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Utilization Management Jobs in Fort Wayne, IN (NOW HIRING)

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Utilization Management information

See Fort Wayne, IN salary details

$38.5K

$88.3K

$160.8K

How much do utilization management jobs pay per year?

As of Sep 7, 2026, the average yearly pay for utilization management in Fort Wayne, IN is $88,288.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,600.00 and $103,100.00 per year, depending on experience, location, and employer.

What is utilization management?

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 key skills and qualifications needed to thrive in utilization management, 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 degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

What are the most commonly searched types of Utilization Management jobs in Fort Wayne, IN?

The most popular types of Utilization Management jobs in Fort Wayne, IN are:

What are popular job titles related to Utilization Management jobs in Fort Wayne, IN?

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

What job categories do people searching Utilization Management jobs in Fort Wayne, IN look for?

The top searched job categories for Utilization Management jobs in Fort Wayne, IN are:

What cities near Fort Wayne, IN are hiring for Utilization Management jobs?

Cities near Fort Wayne, IN with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Fort Wayne, IN as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 92% In-person, 3% Hybrid, and 5% Remote job distribution, with an average salary of $88,288 per year, or $42.4 per hour.

Utilization Assistant

Maple Heights Behavioral Health

Fort Wayne, IN • On-site

Per diem

This job post has expired today. Applications are no longer accepted.

Job description

Overview

This is a PRN position.

PURPOSE STATEMENT: 

Provide administrative support to the Utilization department. 

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Perform pre-certification and negotiate continued stay with third party payers.  
  • Gather data to support case management activities, including presentation of gathered data and case notes. 
  • Coordinate discharge planning with clinical team, maintain CRM database with discharge information and follow up. 
  • Present case information and the needs of third-party payers to (?).   
  • Assist in admissions review, concurrent reviews and discharge planning. 
  • Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review.  
  • Informs management about the status of current patients; documents utilization activities as instructed. Participates in performance improvement activities.  

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • High school diploma or equivalent required.  

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Current certification as Registered Addiction Specialist, certified Substance Use Counselor or similar certification preferred.  

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Employment Type: OTHER

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