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Utilization Review Manager Jobs in Indiana (NOW HIRING)

Utilization Review Analyst

Fort Wayne, IN · On-site

$13.05 - $19.57/hr

Other Qualifications Demonstrates understanding of managed care concepts. Must have good verbal and written communication skills. Must have excellent people skills and the ability to solve problems ...

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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 ...

Clinical Reviewer

Indianapolis, IN · Remote

$38 - $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

Evansville, IN · On-site

$83K - $93K/yr

RN Case Manager 📍 Location: Evansville, IN 💼 Schedule: Full-Time | Monday-Friday ⏰ Hours ... Conduct utilization review (UR) and ensure appropriate level of care * Collaborate with physicians ...

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Manager Resource Utilization

Carmel, IN · On-site

$166K - $191K/yr

As MISO's Manager - Resource Utilization, you will lead a team at the center of critical ... For further information, please review the Know Your Rights notice from the Department of Labor.

RN Care Manager

Evansville, IN · On-site

$85K - $95K/yr

Perform utilization review (UR) and payer communication * Support hospital goals: reduce LOS ... Case Management * Discharge Planning * Utilization Review (UR/UM) * Home Health or Care ...

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Manager Resource Utilization

Carmel, IN · On-site

$166K - $191K/yr

Description As MISO's Manager - Resource Utilization, you will lead a team at the center of ... For further information, please review the Know Your Rights ( notice from the Department of Labor.

Manager Resource Utilization

Carmel, IN · On-site

$166K - $191K/yr

Description As MISO's Manager - Resource Utilization, you will lead a team at the center of ... For further information, please review the Know Your Rights notice from the Department of Labor.

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Utilization Review Manager information

See Indiana salary details

$37.1K

$86.6K

$159.4K

How much do utilization review manager jobs pay per year?

As of Jul 2, 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?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance 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 cities in Indiana are hiring for Utilization Review Manager jobs? Cities in Indiana with the most Utilization Review Manager job openings:
Utilization Review Analyst

Utilization Review Analyst

Parkview Health

Fort Wayne, IN • On-site

$13.05 - $19.57/hr

Full-time

Posted 16 days ago


Parkview Health rating

7.2

Company rating: 7.2 out of 10

Based on 271 frontline employees who took The Breakroom Quiz

328th of 877 rated healthcare providers


Job description

Summary
Performs clerical, customer service and issue resolution duties within the UM/Reimbursement area. The main focus is to obtain insurance authorizations and complete data entry functions to assist in the improvement of the revenue cycle.
Education
Must be a high school graduate or the equivalent with GED.
Experience
Must have one year's experience in a medical office, hospital or healthcare setting.
Other Qualifications
Demonstrates understanding of managed care concepts. Must have good verbal and written communication skills. Must have excellent people skills and the ability to solve problems efficiently and effectively. Must have good organizational skills and flexibility when dealing with multiple tasks at the same time.

What Parkview Health employees say

Pay

Benefits

Hours and flexibility

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About Parkview Health

Sourced by ZipRecruiter

Parkview Health, headquartered in Fort Wayne, IN, US, operates within the healthcare industry providing a wide range of medical services and community wellness programs. These include primary care, specialty health services, emergency care, rehabilitation, and home health services among others. The non-profit health system was founded in 1878 and continues to serve its surrounding communities with a dedication to quality health and wellness.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Fort Wayne, IN, US

Year founded

1995