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Work From Home Utilization Review Jobs in Indiana

Ascension

Registered Nurse Utilization Review

Carmel, IN · On-site +1

$50 - $52/hr

Education: * Diploma from an accredited school/college of nursing OR Required professional ... Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold ...

The Jernigan Agency

WORK FROM HOME

Fort Wayne, IN · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... Help each client to review their options and apply for that coverage. * See the application through ...

IQVIA

Work from Home

Indianapolis, IN · Remote

$18/hr

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contract Pharmacy Support Call Center Representative to join our team. In this position, you will ...

The Semler Agency

Work From Home Sales

Fort Wayne, IN · On-site +1

This role is designed for individuals looking to learn a new skill and work from home with support. Responsibilities: * Connect with individuals requesting information * Provide guidance on coverage ...

The Semler Agency

Work From Home Sales

Indianapolis, IN · On-site +1

This role is designed for individuals looking to learn a new skill and work from home with support. Responsibilities: * Connect with individuals requesting information * Provide guidance on coverage ...

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Showing results 1-20

All JobsUtilization Review JobsWork From Home Utilization Review JobsWork From Home Utilization Review Jobs in Indiana

Work From Home Utilization Review information

See Indiana salary details

$14

$30

$51

How much do work from home utilization review jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for work from home utilization review in Indiana is $30.39, according to ZipRecruiter salary data. Most workers in this role earn between $21.25 and $38.65 per hour, depending on experience, location, and employer.

What is a work from home utilization review?

A Work From Home Utilization Review job involves evaluating the necessity, appropriateness, and efficiency of medical services provided to patients, typically for insurance companies or healthcare organizations. Employees in this role review patient records, treatment plans, and medical claims to ensure compliance with established guidelines and standards. Working remotely, these professionals often communicate with healthcare providers, patients, and insurance representatives to gather information and make recommendations regarding coverage or continued care.

What are some common challenges faced by work from home utilization review professionals, and how can they be managed?

Work From Home Utilization Review professionals often face challenges such as maintaining effective communication with healthcare providers and team members, managing time efficiently without in-person supervision, and navigating multiple electronic health record systems remotely. To manage these challenges, it’s important to establish clear communication channels, set structured daily routines, and stay updated with technology training. Many organizations offer virtual team meetings and resources to support remote collaboration and continuous professional development.

What are the key skills and qualifications needed to thrive as a work from home utilization review nurse, and why are they important?

To thrive as a Work From Home Utilization Review Nurse, you need a current RN license, strong clinical assessment skills, and a solid understanding of medical necessity criteria. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) are often required. Exceptional communication, critical thinking, and time management skills help in effectively coordinating care and interacting with patients and providers remotely. These skills ensure accurate and efficient reviews, compliance with guidelines, and optimal patient outcomes while working independently.

What is the difference between Work From Home Utilization Review vs Work From Home Medical Coder?

AspectWork From Home Utilization ReviewWork From Home Medical Coder
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical reviewer credentialsRequires coding certifications like CPC, CCS, or CCS-P
Work EnvironmentRemote, often involves reviewing medical records and insurance claimsRemote, involves reviewing and assigning medical codes to patient records
Industry UsageCommon in insurance, healthcare administration, and utilization managementCommon in medical billing, coding, and healthcare documentation

Work From Home Utilization Review and Work From Home Medical Coder roles both operate remotely within the healthcare industry. While utilization reviewers focus on assessing the necessity of medical services, medical coders assign standardized codes to patient records. Both require healthcare-related certifications and are essential for healthcare administration, but they differ in daily tasks and specific credentials.

What are popular job titles related to Work From Home Utilization Review jobs in Indiana?

For Work From Home Utilization Review jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Work From Home Utilization Review jobs in Indiana look for?

The top searched job categories for Work From Home Utilization Review jobs in Indiana are:

What cities in Indiana are hiring for Work From Home Utilization Review jobs?

Cities in Indiana with the most Work From Home Utilization Review job openings:

Work From Home Utilization Review jobs near you
Infographic showing various Work From Home Utilization Review job openings in Indiana as of August 2026, with employment types broken down into 77% Full Time, 13% Part Time, and 10% Contract. Highlights an 21% In-person, and 79% Remote job distribution, with an average salary of $63,218 per year, or $30.4 per hour.

Registered Nurse Utilization Review

Ascension

Carmel, IN • On-site, Remote

$50 - $52/hr

Full-time, Per diem

Medical, PTO

Re-posted 16 days ago

Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,047 frontline employees who took The Breakroom Quiz

420th of 898 rated healthcare providers

Job description

Your future role at a glance

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 role
  • Review admissions and service requests within assigned unit for prospective, concurrent and retrospective medical necessity and/or compliance with reimbursement policy criteria. Provide case management and/or consultation for complex cases.
  • Assist departmental staff with issues related to coding, medical records/documentation, precertification, reimbursement and claim denials/appeals.
  • Assess and coordinate discharge planning needs with healthcare team members.
  • May prepare statistical analysis and utilization review reports as necessary.
  • Oversee and coordinate compliance to federally mandated and third party payer utilization management rules and regulations.
What minimum qualifications you'll need

Licensure / Certification / Registration:

  • Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job transfer date required.

Education:

  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire required.
What additional requirements you'll need
  • Active Indiana or compact RN License
  • Bachelors in Nursing
  • 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 Ascension: Where purpose meets opportunity

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 employer

Equal 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.

Benefits

Paid 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: OTHER

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Ascension logo

About Ascension

Sourced by ZipRecruiter

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.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US

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