Brief Description of Duties: This position is reserved for a ... This individual's primary role is to ensure that health care services are administered with quality ...
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... This individual's primary role is to ensure that health care services are administered with quality ...
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... This individual's primary role is to ensure that health care services are administered with quality ...
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... This individual's primary role is to ensure that health care services are administered with quality ...
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... This individual's primary role is to ensure that health care services are administered with quality ...
RN Care Manager
Evansville, IN · On-site
$85K - $95K/yr
RN Care Manager - NO Weekends | M-F Schedule | Evansville, IN 📍 Evansville, IN | Full-Time | Day ... Perform utilization review (UR) and payer communication * Support hospital goals: reduce LOS ...
Quick apply
RN Care Manager
Evansville, IN · On-site
$85K - $95K/yr
RN Care Manager - NO Weekends | M-F Schedule | Evansville, IN 📍 Evansville, IN | Full-Time | Day ... Perform utilization review (UR) and payer communication * Support hospital goals: reduce LOS ...
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... This individual's primary role is to ensure that health care services are administered with quality ...
Quick apply
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... This individual's primary role is to ensure that health care services are administered with quality ...
Previous Utilization Management, Population Health, or Case Management experience is preferred. Take the next step in your career with IU Health, where you can make a difference in patient care!
Previous Utilization Management, Population Health, or Case Management experience is preferred. Take the next step in your career with IU Health, where you can make a difference in patient care!
Care Manager RN
Valparaiso, IN · On-site
Hours: 7:30am-4pm 40 hours per week Job Summary The Care Manager - RN is responsible for ... continued hospital stay, and utilization of diagnostic services. * Collaborates with ...
Care Manager RN
Valparaiso, IN · On-site
Hours: 7:30am-4pm 40 hours per week Job Summary The Care Manager - RN is responsible for ... continued hospital stay, and utilization of diagnostic services. * Collaborates with ...
Nurse Case Manager Lead
Indianapolis, IN · On-site
Assists with development of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and ...
Nurse Case Manager Lead
Indianapolis, IN · On-site
Assists with development of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and ...
... P of Care Management and Team. * Provides education to nursing staff. ;eadership team, and ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
... P of Care Management and Team. * Provides education to nursing staff. ;eadership team, and ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
... P of Care Management and Team. * Provides education to nursing staff. ;eadership team, and ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
... P of Care Management and Team. * Provides education to nursing staff. ;eadership team, and ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
RN Care Manager
Evansville, IN · On-site
$85K - $95K/yr
Participate actively in team meetings, quality improvement projects, and utilization review ... Familiarity with managed care environments, quality metrics, and cost-effective care models.
Quick apply
RN Care Manager
Evansville, IN · On-site
$85K - $95K/yr
Participate actively in team meetings, quality improvement projects, and utilization review ... Familiarity with managed care environments, quality metrics, and cost-effective care models.
... P of Care Management and Team. * Provides education to nursing staff. ;eadership team, and ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
... P of Care Management and Team. * Provides education to nursing staff. ;eadership team, and ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
RN Care Manager
Evansville, IN · On-site
$85K - $95K/yr
Participate actively in team meetings, quality improvement projects, and utilization review ... Familiarity with managed care environments, quality metrics, and cost-effective care models.
Quick apply
RN Care Manager
Evansville, IN · On-site
$85K - $95K/yr
Participate actively in team meetings, quality improvement projects, and utilization review ... Familiarity with managed care environments, quality metrics, and cost-effective care models.
... P of Care Management and Team. * Provides education to nursing staff. ;eadership team, and ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
... P of Care Management and Team. * Provides education to nursing staff. ;eadership team, and ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Utilization Care Manager information
What does a utilization manager do?
A utilization care manager evaluates healthcare services to ensure they are necessary, appropriate, and cost-effective. They review patient cases, coordinate with healthcare providers, and use medical records and guidelines to optimize resource use and improve patient outcomes.
How does a Utilization Care Manager typically collaborate with medical and administrative teams to ensure effective patient care?
Utilization Care Managers work closely with physicians, nursing staff, and administrative teams to review patient cases, determine medical necessity, and coordinate appropriate care plans. They frequently participate in interdisciplinary meetings, communicate with insurance providers regarding authorizations, and ensure compliance with regulatory guidelines. This collaborative approach helps to optimize resource utilization, improve patient outcomes, and support smooth transitions of care. Being proactive in communication and documentation is key to success in this role.
What are Utilization Care Managers?
Utilization Care Managers are healthcare professionals responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They work to ensure that patients receive the right care at the right time, while also helping healthcare organizations manage costs and comply with regulations. Utilization Care Managers often review patient cases, coordinate with medical staff, and interact with insurance companies to authorize or deny services. Their goal is to optimize healthcare delivery, reduce unnecessary procedures, and improve patient outcomes.
Is being a MOA a good entry level job?
A Medical Office Assistant (MOA) role is often considered an entry-level position in healthcare, requiring basic administrative and clinical skills. It provides experience in patient communication, medical records, and office procedures, which can serve as a foundation for advanced healthcare roles. However, career growth may require additional certifications or training.
What jobs pay 4000 a week without a degree?
Utilization Care Managers typically do not earn $4,000 weekly without specialized experience or certifications. High-paying roles that can reach this level without a degree often include skilled trades such as commercial pilots, real estate brokers, or sales managers, which may require licensing or extensive experience. Most jobs paying this amount without a degree involve specialized skills, certifications, or significant experience in the field.
What are the key skills and qualifications needed to thrive as a Utilization Care Manager, and why are they important?
To thrive as a Utilization Care Manager, you need a background in healthcare, typically as a registered nurse or social worker, with expertise in care coordination and utilization review. Familiarity with utilization management software, medical necessity guidelines (such as Milliman or InterQual), and knowledge of insurance regulations are important. Strong analytical thinking, attention to detail, and effective communication skills help you advocate for patients while working with healthcare teams and payers. These skills ensure appropriate resource use, quality patient outcomes, and compliance with regulatory standards.
What is the difference between Utilization Care Manager vs Utilization Review Nurse?
| Aspect | Utilization Care Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | RN, case management certification | RN, certification in utilization review |
| Work Environment | Healthcare facilities, insurance companies | Hospitals, insurance companies, outpatient clinics |
| Primary Focus | Coordinating patient care, managing resources | Reviewing medical necessity, approving treatments |
Utilization Care Managers focus on coordinating patient care and managing resources, while Utilization Review Nurses primarily evaluate medical necessity for treatments. Both roles require nursing credentials and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.
What is the highest paying healthcare administration job?
In healthcare administration, executive roles such as Chief Executive Officer (CEO), Chief Operating Officer (COO), and Chief Financial Officer (CFO) tend to have the highest salaries, often exceeding six figures annually. These positions require extensive experience, leadership skills, and often advanced degrees like an MBA or healthcare administration certification.
What are popular job titles related to Utilization Care Manager jobs in Indiana? For Utilization Care Manager jobs in Indiana, the most frequently searched job titles are:
- No Experience Utilization Management Nurse
- Registered Nurse Utilization Review
- Remote Utilization Review Rn
- Vice President Behavioral Health Utilization Review
- Remote Behavioral Health Utilization Review
- Remote Utilization Management Pharmacist
- Manager Utilization Management
- Remote Cvs Utilization Management Nurse
- Permanent Remote Pain Management Nurse
What job categories do people searching Utilization Care Manager jobs in Indiana look for? The top searched job categories for Utilization Care Manager jobs in Indiana are:
What cities in Indiana are hiring for Utilization Care Manager jobs? Cities in Indiana with the most Utilization Care Manager job openings:
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Franciscan Health rating
6.8
Based on 266 frontline employees who took The Breakroom Quiz
492nd of 884 rated healthcare providers
Job description
Inpatient Care Manager II
The Inpatient Care Manager II is critical for working with assigned patients, including assessing, facilitating, planning, and advocating health needs on an individual basis. In this role you will perform admission screening for all patients in a bed for medical necessity, reviews for appropriateness of setting, utilization, care planning quality, and facilitates discharge planning on admission and concurrent basis.
With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
What You Can Expect- Schedule: 3 days a week, 7:30am-4:00pm (every 7th weekend and 1 holiday)
- Maintain accurate, concise and timely documentation in EPIC and DOC flowsheets for discharge planning and payer authorization.
- Act as liaison and coordinates with hospital multidisciplinary team, post-discharge providers and patient/family with the transition of care.
- Comply with all accrediting bodies, governmental agencies, and third-party payer requirements related to discharge planning and mandated reporting.
- Collaborate with the care team (nursing, provider, social worker, ancillary team members) to individualize treatment plans to address any patient care needs in order to achieve defined goals for improved patient outcomes.
- Complete patient assessment to develop discharge plans, identifying the post-discharge needs of the patient and target appropriate resources for follow-up care, in collaboration with the patient, family and multidisciplinary care team to make the transition upon discharge seamless as possible for patients' continuum of care, minimizing risk for readmission. Integrating insurance, financial resources, clinical picture, functional capacity, availability of resources to assure a safe appropriate discharge.
- Work with quality department to improve the quality of care in acute and ambulatory settings.
- Educate patient and family about the identified care needs, disease specific information and care, post-acute.
- Associate degree in Nursing required
- Bachelor's Degree in Nursing preferred
- Indiana Registered Nurse (RN) required
- Certified Case Manager (CCM) preferred
- 5 years of Nursing/Patient Care experience preferred
- 2 years of Case Management experience preferred
Travel is required: Never or Rarely
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity.
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