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Utilization Management Nurse Jobs in Indiana (NOW HIRING)

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Utilization Management Nurse information

See Indiana salary details

$37.1K

$85.1K

$155.1K

How much do utilization management nurse jobs pay per year?

As of Sep 7, 2026, the average yearly pay for utilization management nurse in Indiana is $85,148.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,400.00 and $99,400.00 per year, depending on experience, location, and employer.

What is a utilization management nurse?

A Utilization Management Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients. They review medical records and treatment plans to ensure that care meets established guidelines and is cost-effective. Utilization Management Nurses work with healthcare providers, insurance companies, and patients to coordinate care and prevent unnecessary procedures or hospitalizations. Their goal is to support high-quality patient care while managing healthcare costs.

What does a utilization management nurse do?

A utilization management nurse ensures that healthcare services are administered appropriately. Their job responsibilities include working in a hospital, health practice, or other clinical setting reviewing patient clinical records, drafting clinical appeals, and overseeing staff members. The qualifications for a utilization management nurse include a nursing degree and a registered nursing license. Most people in this job also have career experience in case management and utilization review.

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

To thrive as a Utilization Management Nurse, you need a registered nursing license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical management software, InterQual or Milliman guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, communication, and negotiation skills help you coordinate with providers and advocate for patients. These competencies ensure appropriate resource use, compliance with regulations, and optimal patient outcomes.

What are some common challenges a utilization management nurse faces when coordinating care between providers and insurance companies?

A Utilization Management Nurse often navigates the challenge of balancing patient advocacy with insurance guidelines, ensuring that care recommendations meet both clinical standards and payer requirements. Communicating complex medical information to both providers and insurance representatives can be demanding, especially when there are disagreements about coverage or medical necessity. Additionally, staying updated on changing policies and maintaining thorough documentation under tight deadlines are frequent aspects of the role. Strong collaboration skills and attention to detail are essential for success in this position.

What is the difference between Utilization Management Nurse vs Case Manager?

AspectUtilization Management NurseCase Manager
CredentialsRN license, certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, community health agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning

Utilization Management Nurses primarily focus on reviewing medical necessity and approving healthcare services, while Case Managers coordinate patient care and facilitate discharge planning. Both roles require RN licensure and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.

What are the most commonly searched types of Utilization Management Nurse jobs in Indiana?

The most popular types of Utilization Management Nurse jobs in Indiana are:

What cities in Indiana are hiring for Utilization Management Nurse jobs?

Cities in Indiana with the most Utilization Management Nurse job openings:

What are popular job titles related to Utilization Management Nurse jobs in IN?

For Utilization Management Nurse jobs in IN, the most frequently searched job titles are:

Infographic showing various Utilization Management Nurse job openings in Indiana as of August 2026, with employment types broken down into 60% Full Time, and 40% Part Time. Highlights an 100% In-person job distribution, with an average salary of $85,148 per year, or $40.9 per hour.

Registered Nurse Case Management

Ascension

Evansville, IN • On-site

$84K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,047 frontline employees who took The Breakroom Quiz

420th of 898 rated healthcare providers


Job description

Your future role at a glance 

Location: Evansville, IN

Facility: Ascension St. Vincent

Department/Specialty: Case Management

Schedule: Full Time | M-F 8am - 4:30pm | Weekend and Holiday rotation as needed


Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.


Benefits that help you thrive
  • Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
  • Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
  • Time to recharge: pro-rated paid time off (PTO) and holidays
  • Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
  • Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
  • Family support: parental leave, adoption assistance and family benefits
  • Other benefits: optional legal and pet insurance, transportation savings and more


How you’ll make an impact in this role
  • Design Holistic Care Plans: Create personalized plans of care from admission to discharge that incorporate patient and family preferences, removing barriers to ensure smooth transitions across every stage of treatment.

  • Advocate for Patient Needs and Resources: Serve as a bridge between patients, multidisciplinary teams, and post-acute care providers, connecting families with vital resources to support long-term recovery.

  • Evaluate and Support Appropriate Levels of Care: Conduct ongoing clinical assessments to ensure patients receive the exact level of care they need while optimizing health plan benefits and clinical resource utilization.

  • Guide Multidisciplinary Collaboration: Maintain active, continuous communication with physicians, care transition teams, and payers to align on treatment plans and keep patient outcomes moving forward efficiently.


What minimum requirements you’ll need

Licensure / Certification / Registration:

  • Registered Nurse obtained prior to hire date or job transfer date required.
  • Certified Case Manager credentialed from the Commission for Case Manager Certification (CCMC) preferred. ACM also accepted.

Education:

  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire.

What additional preferences we're seeking

Three (3) or more years of recent acute care nursing experience.
Two (2) or more years of hospital case management, utilization management, or care coordination experience preferred.

Current ACM-RN, CCM preferred


Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer participates in the Electronic Employment Verification Program. Please click here for more information.


What Ascension Healthcare employees say

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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US