The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
Quick apply
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
Quick apply
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. Performs medical review activities pertaining to utilization review ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR contacts external case managers/managed care organizations for certification of insurance ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR contacts external case managers/managed care organizations for certification of insurance ...
Munster, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Munster, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Munster, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Munster, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Hobart, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Hobart, IN · On-site
The Physician Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR contacts external case managers/managed care organizations for certification of insurance ...
... you'll contribute Utilization Review Specialist facilitates clinical reviews on all patient ... UR contacts external case managers/managed care organizations for certification of insurance ...
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Hobart, IN · On-site
$52.89 - $78.85/hr
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Hobart, IN · On-site
$52.89 - $78.85/hr
The Provider Advisor will provide clinical expertise to support utilization management (UM) and quality initiatives within the healthcare setting. Key responsibilities include conducting clinical ...
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
... utilization management, and patient safety initiatives Collaborate with hospital leadership, nursing, and medical staff committees Support implementation of clinical protocols, policies, and best ...
... utilization management, and patient safety initiatives Collaborate with hospital leadership, nursing, and medical staff committees Support implementation of clinical protocols, policies, and best ...
Participate in quality improvement, utilization management, and patient safety initiatives*Collaborate with hospital leadership, nursing, and medical staff committees*Support implementation of ...
Participate in quality improvement, utilization management, and patient safety initiatives*Collaborate with hospital leadership, nursing, and medical staff committees*Support implementation of ...
Marion, IN · On-site +1
$68K - $145K/yr
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...
New
Marion, IN · On-site +1
$68K - $145K/yr
Summary The Revenue Utilization Review (RUR) nurse is under the supervision of the Nurse Manager and ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope ...
New
Evansville, IN · On-site
$28.71 - $40.19/hr
Minimum of two (2) years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital Preferred Certification/License/Experience: * BSN
Evansville, IN · On-site
$28.71 - $40.19/hr
Minimum of two (2) years performing utilization review, charge audit, case management or similar functions in an acute care or specialty hospital Preferred Certification/License/Experience: * BSN
Indianapolis, IN · On-site
Participate in quality improvement, utilization management, and patient safety initiatives *Collaborate with hospital leadership, nursing, and medical staff committees *Support implementation of ...
Indianapolis, IN · On-site
Participate in quality improvement, utilization management, and patient safety initiatives *Collaborate with hospital leadership, nursing, and medical staff committees *Support implementation of ...
Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization ...
Offer office education during the entire access process which may include formulary coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization ...
Lebanon, IN · On-site
Cost Control and Utilization Management • Monitor equipment utilization daily to identify underutilized, idle, or duplicate equipment across work fronts. • Analyze utilization data and recommend ...
Lebanon, IN · On-site
Cost Control and Utilization Management • Monitor equipment utilization daily to identify underutilized, idle, or duplicate equipment across work fronts. • Analyze utilization data and recommend ...
$37.1K - $47.8K
15% of jobs
$47.8K - $58.6K
8% of jobs
$60.1K is the 25th percentile. Wages below this are outliers.
$58.6K - $69.3K
15% of jobs
The median wage is $76.1K / yr.
$69.3K - $80K
20% of jobs
$80K - $90.7K
11% of jobs
$96.1K is the 75th percentile. Wages above this are outliers.
$90.7K - $101.5K
13% of jobs
$101.5K - $112.2K
5% of jobs
$112.2K - $122.9K
3% of jobs
$122.9K - $133.7K
4% of jobs
$133.7K - $144.4K
3% of jobs
$144.4K - $155.1K
3% of jobs
$37.1K
$85.1K
$155.1K
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.
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.
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.

Full-time
Retirement
Posted 21 days ago
The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for 2025-2026 and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness. RHI is the only Traumatic Brain Injury (TBI) Model System in the state of Indiana and one of only 16 in the U.S We offer a competitive compensation and benefits package, along with a 401k match and tuition reimbursement program.
Summary:
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful transition to the discharge setting and or goal achievement, and durability of outcome.
Essential Functions
Education and Experience
Hours
The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.
Sourced by ZipRecruiter
Health care and social assistance
501 - 1,000 Employees
Indianapolis, IN, US
1992