ZipRecruiter

Log In

1

Utilization Manager Jobs in Columbus, IN (NOW HIRING)

Major Hospital

UR Specialist-Non Exempt

Shelbyville, IN · On-site

Proven experience in utilization management or a related field, with a deep understanding of healthcare delivery systems and payment models. Strong knowledge of medical terminology, diagnostic and ...

RXinsider LTD.

Supply Chain Ops Mgr-ARP

Franklin, IN · On-site

$110 - $165/hr

Directs warehouse activities, including best practices for warehouse optimization and utilization * Manages raw material consumption, develops plans to maintain production needs, identifies and ...

Major Hospital

Inpatient/CDI Specialist

Shelbyville, IN · On-site

$33.25 - $44.50/hr

The Clinical Documentation Specialist also performs Utilization Management duties including: evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services ...

Major Hospital

Inpatient/CDI Specialist

Shelbyville, IN

$33.25 - $44.50/hr

The Clinical Documentation Specialist also performs Utilization Management duties including: evaluation of the medical necessity, appropriateness, and efficiency of the use of health care services ...

Amcor plc

Supply Chain Ops Mgr-ARP

Franklin, IN · On-site

Directs warehouse activities, including best practices for warehouse optimization and utilization * Manages raw material consumption, develops plans to maintain production needs, identifies and ...

Amcor

Supply Chain Ops Mgr-ARP

Franklin, IN

Directs warehouse activities, including best practices for warehouse optimization and utilization * Manages raw material consumption, develops plans to maintain production needs, identifies and ...

Reliance One

Engineering Manager

North Vernon, IN · On-site

$120K - $140K/yr

Complete and manage MPPS, spend curves, equipment utilization, capacity, and timing documentation * Develop and communicate process flows for process sourcing * Oversee sourcing and implementation of ...

Brickyard Healthcare

Unit Manager (RN)

Bloomington, IN · On-site

$34.75 - $45.75/hr

We rely on and trust our Unit Manager (RN) to provide independent supervision of the delivery of ... utilization of the nursing process. Identify needs and provide input for discharge planning and ...

Salo, Inc Career Site

RN Case Manager

Bloomington, IN · On-site

One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. OASIS experience ...

next page

Showing results 1-20

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Columbus, IN

Utilization Manager information

See Columbus, IN salary details

$36.3K

$84.6K

$155.8K

How much do utilization manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for utilization manager in Columbus, IN is $84,646.00, according to ZipRecruiter salary data. Most workers in this role earn between $55,300.00 and $101,800.00 per year, depending on experience, location, and employer.

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 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 the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound 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 Columbus, IN?

The most popular types of Utilization jobs in Columbus, IN are:

What are popular job titles related to Utilization Manager jobs in Columbus, IN?

For Utilization Manager jobs in Columbus, IN, the most frequently searched job titles are:

What job categories do people searching Utilization Manager jobs in Columbus, IN look for?

The top searched job categories for Utilization Manager jobs in Columbus, IN are:

What cities near Columbus, IN are hiring for Utilization Manager jobs?

Cities near Columbus, IN with the most Utilization Manager job openings:

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Columbus, IN as of August 2026, with employment types broken down into 83% Full Time, 13% Part Time, 1% Temporary, 1% Contract, and 2% Nights. Highlights an 80% Physical, 2% Hybrid, and 18% Remote job distribution, with an average salary of $84,646 per year, or $40.7 per hour.

Utilization Management Nurse

SIHO Insurance Services

Columbus, IN

Full-time

Re-posted 6 days ago

Job description

Job Title:  Utilization Management Nurse
Reports To: Manager of Utilization Management
Employment Type:  Full-Time, Exempt 

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 are maintained. 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 of 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 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 elevation to determinations that are rendered within the contractual and regulatory turnaround times established by SIHO and CMS
- Assist to resolve problems 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; is responsible 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 

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 while maintaining quality
- Self-directed organization 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

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.