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Utilization Review Rn Jobs in Indiana (NOW HIRING)

TEEMA Group

RN Care Manager

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 ...

TEEMA Group

RN Care Manager

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 ...

ScionHealth

Case Manager II PRN

Indianapolis, IN · On-site

... utilization of resources, service delivery and compliance with external review agencies. Provides ... Graduate of an accredited program required for RN. BSN preferred; or MSW/BSW with licensure as ...

HHC

DISCHARGE PLANNER - RN

Indianapolis, IN

... Utilization Review: * Conducts/ provides oversight of the initial admission review, utilizing ... Current Indiana RN required * Minimum of 2 years health care experience; 2 years of clinical ...

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Indiana

Utilization Review Rn information

See Indiana salary details

$20

$40

$65

How much do utilization review rn jobs pay per hour?

As of Jun 24, 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.

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.

How do I become a utilization review RN?

To become a utilization review RN, you typically need to hold a valid registered nurse (RN) license and have experience in clinical nursing. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or Utilization Review Certification (URAC) can enhance job prospects, and strong knowledge of medical coding, insurance policies, and healthcare regulations is important.

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.

What does an RN utilization review do?

An RN utilization review evaluates medical records and treatment plans to determine the appropriateness, necessity, and efficiency of healthcare services. They ensure compliance with insurance policies and clinical guidelines, often using electronic health records and requiring knowledge of coding and documentation standards. This role supports cost-effective patient care and involves collaboration with healthcare providers and insurance companies.

How to make $300,000 a year as a nurse?

To earn $300,000 annually as a Utilization Review RN, professionals typically need extensive experience, advanced certifications such as CCM or ANCC, and may work in high-paying settings like insurance companies or healthcare consulting firms. Increasing specialization, taking on leadership roles, or working overtime can also boost income, but reaching this level often requires a combination of skills, experience, and strategic career moves.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating 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.

How to make $150,000 as a nurse?

A Utilization Review RN can earn $150,000 by gaining extensive experience, obtaining certifications such as CCM or ANCC, and working in high-paying settings like insurance companies or managed care organizations. Advanced skills in case management, strong clinical knowledge, and sometimes working overtime or in leadership roles can also contribute to higher earnings.

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 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:
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:
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:
Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Indiana as of June 2026, with employment types broken down into 74% Full Time, 22% Part Time, and 4% Contract. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $83,687 per year, or $40.2 per hour.
Advanced Practice Registered Nurse - Part Time

Advanced Practice Registered Nurse - Part Time

Boca Recovery Center

Huntington, IN

$82K - $114K/yr

Part-time

Posted 8 days ago

Job description

Advanced Practice Registered Nurse (APRN)

Boca Recovery Center Website

Location: On Site - Huntinton, Indiana
Department: Medical Services
Reports to: Medical Director
Salary: Competitive, based on licensure and experience

About Boca Recovery Center

Founded in 2016, Boca Recovery Center is a nationally recognized addiction treatment provider specializing in substance use disorders and co-occurring mental health conditions. With locations in Florida, New Jersey, Indiana, and launching in Massachusetts, we deliver evidence-based clinical care in a supportive, structured environment. Our team is committed to providing trauma-informed, client-centered services that promote lasting recovery.

Position Overview

We are seeking an experienced and dedicated Advanced Practice Registered Nurse (APRN) to join our multidisciplinary medical team in Huntington, Indiana. The APRN plays a key clinical role in delivering psychiatric and medical services to individuals in detox and residential treatment. This role requires clinical expertise in psychiatric evaluations, medication management, and a collaborative approach to patient care.

Requirements

Key Responsibilities

  • Provide advanced nursing expertise for the design and execution of medical and clinical activities in accordance with each patient's treatment plan.
  • Conduct psychiatric and physical assessments, medication management, and consultations within scope of APRN practice.
  • Assess and assure the appropriateness of patient admissions and ongoing care.
  • Provide after-hours on-call coverage for emergency psychiatric or medical needs.
  • Attend and contribute to interdisciplinary team meetings to coordinate patient care.
  • Deliver in-service training to staff as needed.
  • Participate in facility performance improvement and utilization review activities.
  • Conduct peer reviews and contribute to the development and evaluation of policies and procedures.
  • Assist in developing a network of community resources for post-discharge continuity of care.
  • Collaborate with executive and clinical leadership on policies related to patient care.
  • Ensure timely and accurate documentation of assessments, orders, progress notes, and discharge summaries.
  • Provide consultation to patients and their families as appropriate.
  • Maintain a current collaborative agreement and prescriptive authority with the Medical Director.
  • Provide on-site services according to facility schedule and agreement.
  • Support and comply with infection control standards and collaborate with the Infection Control Nurse.
  • Ensure compliance with state and federal regulations and Joint Commission standards.
  • Uphold all safety, risk management, and workplace policies.
  • Coordinate clinical services under the guidance of the Medical Director, Clinical Director, and Director of Nursing.

Qualifications / Required Experience

  • Licensed to practice as an APRN in the state of Indiana.
  • Active NPI and DEA registration (X-Waiver preferred but not required).
  • Current CPR certification.
  • Maintains all state-required certifications and licenses.
  • Minimum of 2 years' experience in psychiatric or addiction treatment settings preferred.
  • Essential Knowledge, Skills & Attributes
  • Proficiency in verbal and written communication.
  • Strong knowledge of addiction, dual-diagnosis treatment, and trauma-informed care.
  • Adherence to state Board of Nursing Scope of Practice and professional Code of Ethics.
  • Understanding of Infection Control protocols and Joint Commission standards.
  • Familiarity with HIPAA, Drug-Free Workplace, Workplace Violence Prevention, and Corporate Compliance.
  • High competency in electronic health records (EHR) systems.
  • Cultural sensitivity and ethical approach to diverse patient populations.
  • Ability to respond to psychiatric crises, including suicidality and homicidality.

Benefits

Join Boca Recovery Center and make a meaningful impact through expert, compassionate care in a mission-driven environment focused on recovery and wellness.

Apply