Registered Nurse (RN) Case Manager - Community South Community Health Network was created by our ... utilization review and management and discharge planning. Has accountability for the care ...
Registered Nurse (RN) Case Manager - Community South Community Health Network was created by our ... utilization review and management and discharge planning. Has accountability for the care ...
Registered Nurse (RN) Case Manager - Community South Community Health Network was created by our ... utilization review and management and discharge planning. Has accountability for the care ...
Registered Nurse (RN) Case Manager - Community South Community Health Network was created by our ... utilization review and management and discharge planning. Has accountability for the 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 ...
The Registered Nurse Case Manager is responsible for the assessment, planning, implementation ... utilization review and management and discharge planning. Has accountability for the care ...
The Registered Nurse Case Manager is responsible for the assessment, planning, implementation ... utilization review and management and discharge planning. Has accountability for the care ...
The Registered Nurse Case Manager is responsible for the assessment, planning, implementation ... utilization review and management and discharge planning. Has accountability for the care ...
The Registered Nurse Case Manager is responsible for the assessment, planning, implementation ... utilization review and management and discharge planning. Has accountability for the care ...
The Registered Nurse Case Manager is responsible for the assessment, planning, implementation ... utilization review and management and discharge planning. Has accountability for the care ...
The Registered Nurse Case Manager is responsible for the assessment, planning, implementation ... utilization review and management and discharge planning. Has accountability for the care ...
The Registered Nurse Case Manager is responsible for the assessment, planning, implementation ... utilization review and management and discharge planning. Has accountability for the care ...
The Registered Nurse Case Manager is responsible for the assessment, planning, implementation ... utilization review and management and discharge planning. Has accountability for the care ...
Registered Nurse - RN
Evansville, IN · On-site
$85K - $950K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Evansville, IN · On-site
$85K - $950K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Registered Nurse - RN
Evansville, IN · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
Quick apply
Registered Nurse - RN
Evansville, IN · On-site
$85K - $95K/yr
The Registered Nurse (RN) Care Manager plays a vital role in providing exceptional, patient ... Participate actively in team meetings, quality improvement projects, and utilization review ...
One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. *OASIS experience ...
One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. *OASIS experience ...
One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. *OASIS experience ...
One (1) year of professional experience practicing as a Registered Nurse (RN) in home health or similar setting; previous case management/utilization review experience preferred. *OASIS experience ...
Legal Nurse
Marion, IN · Remote
... RN to apply clinical insight beyond traditional patient care by supporting legal case review and ... Prior experience in legal nurse consulting, utilization review, healthcare compliance, or related ...
Legal Nurse
Marion, IN · Remote
... RN to apply clinical insight beyond traditional patient care by supporting legal case review and ... Prior experience in legal nurse consulting, utilization review, healthcare compliance, or related ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
... utilization review experience preferred. • OASIS experience preferred. • Practical trach and/or ventilator experience preferred, not required. At Interim HealthCare, we know that being our best ...
Utilization Review Rn information
See Indiana salary details
$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
How much do utilization review rn jobs pay per hour?
As of May 31, 2026, the average hourly pay for utilization review rn 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 are the key skills and qualifications needed to thrive as a Utilization Review RN, and why are they important?
To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.
How does a Utilization Review RN collaborate with physicians and other healthcare professionals during the patient care review process?
A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.
What is a Utilization Review RN?
A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating patient care and discharge planning |
Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.
What are the most commonly searched types of Utilization Review Rn jobs in Indiana? The most popular types of Utilization Review Rn jobs in Indiana are:
What are popular job titles related to Utilization Review Rn jobs in Indiana? For Utilization Review Rn jobs in Indiana, the most frequently searched job titles are:
- Flex Schedule Remote Utilization Review Nurse
- Remote Utilization Review Rn
- Utilization Management Nurse Consultant
- Flexible Utilization Review Nurse
- Work From Home Oasis Review Nurse
- Entry Level Utilization Management Nurse
- Remote Utilization Review Nurse
- Quality Review Nurse
- Remote Chart Review Nurse
- No Experience Utilization Management Nurse
What job categories do people searching Utilization Review Rn jobs in Indiana look for? The top searched job categories for Utilization Review Rn jobs in Indiana are:
- Remote Utilization Review Nurse Practitioner
- Anthem Utilization Review Nurse
- Remote Occupational Therapy Utilization Review
- Online Utilization Review
- Weekend Utilization Review
- Entry Level Rn Utilization Review Nurse
- Therapy Utilization Review
- Optum Utilization Review Nurse
- Lpn Utilization Review
- Remote Cigna Utilization Review Nurse
What cities in Indiana are hiring for Utilization Review Rn jobs? Cities in Indiana with the most Utilization Review Rn job openings:
What are popular job titles related to Utilization Review Rn jobs in IN? For Utilization Review Rn jobs in IN, the most frequently searched job titles are:
Other
Posted 3 days ago
Community Health Network rating
7.5
Based on 220 frontline employees who took The Breakroom Quiz
217th of 864 rated healthcare providers
Job description
Registered Nurse (RN) Case Manager - Community South
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, "community" is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn't do it without you.
Make a Difference Community South has a full-time RN Case Manager position available. The Registered Nurse Case Manager is responsible for the assessment, planning, implementation, coordination, monitoring and evaluation of services across the continuum of care to ensure quality patient outcomes and appropriate utilization of health care services. Responsible for supporting the healthcare team towards a smooth transition from one level of care to another in support of the patient/family. To provide ongoing support and expertise through comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management and discharge planning. Has accountability for the care, coordination, and discharge planning of inpatient and observation services.
Exceptional Skills and Qualifications
- Graduate of National League for Nursing, Accreditation Commission for Education in Nursing or Commission on Collegiate Nursing Education accredited school of nursing.
- Licensed as a Registered Nurse by the Indiana Professional Licensing Agency - (required).
- Two years of recent clinical experience or three years recent hospital case management experience- (required).
- Certification in Case Management (CCM or ACMA) - (preferred).
- Team building skills with the ability to function independently and interdependently as a member of a network team.
- Demonstrates the ability to be flexible in work schedules and coverage at any site.
- Strong organizational and problem-solving skills.
- Exhibits openness to change and willingness to try new approaches to problem solving.
- Can establish rapport with a wide variety of people.
- Strong computer skills.
Why Community?
At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.
Caring people apply here.
Apply Today!
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