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Utilization Management Jobs in Indiana (NOW HIRING)

UHS

Utilization Management Specialist

Plymouth, IN · On-site

Responsibilities Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens ...

UHS

Utilization Management Specialist

Plymouth, IN

Responsibilities Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens ...

UHS

Utilization Management Specialist

Plymouth, IN · On-site

Responsibilities Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens ...

UHS

Utilization Management Specialist

Plymouth, IN · On-site

Responsibilities Utilization Management Specialist - Full-time Michiana Behavioral Health (a UHS facility) Michiana Behavioral Health offers respectful, dignified care to adults, children and teens ...

HHC

UTILIZATION REVIEW SPECIALIST

Indianapolis, IN

FLSA Status Non-Exempt Job Role Summary The Utilization Review Specialist interacts with customers ... management, and retro-authorizations Research and responds provider inquires concerning ...

MISO

Manager Resource Utilization

Carmel, IN · On-site

$166K - $191K/yr

As MISO's Manager - Resource Utilization, you will lead a team at the center of critical transmission planning and interconnection activities that directly impact grid reliability, market efficiency ...

219 Health Network

U.M. Tech

Hobart, IN · On-site

Utilization Management Technician Assigns admission codes for DRG assignment, coordinates Utilization Management Committee physician advisor review activities, assists the Director with preparation ...

New

Powers Health

U.M. Tech

Hobart, IN · On-site

Assigns admission codes for DRG assignment, coordinates Utilization Management Committee physician advisor review activities, assists the Director with preparation for the Utilization Management ...

Powers Health

U.M. Tech

Hobart, IN · On-site

$18.95 - $30.92/hr

Assigns admission codes for DRG assignment, coordinates Utilization Management Committee physician advisor review activities, assists the Director with preparation for the Utilization Management ...

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All JobsUtilization Management JobsUtilization Management Jobs in Indiana

Utilization Management information

See Indiana salary details

$37.1K

$85.1K

$155.1K

How much do utilization management jobs pay per year?

As of Jun 9, 2026, the average yearly pay for utilization management 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 are the key skills and qualifications needed to thrive in the Utilization Management position, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is a Utilization Management job?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a Utilization Management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

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 are popular job titles related to Utilization Management jobs in Indiana? For Utilization Management jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Indiana look for? The top searched job categories for Utilization Management jobs in Indiana are:
What cities in Indiana are hiring for Utilization Management jobs? Cities in Indiana with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Indiana as of May 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 83% In-person, and 17% Remote job distribution, with an average salary of $85,148 per year, or $40.9 per hour.
Utilization Management Nurse

Utilization Management Nurse

SIHO Insurance Services, Inc.

Columbus, IN • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

Job Title: Utilization Management Nurse
Reports To: Manager of Utilization Management

Brief Description of Duties:
This position is reserved for a licensed Registered Nurse who will perform the Utilization Management (UM) services for SIHO (and affiliated business lines’) members. This individual’s primary role is to ensure that health care services are administered with quality, cost effectiveness, and compliance to plan guidelines. By performing review of services prospectively, retrospectively, and throughout the episode of care, the UM nurse will make coverage determinations influencing how services are allocated to SIHO’s various member populations. A candidate’s ability to perform quality reviews within strict efficiency standards is required for this position. Key responsibilities are as follows:

  • Pre-service, concurrent, and post-service review for medical necessity of health care services utilizing enrollee medical records and established guidelines set by SIHO and/or state and federal (CMS) guidelines
  • Interaction with the member, health care provider, and/or other care team members to complete reviews in most time-efficient manner
  • Interaction with the SIHO Medical Director or external Medical Reviewers as needed to ensure proper medical necessity decisions are made in a timely manner
  • Appropriate documentation of the entire review process utilizing the established documentation system and desk procedures to guarantee accurate reporting metrics and data integrity
  • Complete case review and manage turnaround times to assure determinations are rendered within the contractual and regulatory turnaround times established by SIHO and CMS
  • Assist in problem resolution and provide guidance to members of the team and cohorts
  • Interpret and abide by organizational policies and procedures; review work regularly to ensure that policies and guidelines are appropriately applied
  • Act as a clinical resource to the department and other organization members for services pertaining to medical management, utilization review, and medical necessity
  • Act and perform within the scope of professional nursing practice; display responsibility in supporting and participating in department strategies and efforts focused on quality improvement
  • Responsible for the early identification and assessment of members for inclusion in disease management or care management programs
  • Assist in the identification and reporting of Potential Quality of Care concerns and Fraud, Waste and Abuse incidents
  • Work as an interdisciplinary team member within Medical Management for all lines of business and commercial group plans
  • Show effective prioritization, efficiency and accuracy of work product in alignment with department goals.

Minimum Skills Requirement:

  • Registered Nurse with current, unrestricted license in primary state of employment (position may require additional licensing in other states as necessary)
  • Previous UM or Health Plan experience highly preferred
  • Desire to work in a fast-paced environment with focus on efficiency and attention to detail while maintaining quality
  • Self-directed organizational and prioritization skills, and independent time management skills required
  • Sound clinical background with experience in the clinical field
  • Excellent verbal and written communication skills
  • Microsoft Office Experience: Outlook, Word, Excel

Company Description

Our Vision
SIHO Insurance Services will be the premier healthcare delivery system administration company, known and respected for its Insurance high quality people, innovative products and outstanding services.