Carmel, IN · On-site +1
$50 - $52/hr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Life at ...
Carmel, IN · On-site +1
$50 - $52/hr
Minimum of 3 years hospital based bedside nursing experience in Med/Surg, ER, or critical care * Utilization Review OR Case Management experience required * Must live locally in Indiana Life at ...
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Seymour, IN · On-site
Graduate of accredited school of nursing (BSN Preferred) Preferred: Bachelors Degree in Nursing ... DUTIES 1. Utilization Review and Medical Necessity 2. Concurrent Review and Length of Stay ...
Indianapolis, IN · On-site
$55 - $75/hr
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
Indianapolis, IN · On-site
$55 - $75/hr
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
Quick apply
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
New
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
New
Indianapolis, IN · On-site
$60 - $80/hr
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
New
Indianapolis, IN · On-site
$60 - $80/hr
The Utilization Review Specialist serves as a key resource in minimizing prescription delays ... Collaborate with prescribers, nurses, pharmacists, and clinic staff to obtain missing clinical ...
New
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Mishawaka, IN · On-site
The Utilization Review Manager will supervise staff supporting Doctors NeuroPsychiatric Hospital ... Collaborate with physicians, nurses, social workers, medical records, finance, and other ...
Posted today
Mishawaka, IN · On-site
The Utilization Review Manager will supervise staff supporting Doctors NeuroPsychiatric Hospital ... Collaborate with physicians, nurses, social workers, medical records, finance, and other ...
Posted today
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
... Nurse in the state of Indiana. Must be current in BLS. Experience: Two years of hospital clinical experience. Knowledge of medical standards of care, state and federal utilization review laws, and ...
Indianapolis, IN · On-site
$30 - $34/hr
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
Indianapolis, IN · On-site
$30 - $34/hr
Expected to review 20 cases a day with a 95% accuracy rate. Responsible for collaborating with ... Must have clear and active RN license in the state of IN * 2 years of experience in a acute care ...
Indianapolis, IN · On-site
... reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Qualifications * Must have clear and active RN license in the state of IN * AS ...
Indianapolis, IN · On-site
... reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Qualifications * Must have clear and active RN license in the state of IN * AS ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
Cooperates and maintains good rapport with nursing staff, medical staff, and other departments ... Minimum of 2 years of utilization review experience in a hospital setting required. Minimum of 2 ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... Bachelor's degree in related field with 3-5 years' experience * LPN or RN experience preferred ...
... thorough review of the total resources available to patient pre and post-discharge from ... N experience preferredHoursMonday - Friday (8:30am-5:00pm)This position is on-site at RHI The ...
Quick apply
... thorough review of the total resources available to patient pre and post-discharge from ... N experience preferredHoursMonday - Friday (8:30am-5:00pm)This position is on-site at RHI The ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
... oversees utilization management including, but not limited to: utilization review, case ... Must have Registered Nurse license or Master's Degree. Experience: 5-7 yrs acute inpatient ...
The Utilization Management Registered Nurse is responsible for performing utilization review ... Communicating review determinations (written and/or verbal) to providers, members, and other ...
New
Quick apply
The Utilization Management Registered Nurse is responsible for performing utilization review ... Communicating review determinations (written and/or verbal) to providers, members, and other ...
New
$20.36 - $24.48
2% of jobs
$24.48 - $28.59
9% of jobs
$31.41 is the 25th percentile. Wages below this are outliers.
$28.59 - $32.71
21% of jobs
The median wage is $36.04 / hr.
$32.71 - $36.83
23% of jobs
$36.83 - $40.94
13% of jobs
$44.15 is the 75th percentile. Wages above this are outliers.
$40.94 - $45.06
10% of jobs
$45.06 - $49.18
8% of jobs
$49.18 - $53.30
5% of jobs
$53.30 - $57.41
5% of jobs
$57.41 - $61.53
2% of jobs
$61.53 - $65.65
2% of jobs
$20
$40
$65
A utilization review nurse determines the best course of treatment for a patient using preapproved policy criteria. Utilization review nurses collect and review patient records, clinical documentation, and billing information to recommend the best use of patient care resources. Their assessments help determine the length of hospital stays, the effectiveness of the care plan, and the necessity of the services administered. Utilization review nurses inform and educate patients about their options based on their insurance benefits and limitations. Utilization review nurses also assess patient care services in clinical appeals for approval or denial.
| Aspect | Utilization Review Nurse | Case Manager |
|---|---|---|
| Credentials | RN license, certification in utilization review (e.g., URAC) | RN license, case management certification (e.g., CCM) |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, insurance companies, community health settings |
| Employer & Industry Usage | Primarily in insurance and healthcare organizations for reviewing medical necessity | In healthcare and insurance for coordinating patient care and discharge planning |
Utilization Review Nurses focus on evaluating the necessity and appropriateness of medical services, often working in insurance or healthcare settings. Case Managers coordinate patient care, discharge planning, and resource management. While both roles require RN licensure and related certifications, their primary responsibilities differ: UR Nurses review medical necessity, whereas Case Managers facilitate patient care and services.
The most popular types of Utilization Review Nurse jobs in Indiana are:
For Utilization Review Nurse jobs in Indiana, the most frequently searched job titles are:
The top searched job categories for Utilization Review Nurse jobs in Indiana are:
Cities in Indiana with the most Utilization Review Nurse job openings:
For Utilization Review Nurse jobs in IN, the most frequently searched job titles are:
$50 - $52/hr
Full-time, Per diem
Medical, PTO
Re-posted 13 days ago
7.0
Based on 1,047 frontline employees who took The Breakroom Quiz
422nd of 898 rated healthcare providers
Location: Indianapolis, IN
Facility: Ascension St. Vincent
Department/Specialty: Utilization Management
Schedule: PRN. 0800-1700 ET, need coverage for Monday-Friday, weekends and holidays. Must be able to commit to training requirements, which is Monday-Friday for 8 hours/day for 6 weeks.
Salary range: $50/hour-$52/hour
How you'll make an impact in this roleLicensure / Certification / Registration:
Education:
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Equal employment opportunity employerEqual employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-Verify statement
Employer participates in the Electronic Employment Verification Program. Please click here for more information.
BenefitsPaid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community
Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.
Employment Type: OTHERGet the full story on Breakroom
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Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Health care and social assistance and outpatient health care
10,000+ Employees
St. Louis, MO, US
