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Utilization Management Coordinator Jobs in Indiana

Clinical Denial Analyst (RN)

Evansville, IN · On-site

$28.71 - $40.19/hr

The Coordinator will prepare appeals, reports of denial activity and identify trends for the Denial ... Minimum of two (2) years performing utilization review, charge audit, case management or similar ...

Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing ... Develops project plans and identifies and coordinates resources, involving those outside the unit.

Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing ... Develops project plans and identifies and coordinates resources, involving those outside the unit.

Validation of Formulary, Utilization Management & Drug List setup using Claims/Query testing ... Develops project plans and identifies and coordinates resources, involving those outside the unit.

Responsibilities Equipment Planning and Coordination Manage and evaluate all project equipment ... Cost Control and Utilization Management Monitor equipment utilization daily to identify ...

Responsibilities Equipment Planning and CoordinationManage and evaluate all project equipment ... Cost Control and Utilization Management • Monitor equipment utilization daily to identify ...

Works in partnership with the Care Manager and physician to incorporate an interdisciplinary approach to support continuity of care and identified needs, utilization management, transfer coordination ...

Works in partnership with the Care Manager and physician to incorporate an interdisciplinary approach to support continuity of care and identified needs, utilization management, transfer coordination ...

Works in partnership with the Care Manager and physician to incorporate an interdisciplinary approach to support continuity of care and identified needs, utilization management, transfer coordination ...

Works in partnership with the Care Manager and physician to incorporate an interdisciplinary approach to support continuity of care and identified needs, utilization management, transfer coordination ...

Showing results 21-40

Utilization Management Coordinator information

See Indiana salary details

$15

$28

$44

How much do utilization management coordinator jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for utilization management coordinator in Indiana is $28.17, according to ZipRecruiter salary data. Most workers in this role earn between $20.34 and $32.93 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a utilization management coordinator?

To thrive as a Utilization Management Coordinator, you need a background in healthcare or nursing, knowledge of medical terminology, and experience in case management or utilization review, often supported by a relevant degree or certification (such as RN or LPN). Familiarity with utilization management software, electronic health records (EHRs), and insurance authorization platforms is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this role. These capabilities ensure accurate review of medical cases, compliance with regulations, and efficient coordination between providers, payers, and patients.

What does a utilization management coordinator do?

A Utilization Management Coordinator is responsible for reviewing and assessing healthcare services to ensure that patients receive appropriate care while managing costs for healthcare providers or insurance companies. They evaluate medical records, coordinate with healthcare professionals, and help determine if certain treatments or procedures are medically necessary according to established guidelines. Their goal is to optimize the use of healthcare resources, prevent unnecessary treatments, and support quality patient outcomes.

How does a utilization management coordinator typically collaborate with clinical staff and insurance providers?

A Utilization Management Coordinator serves as a vital link between healthcare providers, clinical staff, and insurance companies. They regularly communicate with physicians and nurses to gather clinical information, review treatment plans, and ensure that proposed services meet medical necessity criteria. Coordinators also interact with insurance providers to obtain pre-authorizations, clarify coverage policies, and appeal denied claims when appropriate. Effective collaboration and strong communication skills are essential, as the role requires balancing the needs of patients, providers, and payers while ensuring timely and cost-effective care.
What are the most commonly searched types of Utilization Management jobs in Indiana? The most popular types of Utilization Management jobs in Indiana are:
What cities in Indiana are hiring for Utilization Management Coordinator jobs? Cities in Indiana with the most Utilization Management Coordinator job openings:
Infographic showing various Utilization Management Coordinator job openings in Indiana as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $58,602 per year, or $28.2 per hour.

$16 - $21/hr

Full-time

Posted 9 days ago


Jane Pauley Community Health Center rating

7.5

Company rating: 7.5 out of 10

Based on 8 frontline employees who took The Breakroom Quiz


Job description

We are currently seeking a Patient Care Coordinator (RN) to join our team. This role is ideal for a registered nurse who is passionate about care coordination, patient advocacy, and driving quality improvement. The Patient Care Coordinator works closely with providers, staff, and external partners to ensure smooth care transitions, support chronic disease management, and improve patient outcomes. 

Job Summary

The Patient Care Coordinator is an essential member of the practice care team, working under the direction of the Practice Manager. This role supports health promotion, disease prevention and management, patient education, nursing care planning, and coordination of care with both internal teams and external facilities. The position is hybrid-remote, with work arrangements tailored to the needs of the RN and JPCHC leadership.

Job Responsibilities (include but are not limited to):

Patient Advocacy & Care Coordination

  • Serve as a patient advocate, helping patients navigate the healthcare system
  • Provide patient education using evidence-based practice and JPCHC-approved resources
  • Support patient self-care management of disease and behavior modification interventions
  • Coordinate continuity of care between primary and specialty providers, hospitals, ERs, and JPCHC teams
  • Conduct telephonic outreach to patients post-hospitalization, discharge, or ER visit
  • Manage care transitions for high-risk patients, ensuring timely follow-up appointments
  • Perform phone triage, medication refills, and prior authorizations within scope of licensure
  • Document all patient interactions accurately and consistently in the EMR

Quality Improvement & Clinical Support

  • Participate in quality improvement (QI) initiatives and provide feedback on clinical best practices
  • Monitor closure of care gaps, quality metrics, overdue labs, and abnormal results
  • Perform proactive outreach to patients due for preventive screenings
  • Support pre-visit planning with providers and staff
  • Assist with data collection, outcomes reporting, clinical audits, and program evaluation related to Patient-Centered Medical Home (PCMH) and Medical Neighborhood initiatives

Preceptorship & Mentorship

  • Serve as a nurse preceptor for newly hired clinical staff or nursing students

Required Skills and Qualifications

  • Current state licensure as a Registered Nurse (RN) required
  • Graduation from an accredited nursing program required
  • Basic Life Support (BLS) certification through AHA required
  • Minimum 2 years' experience in ambulatory, triage, or acute care setting preferred
  • 2-5 years' experience in chronic disease management, case management, utilization management, or adult acute care preferred
  • 1 year of experience or knowledge of Patient-Centered Medical Home (PCMH) initiatives preferred
  • Strong critical thinking, decision-making, and problem-solving skills
  • Ability to assess patients without face-to-face interaction
  • Excellent communication and organizational skills
  • Knowledge of Indiana Nurse Practice Act

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