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Utilization Review Manager Jobs in Indiana (NOW HIRING)

RN Case Manager

Evansville, IN ยท On-site

$83K - $93K/yr

RN Case Manager ๐Ÿ“ Location: Evansville, IN ๐Ÿ’ผ Schedule: Full-Time | Monday-Friday โฐ Hours ... Conduct utilization review (UR) and ensure appropriate level of care * Collaborate with physicians ...

Manager Resource Utilization

Carmel, IN ยท 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 ยท 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 ...

... utilization review and management, and discharge planning. Essential Function Care Coordination ... Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.

... utilization review and management, and discharge planning. Essential Functions Care Coordination ... Coordinates clinical and/or psycho-social activities with the Interdisciplinary Team and Physicians.

... managed care companies, insurance companies and other third party reviewers to establish the length of stay or number of certified days. โ€ข Coordinate with the insurance company doctor in appeals ...

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Showing results 1-20

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 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?

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:

RN Case Manager

TEEMA Group

Evansville, IN โ€ข On-site

$83K - $93K/yr

Full-time

Posted 17 days ago


Job description

RN Case Manager

๐Ÿ“ Location: Evansville, IN
๐Ÿ’ผ Schedule: Full-Time | Mondayโ€“Friday
โฐ Hours: Day Shift (No weekends!)
๐Ÿ’ฐ Pay: Competitive + Benefits

Why This Role Stands Out

Looking for a role where you can step away from bedside burnout and still make a major impact?

Join a collaborative care team where youโ€™ll focus on:

  • Care coordination & discharge planning

  • Improving patient outcomes

  • Reducing readmissions

  • Working closely with providers and interdisciplinary teams

๐Ÿ‘‰ This is a stable, weekday schedule role with real work-life balance.


๐Ÿ’ผ What Youโ€™ll Do
  • Coordinate patient care across the continuum

  • Perform discharge planning and transitions of care

  • Conduct utilization review (UR) and ensure appropriate level of care

  • Collaborate with physicians, nurses, and support teams

  • Educate patients and families on post-discharge plans

  • Document and track patient progress


๐ŸŽฏ What You Must Have
  • Active RN license (IN or compact)

  • Experience in case management, care coordination, or utilization review

  • Strong communication and organizational skills

  • Ability to work in a fast-paced, team-oriented environment


๐Ÿ’ฅ Preferred
  • Hospital or acute care experience

  • Familiarity with UR / discharge planning workflows


๐Ÿ’ก Why Apply?
  • โœ… No weekends โ€“ consistent schedule

  • โœ… Meaningful, patient-focused work

  • โœ… Supportive and collaborative team

  • โœ… Growth and long-term stability


๐Ÿ‘‰ Apply Today

If youโ€™re an RN looking to transition into a case management / coordination role with better balance, this is your opportunity.

Email your resume today if you would like to apply

mpalkin@teemagroup.com