... thorough review of the total resources available to patient pre and post-discharge from ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
... thorough review of the total resources available to patient pre and post-discharge from ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
... thorough review of the total resources available to patient pre and post-discharge from ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
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... thorough review of the total resources available to patient pre and post-discharge from ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
... thorough review of the total resources available to patient pre and post-discharge from ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
... thorough review of the total resources available to patient pre and post-discharge from ... Functions as liaison with payer representatives to manage the rehabilitation process in keeping ...
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 ...
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 ...
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 ...
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Conduct admission and concurrent reviews. * Maintain statistics and data as requested/required ... Certification in Utilization Management a plus. * Knowledge of regulatory and insurance required.
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Brief Description of Duties: This position is reserved for a ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...
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Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Brief Description of Duties: This position is reserved for a ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...
Utilization Management Nurse
Columbus, IN · On-site
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...
Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...
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Manager of Utilization Management Employment Type: Full-Time, Exempt Brief Description of Duties ... By performing review of services prospectively, retrospectively, and throughout the episode of care ...
OASIS Review Nurse
Noblesville, IN · Hybrid
The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying areas for improvement to maximize reimbursement. * Reviews ...
OASIS Review Nurse
Noblesville, IN · Hybrid
The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying areas for improvement to maximize reimbursement. * Reviews ...
OASIS Review Nurse
Noblesville, IN · On-site
The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying areas for improvement to maximize reimbursement. * Reviews ...
OASIS Review Nurse
Noblesville, IN · On-site
The Utilization Review Nurse is responsible for reviewing patient assessments to assist the Quality Improvement department in identifying areas for improvement to maximize reimbursement. * Reviews ...
Clinical Reviewer
Indianapolis, IN · Remote
$36 - $40/hr
Associate's degree (Bachelor's preferred) or diploma from an accredited nursing program * 2+ years of Utilization Review/Management (UR/UM) and/or Prior Authorization experience * 2+ years of medical ...
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Clinical Reviewer
Indianapolis, IN · Remote
$36 - $40/hr
Associate's degree (Bachelor's preferred) or diploma from an accredited nursing program * 2+ years of Utilization Review/Management (UR/UM) and/or Prior Authorization experience * 2+ years of medical ...
Clinical Reviewer (Part-Time, Remote)
Indianapolis, IN · Remote
$35 - $40/hr
Associate's degree (Bachelor's preferred) or diploma from an accredited nursing program * 2+ years of Utilization Review/Management (UR/UM) and/or Prior Authorization experience * 2+ years of medical ...
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Clinical Reviewer (Part-Time, Remote)
Indianapolis, IN · Remote
$35 - $40/hr
Associate's degree (Bachelor's preferred) or diploma from an accredited nursing program * 2+ years of Utilization Review/Management (UR/UM) and/or Prior Authorization experience * 2+ years of medical ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis, Indiana Start Date: June 14, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Indianapolis, Indiana Start Date: June 14, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville, Indiana Start Date: February 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1686 ...
RN - Case Manager
$1K - $1K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Evansville, Indiana Start Date: February 15, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1686 ...
Utilization Review 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 review manager jobs pay per year?
As of Jun 9, 2026, the average yearly pay for utilization review 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 some common challenges faced by Utilization Review Managers in balancing patient care and cost efficiency?
Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.
What are the key skills and qualifications needed to thrive as a Utilization Review Manager, and why are they important?
To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.
What is the difference between Utilization Review Manager vs Utilization Review Coordinator?
| Aspect | Utilization Review Manager | Utilization Review Coordinator |
|---|---|---|
| Certifications | Typically requires certifications like CCM or ACU | May require similar certifications but often less advanced |
| Work Environment | Supervises review teams, manages processes in healthcare or insurance settings | Performs case reviews, supports the review process under supervision |
| Employer & Industry | Hospitals, insurance companies, healthcare organizations | Insurance companies, healthcare providers, third-party administrators |
The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.
What does a Utilization Review Manager do?
A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.
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 are popular job titles related to Utilization Review Manager jobs in Indiana? For Utilization Review Manager jobs in Indiana, the most frequently searched job titles are:
- No Experience Utilization Review Nurse
- Per Diem Chart Review Nurse
- Flex Schedule Remote Utilization Review Nurse
- Utilization Management
- Remote Utilization Management
- Utilization Review Physician
- Weekday Cvs Utilization Management Nurse
- Cvs Health Utilization Management
- Utilization Management Nurse Consultant
- Part Time Utilization Review Nurse
What job categories do people searching Utilization Review Manager jobs in Indiana look for? The top searched job categories for Utilization Review Manager jobs in Indiana are:
- Online Utilization Review
- Remote Anthem Utilization Review Nurse
- Remote Insurance Utilization Review
- Remote Utilization Review
- Aetna Utilization Review Nurse
- Remote Navihealth Utilization Review
- Chart Utilization Review
- Temporary Aetna Utilization Review Nurse
- Lpn Utilization Review Work From Home
- Weekend Utilization Review
What cities in Indiana are hiring for Utilization Review Manager jobs? Cities in Indiana with the most Utilization Review Manager job openings:
Other
Retirement
Posted 16 days ago
Job description
The Rehabilitation Hospital of Indiana (RHI) is nationally ranked among the Best Hospitals for Rehabilitation by U.S. News and World Report for 2025-2026 and the Best Rehabilitation Hospital in Indiana for the third year in a row. RHI provides high quality, evidence-based rehabilitation services to those facing life-changing injuries or illness. RHI is the only Traumatic Brain Injury (TBI) Model System in the state of Indiana and one of only 16 in the U.S We offer a competitive compensation and benefits package, along with a 401k match and tuition reimbursement program.
Summary:
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful transition to the discharge setting and or goal achievement, and durability of outcome.
Essential Functions
The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.
Summary:
The Utilization Reviewer contributes to assessment and planning by performing a thorough review of the total resources available to patient pre and post-discharge from rehabilitation care. The Utilization Reviewer collaborates with the payer and rehabilitation team to ensure a successful transition to the discharge setting and or goal achievement, and durability of outcome.
Essential Functions
- Assesses all of patient's payer sources for rehabilitation course, determines resources available for patient, and ensures maximal use of available health coverage resources for each patient.
- Completes pre-certification and prior authorization timely for admission and or services.
- Documents all insurance information appropriately on forms and in computer system as applicable.
- Functions as liaison with payer representatives to manage the rehabilitation process in keeping with the patient's financial resources, including verification of benefits for this and future settings.
- Completes retro authorizations as applicable and ensures follow through relative to authorizations for all services through the complete revenue cycle.
- Other duties as assigned.
- Greater than 2 years of UR experience with a strong clinical background and competence with a rehabilitation population.
- Bachelor's degree in related field with 3-5 years' experience
- LPN or RN experience preferred
- Monday - Friday (8:30am-5:00pm)
The Rehabilitation Hospital of Indiana is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, sexual orientation, or any other characteristic protected by law.