UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
Minimum of 2 years of utilization review experience in a hospital setting required ... Minimum of 2 years of case management experience, including discharge planning in a hospital ...
... 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 ...
... 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 ...
... 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 ...
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:
UR contacts external case managers/managed care organizations for certification of insurance ... Previous utilization review experience in a psychiatric healthcare facility preferred. * License:
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 ...
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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 ...
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 ...
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 ...
UTILIZATION REVIEW RN
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 REVIEW RN
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 REVIEW RN
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
UTILIZATION REVIEW RN
Seymour, IN · On-site
Bachelors Degree in Nursing with case management certification LICENSE/CERTIFICATION Licensed RN in ... Utilization Review and Medical Necessity * Concurrent Review and Length of Stay Management
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 ...
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 ...
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 ...
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 ...
... 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 ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Equipment Manager
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 ...
Equipment Manager
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 ...
Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...
Become a part of our caring community The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent ...
Medical Management Specialist - Remote to Indiana
Indianapolis, IN · On-site
$18 - $19.25/hr
May collaborate with external community-based organizations to facilitate and coordinate care under the direction of an RN Case Manager. * Responsibilities exclude conducting any utilization ...
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Medical Management Specialist - Remote to Indiana
Indianapolis, IN · On-site
$18 - $19.25/hr
May collaborate with external community-based organizations to facilitate and coordinate care under the direction of an RN Case Manager. * Responsibilities exclude conducting any utilization ...
About the Role As a CBRE IoT Product Manager supporting a large Life Sciences/ Pharmaceutical ... Define and execute a strategic vision for IoT-enabled space utilization monitoring across lab and ...
About the Role As a CBRE IoT Product Manager supporting a large Life Sciences/ Pharmaceutical ... Define and execute a strategic vision for IoT-enabled space utilization monitoring across lab and ...
May also manage appeals for services denied. * Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with ...
May also manage appeals for services denied. * Conducts pre-certification, inpatient, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with ...
Utilization Manager information
See Indiana salary details
$37.1K - $48.2K
9% of jobs
$56.4K is the 25th percentile. Wages below this are outliers.
$48.2K - $59.3K
22% of jobs
$59.3K - $70.5K
11% of jobs
The median wage is $77.3K / yr.
$70.5K - $81.6K
14% of jobs
$81.6K - $92.7K
12% of jobs
$99.6K is the 75th percentile. Wages above this are outliers.
$92.7K - $103.8K
13% of jobs
$103.8K - $114.9K
13% of jobs
$114.9K - $126K
5% of jobs
$126K - $137.2K
2% of jobs
$137.2K - $148.3K
0% of jobs
$148.3K - $159.4K
0% of jobs
$37.1K
$86.6K
$159.4K
How much do utilization manager jobs pay per year?
As of Aug 12, 2026, the average yearly pay for utilization manager in Indiana is $86,603.00, according to ZipRecruiter salary data. Most workers in this role earn between $56,600.00 and $104,200.00 per year, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a utilization manager?
To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.
What are some common challenges faced by utilization managers, and how can they be addressed?
Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.
What is a utilization manager?
A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.
What is the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found in similar settings, often working under Utilization Managers |
In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.
More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Indiana? The most popular types of Utilization jobs in Indiana are:
What are popular job titles related to Utilization Manager jobs in Indiana? For Utilization Manager jobs in Indiana, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Indiana look for? The top searched job categories for Utilization Manager jobs in Indiana are:
What cities in Indiana are hiring for Utilization Manager jobs? Cities in Indiana with the most Utilization Manager job openings:
What are popular job titles related to Utilization Manager jobs in IN? For Utilization Manager jobs in IN, the most frequently searched job titles are:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 22 days ago
LifePoint Health rating
6.0
Based on 271 frontline employees who took The Breakroom Quiz
748th of 887 rated healthcare providers
Job description
Your experience matters
At Brentwood Springs , we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. In your role, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members. We believe that our collective efforts will shape a healthier future for the communities we serve.
What we offer
Fundamental to providing great care is supporting and rewarding our team. In addition to your base compensation, this position also offers:
- Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
- Competitive Paid Time Off
- Employee Assistance Program - mental, physical, and financial wellness assistance
- Tuition Reimbursement/Assistance for qualified applicants
- And much more...
About Us
People are our passion and purpose. Brentwood Springs is a 48 bed hospital located in Newburgh, IN and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters
How you'll contribute
Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to determine legitimacy of admission, treatment, and length of stay and interfaces with managed care organizations, external reviewers and other payers. UR advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric or emotional disorders to managed care providers for necessary treatment. UR contacts external case managers/managed care organizations for certification of insurance benefits throughout the patient's stay and assists the treatment team in understanding the insurance company's requirements for continued stay and discharge planning.
Qualifications and requirements
- Education: Bachelor's degree required. Master's degree preferred.
- Experience: Previous utilization review experience in a psychiatric healthcare facility preferred.
- License: Current unencumbered clinical license strongly preferred.
- Additional Requirements: CPR certification and Crisis Prevention Training (CPI) preferred.
Essential Functions:
- Displays knowledge of clinical criteria, managed care requirements for inpatient and outpatient authorization and advocates on behalf of the patient to secure coverage for needed services
- Completes pre and re-certifications for inpatient and outpatient services. Reports appropriate denial, and authorization information to designated resource.
- Actively communicates with interdisciplinary team to acquire pertinent information and give updates on authorizations.
- Participate in treatment teams to ensure staff have knowledge of coverage and to collect information for communication with agencies.
- Works with DON to ensure documentation requirements are met.
- Ensure appeals are completed thoroughly and on a timely basis.
- Interface with managed care organizations, external reviews, and other payers.
- Communicate with physicians to schedule peer to peer reviews.
- Accurately report denials.
EEOC Statement:
Brentwood Springs is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.
What LifePoint Health employees say
Pay
Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About LifePoint Health
Sourced by ZipRecruiter
Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Brentwood, TN, US
Year founded
1999