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Utilization Review Director Jobs in Indiana (NOW HIRING)

Greentree at Westwood

Marketing Director

Columbus, IN · On-site

... utilization review, volunteer coordinators, rehabilitation director, chaplain service, pastors, senior services including senior centers, board and care homes, adult day care centers, home health and ...

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Utilization Review Director information

See Indiana salary details

$20

$40

$65

How much do utilization review director jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for utilization review director in Indiana is $40.23, according to ZipRecruiter salary data. Most workers in this role earn between $31.78 and $46.20 per hour, depending on experience, location, and employer.

What is the difference between Utilization Review Director vs Utilization Review Nurse?

AspectUtilization Review DirectorUtilization Review Nurse
CredentialsRN license, management experience, certifications (e.g., CCM)RN license, certification in case management or utilization review (e.g., CUC)
Work EnvironmentAdministrative, leadership roles overseeing teamsClinical, review of patient cases, direct patient care
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentLeadership, management, strategic planning in utilization reviewClinical review, case assessment, patient care coordination

The Utilization Review Director typically oversees review teams and manages utilization strategies, requiring leadership skills and management experience. In contrast, the Utilization Review Nurse focuses on clinical case assessments and patient care reviews. Both roles require RN licensure and relevant certifications but differ mainly in scope and responsibilities.

What does a utilization review director do?

A Utilization Review Director oversees the evaluation of medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead teams that review patient care requests, manage compliance with regulations, and implement strategies to ensure cost-effective care without compromising quality. Their responsibilities often include policy development, data analysis, and collaboration with healthcare providers to optimize resource use and improve patient outcomes.

Is utilization review a stressful job?

Utilization Review Directors often work in high-pressure environments where they must make quick, accurate decisions regarding healthcare services. The role can be stressful due to the need to balance patient care, insurance policies, and regulatory compliance, but stress levels vary based on workload, organizational support, and experience. Strong analytical skills and certification in utilization review can help manage job demands effectively.

What degree do I need for utilization review director?

A utilization review director typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Many employers prefer candidates with a master's degree such as an MBA or a healthcare-related advanced degree, along with relevant experience and certifications like the Certified Professional in Healthcare Quality (CPHQ).

What are some common challenges faced by a utilization review director, and how can they be addressed?

A Utilization Review Director often navigates challenges such as balancing regulatory compliance with organizational goals, managing interdisciplinary teams, and keeping up with evolving healthcare policies. Staying proactive with ongoing education, fostering open communication among staff, and implementing efficient review processes can help address these issues. Additionally, leveraging data analytics and technology streamlines case reviews and ensures evidence-based decision-making, ultimately improving both patient outcomes and operational efficiency.

What are the key skills and qualifications needed to thrive as a utilization review director, and why are they important?

To thrive as a Utilization Review Director, you need a deep understanding of clinical guidelines, healthcare regulations, and case management principles, typically supported by a nursing or related healthcare degree and relevant licensure. Familiarity with utilization management software, electronic health records (EHR), and certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) is common in the field. Strong leadership, communication, analytical thinking, and decision-making skills help you effectively manage teams and ensure compliance. These competencies ensure efficient resource use, regulatory adherence, and high-quality patient outcomes within healthcare organizations.
What are the most commonly searched types of Utilization Review jobs in Indiana? The most popular types of Utilization Review jobs in Indiana are:
What cities in Indiana are hiring for Utilization Review Director jobs? Cities in Indiana with the most Utilization Review Director job openings:
Utilization Review Director jobs near you

Director of Pharmacy

Clarksville Rehabilitation Hospital

Clarksville, IN • On-site

$116K - $153K/yr

Full-time

Medical, Dental, Life, Retirement

Re-posted yesterday

Job description

Clarksville Rehabilitation Hospital is a brand new startup with 40 private patient suites and set to take its first patient October 2026.
Position Summary:
The Director of Pharmacy manages the medication use process through the planning, organization, management and direction of the operations, clinical activities and staff of the Pharmacy Department. Maintains contact with other department heads, medical staff, and nursing staff to determine needs, resolve problems, improve processes, and promote effective drug therapy. The Director of Pharmacy will participate in Quality Assurance and complete drug utilization reviews for the Pharmacy and Therapeutics Committee. Facilitates the development and implementation of treatment guidelines, protocols, formulary changes, and critical pathways as approved by appropriate committees. Supports the pharmacy’s pharmaco-economic efforts. Reviews the use of targeted medications for compliance.
Pay: Rate of pay is based on years of experience and qualifications.
Minimum Qualifications:
  • Current state licensure from the state board of pharmacy
  • Three years previous management experience
  • Will act as Pharmacist in Charge

Desired Qualifications:
  • Management experience in a rehabilitation hospital preferred

Knowledge, Skills and Ability Requirements:
  • Excellent verbal and written communication skills.
  • Strong organizational, time management and prioritization skills.
  • Strong analytical and critical thinking skills
  • Detail-oriented, able to meet strict time frames

Join our team and you will experience a total rewards package to support your health, life, career and retirement including:
  • A supportive and collaborative work environment
  • Opportunities to progress in function, skill, and pay
  • A competitive wage scale
  • A comprehensive health and wellness package including medical, dental, and prescription drug coverage

We offer a benefits package that will best suit your family’s needs. You can choose from a variety of medical coverage plans that best fit your lifestyle. You also have the option to enroll in additional perks such as 401k, life insurance, and disability plans.
Clarksville Rehabiltiation Hospital is an EEO employer - M/F/Vets/Disabled

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