... the Manager and Director, including ensuring appropriate utilization and denial management. QUALIFICATIONS * Bachelor's Degree in Nursing required * Active Indiana Registered Nurse (RN) license ...
... the Manager and Director, including ensuring appropriate utilization and denial management. QUALIFICATIONS * Bachelor's Degree in Nursing required * Active Indiana Registered Nurse (RN) license ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I Utilization Management Representative I Location : This ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
The Utilization Management Representative I is responsible for coordinating cases for ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
The Utilization Management Representative I is responsible for coordinating cases for ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Utilization Management Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and holidays. Must be able to commit to training requirements, which is Monday-Friday for 8 hours/day for ...
Registered Nurse Utilization Review
Carmel, IN · On-site +1
$50 - $52/hr
Utilization Management Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and holidays. Must be able to commit to training requirements, which is Monday-Friday for 8 hours/day for ...
Utilization Management Representative I - Backoffice Support
Indianapolis, IN · On-site
$15.96 - $23.94/hr
Utilization Management Representative I - Backoffice Support Utilization Management Representative ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I - Backoffice Support
Indianapolis, IN · On-site
$15.96 - $23.94/hr
Utilization Management Representative I - Backoffice Support Utilization Management Representative ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I - Backoffice Support
Indianapolis, IN · On-site
$15.96 - $23.94/hr
Utilization Management Representative I - Backoffice Support Location : This role enables ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Management Representative I - Backoffice Support
Indianapolis, IN · On-site
$15.96 - $23.94/hr
Utilization Management Representative I - Backoffice Support Location : This role enables ... Unless specified as primarily virtual by the hiring manager, associates are required to work at an ...
Utilization Review Specialist
Indianapolis, IN · On-site
$55 - $75/hr
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
Utilization Review Specialist
Indianapolis, IN · On-site
$55 - $75/hr
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
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 ...
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 ...
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
Quick apply
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
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 ...
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 ...
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
Utilization Review Specialist
Indianapolis, IN · On-site
$60 - $80/hr
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
Utilization Review Specialist
Indianapolis, IN · On-site
$60 - $80/hr
What You Will Do As the Utilization Review Specialist, you will be responsible for managing prior authorizations, medical necessity reviews, and payer-related requirements for specialty medications.
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
New
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
New
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
New
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
New
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
New
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
New
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
New
Performs utilization review and case management support on complex members * Provides support over the phone, through messaging and video to support chronic disease management * Offers peer-to-peer ...
New
Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable. Skills: Must have strong ...
Certified Case Manager (CCM) or Accredited Case Manager (ACM) preferred. Basic Life Support (BLS) and Handle with Care (HWC) obtained during orientation, if applicable. Skills: Must have strong ...
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 ...
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 ...
Utilization Manager information
See Indianapolis, IN salary details
$37.3K - $48.4K
9% of jobs
$56.7K is the 25th percentile. Wages below this are outliers.
$48.4K - $59.6K
22% of jobs
$59.6K - $70.8K
11% of jobs
The median wage is $77.6K / yr.
$70.8K - $81.9K
14% of jobs
$81.9K - $93.1K
12% of jobs
$100.1K is the 75th percentile. Wages above this are outliers.
$93.1K - $104.3K
13% of jobs
$104.3K - $115.4K
13% of jobs
$115.4K - $126.6K
5% of jobs
$126.6K - $137.8K
2% of jobs
$137.8K - $148.9K
0% of jobs
$148.9K - $160.1K
0% of jobs
$37.3K
$87K
$160.1K
How much do utilization manager jobs pay per year?
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?
What are some common challenges faced by utilization managers, and how can they be addressed?
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.
What are popular job titles related to Utilization Manager jobs in Indianapolis, IN?
For Utilization Manager jobs in Indianapolis, IN, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Indianapolis, IN look for?
The top searched job categories for Utilization Manager jobs in Indianapolis, IN are:
What cities near Indianapolis, IN are hiring for Utilization Manager jobs?
Cities near Indianapolis, IN with the most Utilization Manager job openings:

Full-time
Posted 12 days ago
Franciscan Health rating
6.9
Based on 273 frontline employees who took The Breakroom Quiz
497th of 898 rated healthcare providers
Job description
The Supervisor Utilization Management is responsible for the direct supervision of the daily operations of the Centralized Utilization Management department in order to assure that utilization management needs are addressed. This position ensures appropriate staffing levels, ongoing educational opportunities, and employee satisfaction to maintain operational commitment. The Supervisor maintains and enhances relationships with internal and external customers and peers across the continuum in order to facilitate excellent outcomes for patients and Franciscan.
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Maintain inter- and intra-departmental communications, special projects, programs, policies, and procedures as well as care management services.
Participate and educate team in performance improvement initiatives. Implement processes to satisfaction with those we are privileged to serve.
Coordinate and maintain compliance with HFAP, state and federal agencies pertaining to Utilization/Denial management activities.
Supervise direct reports and manage the performance of individuals through ongoing coaching, feedback, and development to motivate, engage and drive a high performing team.
Make decisions for direct reports in assigned function and performs people management activities, such as, performance evaluations, disciplinary actions, staff planning, and interviews.
Supervise and maintain Utilization Management operations in collaboration with the Manager and Director, including ensuring appropriate utilization and denial management.
QUALIFICATIONS
Bachelor's Degree in Nursing required
Active Indiana Registered Nurse (RN) license required
5 years of Nursing/Patient Care required
2 years of Utilization or Case Management experience preferred
TRAVEL IS REQUIRED:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on thebenefit section of our career site, jobs.franciscanhealth.org.
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