Average salary: $69,579 /yearly
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- ...appropriateness of treatment setting by utilizing the applicable medical policy and industry... ...and appropriateness of treatment setting reviews to ensure compliance with applicable criteria... ...Must have clear and active RN license in the state of IN AS/BS in Nursing...SuggestedPrivate practiceImmediate start
$76k - $85k
...sector. To learn more, visit . PCG is currently seeking a Utilization Review Nurse. The Utilization nurse will also be responsible for utilizing... ...environment, Medicaid or hospital utilization management RN required Working Conditions ~ Remote The above is...SuggestedFor contractorsH1bWork at officeLocal areaRemote workPublic Consulting Group
Indianapolis, IN2 days ago- ...facilities from coast to coast. From your first day to your next career milestone - your experience matters How You’ll Contribute Utilization Review Specialist facilitates clinical reviews on all patient admissions and continued stays. UR analyzes patient records to...SuggestedFull timeLocal area
$90.87 - $154.33 per hour
A healthcare company is seeking a Physician Clinical Reviewer for Cardiology, working remotely. The role involves timely medical review of service requests, engaging with physicians and management, and ensuring compliance with clinical guidelines. Ideal candidates must...SuggestedRemote job- A diversified healthcare delivery network is seeking a Utilization Review Specialist to facilitate clinical reviews for patient admissions. The successful candidate will analyze patient records, ensure compliance with managed care requirements, and advocate for necessary...Suggested
- ...Registered Nurse - Ambulatory Referral Review (Urology Service Line) Position Overview... ...the team. Key Responsibilities: Utilize the nursing process (assessment, diagnosis... ...experience preferred. ~ Requires that the RN has graduated from a nationally accredited...SuggestedRemote workMonday to FridayFlexible hoursDay shift
Indiana University Health
Indianapolis, IN18 hours agonew $233.2k
...access a secure portal to retrieve and analyze clinical cases; review each case record for clinical history, diagnoses, current symptoms... ...treatments to accurately assess the patient's condition. Utilize the evidence-based state guidelines available online to...SuggestedContract workTemporary workWork at officeMAXIMUS
Indianapolis, IN1 day ago$90.87 - $154.33 per hour
...career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Pediatric Rheumatology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially...SuggestedRemote jobWork at officeLocal areaVisa sponsorshipWork visa$67.31k
...Medical Record Reviewer Date Posted: Apr 2, 2026 Requisition ID: 475064 Location:... ...healthcare field. An active Registered Nurse (RN) license in good standing preferred; LPN... ...years of experience in clinical care, utilization review, medical auditing, compliance, or...SuggestedFull timeWork experience placementLive inWork at officeState of Indiana
Indianapolis, IN6 hours agonew- ...Qualifications: # Registered Nurse (RN) licensed by State of Indiana (minimum)... ...health service office and supplies # Utilizes existing technology effectively in the performance... ...in an investigation, compliance review, hearing or any other activity related to...SuggestedWork at officeLocal area
Lake Station Community School Corporation
Lake Station, IN2 days ago - A healthcare organization in Indianapolis seeks a Utilization Review Nurse. The role requires performing reviews of inpatient admissions and outpatient... ...possess an Associate of Nursing degree, an active Indiana RN license, and 3-5 years of relevant experience. Basic Life...Suggested
$75k - $100k
Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures... .... This role uses clinical knowledge to provide judgment to review medical services with evidence‑based criteria, authorize...SuggestedFor contractorsWork at officeImmediate startRemote work- ...health care provider in Indianapolis seeks a Registered Nurse to perform utilization reviews and collaborate with various medical professionals. The ideal candidate must have an ASN, an active RN license in Indiana, and 3-5 years of experience. Responsibilities include...Suggested
- A leading health solutions company seeks an experienced Utilization Management RN to evaluate the appropriateness of medical services. This position focuses on reviewing prior authorizations while collaborating with Medical Directors to uphold quality standards. Ideal candidates...SuggestedRemote job
- ...leading healthcare organization is seeking a qualified Registered Nurse to perform utilization review and collaborate with healthcare providers. The ideal candidate must have an ASN, an active RN license in Indiana, and at least 3-5 years of relevant experience....Suggested
- ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD... ...clinic financials including efficient utilization of supplies or equipment and regular profits... ...of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE...Full time
Fresenius Medical Care
Goshen, IN22 hours ago - ...completion of the Annual Standing Order Review and Internal Classification of Disease (ICD... ...clinic financials including efficient utilization of supplies or equipment and regular profits... ...of an accredited School of Nursing (RN). Current appropriate state licensure. EXPERIENCE...Full time
Fresenius Medical Care
Spring Hills, IN22 hours ago - ...with a patient over the phone or video, utilizing evidence-based triage protocols. Decreases... ...electronic medical record to access and review patient records, step through triage protocols... ...Must have a current, active RN license and currently hold a compact license...Remote workRelocation package
Parkview Health
Fort Wayne, IN22 hours ago - ...PURPOSE AND SCOPE: The Inpatient RN provides direct patient care in accordance to... ...trouble shooting when necessary; efficiently utilizes supplies to prevent waste. Understands... ...patient care on an as needed basis Review and comply with the Code of Business Conduct...Local areaShift workNight shift
Fresenius Medical Care
Anderson, IN4 days ago - ...Summary: A registered nurse at Baptist Health is accountable for utilizing the nursing process and the training provided by Baptist Health... ...to demonstrate clinical competence and critical thinking. The RN is responsible to know and understand the policies and processes...Shift work
Baptist Health
Gibson County, IN13 days ago - A leading healthcare recruiting firm in Indianapolis is seeking an experienced RN to ensure high-quality care and manage medical necessity for services. The role requires a clear RN license in Indiana, 2 years of acute care experience, and strong computer skills. You will...
$11.3 per hour
...at Midtown and Eagle Crest. Deaconess RN on Call is available for employees 24/7/3... ...Clinical Office Assistant will provide care utilizing established principles and ethical... ...employment laws. For further information, please review the Know Your Rights notice from the...Full timePart timeWork at officeFlexible hoursShift workWeekend workDeaconess
Evansville, IN1 day ago- ...regulatory agency standards by which the RN provides patient care and shared leadership... ...and an exemplary patent experience. Utilizes the event management system; reports near... ...department and HRH. Participates in peer review as requested by management. Follows...Full timeTemporary workShift workNight shift
Hendricks Regional Health
Danville, IN2 days ago - ...Summary: A registered nurse at Baptist Health is accountable for utilizing the nursing process and the training provided by Baptist Health... ...to demonstrate clinical competence and critical thinking. The RN is responsible to know and understand the policies and processes...Part timeImmediate startShift workNight shift
Baptist Health
Gibson County, IN2 days ago $90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a remote Physician Clinical Reviewer to join their utilization management team. The role involves medical review of service requests, interaction with physicians, and clinical rationale discussion for appeals. Candidates should...Remote jobHourly pay- ...documentation of activities and patient/family education, and provide care utilizing established principles and ethical standards as well as... ...to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor....Work at office
- ...Registered Nurse - Cardiac Observation Unit (RN) Job Category: Inpatient Nursing... ...is a cardiac-focused department that is utilized for admitting and recovering Cath Lab procedures... ...laws. For further information, please review the Know Your Rights notice from the...Full timePart timeReliefImmediate startFlexible hoursShift workNight shiftWeekend workAfternoon shift
Deaconess
Newburgh, IN22 hours ago $27.02 - $48.55 per hour
...LICENSURE Position Purpose Performs a clinical review and assesses care related to mental... ...data to improve quality and appropriate utilization of services Provides education to providers... ...Health Professional (LMHP) required or RN - Registered Nurse - State Licensure and/...Hourly payFull timePart timeWork at officeRemote workFlexible hoursWeekend work$11.3 per hour
Clinic Medical Assistant; Clinic RN, LPN, CMA/RMA Job Category : Medical Office Professional... ...patient/family education, Provide care utilizing established principles and ethical... ...employment laws. For further information, please review the Know Your Rights notice from the...Full timePart timeWork at officeFlexible hoursShift workWeekend work- ...Exempt Job Role Summary The Team Captain RN and Triage Nurse RN are positions that... ...Excel, and Outlook Creative, innovative; utilizes the Plan-Do-Check-Act methodology to drive... ...best places to work by Becker’s Hospital Review for four consecutive years and Forbes list...Full timeLocal areaShift workAfternoon shift
