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Utilization Review Jobs in Fort Wayne, IN (NOW HIRING)

Acadia Healthcare

Utilization Assistant

Fort Wayne, IN · On-site

... review by serving as information resource, gather data to support review and schedule peer review. * Informs management about the status of current patients; documents utilization activities as ...

Reliant Rehabilitation

Therapy Coordinator

Huntington, IN · On-site

... utilization review, quality assurance, resident care conferences, admissions, department head meetings, and community education planning Ensure timely and accurate completion of Minimum Data Set (MDS ...

Trinity Health

Pharmacist - Specialty Pharmacy

Fort Wayne, IN · On-site

$57.50 - $69/hr

Performs drug utilization reviews. Identifies and documents utilization management and appropriateness of therapy. Reviews EMR, recent medical history, patient labs, height, and weight when needed ...

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All JobsUtilization Review JobsUtilization Review Jobs in Fort Wayne, IN

Utilization Review information

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$41

$68

How much do utilization review jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for utilization review in Fort Wayne, IN is $41.72, according to ZipRecruiter salary data. Most workers in this role earn between $32.98 and $47.93 per hour, depending on experience, location, and employer.

What is a utilization review?

A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.

What does a utilization review do?

A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.

What are the key skills and qualifications needed to thrive in utilization review?

To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

What are the most commonly searched types of Utilization Review jobs in Fort Wayne, IN?

The most popular types of Utilization Review jobs in Fort Wayne, IN are:

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For Utilization Review jobs in Fort Wayne, IN, the most frequently searched job titles are:

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The top searched job categories for Utilization Review jobs in Fort Wayne, IN are:

What cities near Fort Wayne, IN are hiring for Utilization Review jobs?

Cities near Fort Wayne, IN with the most Utilization Review job openings:

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Fort Wayne, IN as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 15% Part Time, 3% Contract, and 1% Nights. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $86,772 per year, or $41.7 per hour.

Utilization Assistant

Maple Heights Behavioral Health

Fort Wayne, IN

Per diem

Posted 4 days ago

Job description

Overview

This is a PRN position.

PURPOSE STATEMENT: 

Provide administrative support to the Utilization department. 

Responsibilities

ESSENTIAL FUNCTIONS: 

  • Perform pre-certification and negotiate continued stay with third party payers.  
  • Gather data to support case management activities, including presentation of gathered data and case notes. 
  • Coordinate discharge planning with clinical team, maintain CRM database with discharge information and follow up. 
  • Present case information and the needs of third-party payers to (?).   
  • Assist in admissions review, concurrent reviews and discharge planning. 
  • Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review.  
  • Informs management about the status of current patients; documents utilization activities as instructed. Participates in performance improvement activities.  

OTHER FUNCTIONS:  

  • Perform other functions and tasks as assigned. 
Qualifications

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

  • High school diploma or equivalent required.  

LICENSES/DESIGNATIONS/CERTIFICATIONS:  

  • Current certification as Registered Addiction Specialist, certified Substance Use Counselor or similar certification preferred.  

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances  (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate. 

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

Employment Type: OTHER

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