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Utilization Review Assistant Jobs in Fort Wayne, IN

Acadia Healthcare

Utilization Assistant

Fort Wayne, IN · On-site

Provide administrative support to the Utilization department. Responsibilities ESSENTIAL FUNCTIONS ... reviews and discharge planning. * Assist physician in peer review by serving as information ...

Oak St. Health

Grad Pharmacist

Leo, IN · On-site

$14.25 - $17.50/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

Oak St. Health

Grad Pharmacist

Fort Wayne, IN · On-site

$15.25 - $19/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

CVS Health

Grad Pharmacist

Fort Wayne, IN

$16.50 - $20.50/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

CVS Health

Grad Pharmacist

Fort Wayne, IN · On-site

$15.25 - $19/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

CVS Health

Grad Pharmacist

Fort Wayne, IN · On-site

$16.50 - $20.50/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

CVS Health

Grad Pharmacist

Leo-cedarville, IN

$14.25 - $17.50/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

CVS Health

Grad Pharmacist

Leo-cedarville, IN · On-site

$14.25 - $17.50/hr

... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...

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Utilization Review Assistant information

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How much do utilization review assistant jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for utilization review assistant in Fort Wayne, IN is $28.99, according to ZipRecruiter salary data. Most workers in this role earn between $16.44 and $35.58 per hour, depending on experience, location, and employer.

What is a utilization review assistant?

A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.

What does a utilization review assistant do?

A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.

What skills and qualifications are needed to be a utilization review assistant?

To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.

How do I get into a utilization review assistant?

To become a utilization review assistant, candidates typically need a high school diploma or equivalent, with some roles preferring healthcare-related certifications or experience. Strong organizational skills, attention to detail, and familiarity with medical records and insurance processes are important; some positions may require knowledge of healthcare management software. Gaining relevant experience or certifications can improve job prospects in this field.

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

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

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

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Utilization Review Assistant jobs near you

Utilization Assistant

Fort Wayne, IN • On-site

Acadia Healthcare
Hospitals • 10K+ employees

6.2

Company rating: 6.2 out of 10

Based on 191 frontline employees who took The Breakroom Quiz

697th of 895 rated healthcare providers

People enjoy working here

Recommended by students

Recommended by parents

Learn more about Acadia Healthcareexternal

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Posted 11 days ago

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.
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About Acadia Healthcare

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Acadia Healthcare is a leading provider in the healthcare and hospital industry, based in Franklin, Tennessee, United States. The company is recognised for its commitment to creating a behavioural health network that provides accessible, high-quality treatment options for individuals suffering from mental health issues, addiction, eating disorders, and PTSD. Acadia Healthcare was founded in 2005, with the mission to create a world-class organization that sets the standard of excellence in the treatment of specialty behavioural health and addiction disorders.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Franklin, TN, US

Year founded

2005

Social media

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Hours and flexibility

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