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
$40 per hour
...Job Description Job Description Description: Job Title: Utilization Review Nurse (Remote) Pay Rate: $40/hr. Job Type: Full-Time,... ...nursing or related field. Licensure: Active, unrestricted RN license to practice within the applicable U.S. state(s) or territory...SuggestedRemote jobFull timeMonday to Friday$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, IN10 hours ago$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- ...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, IN3 days ago $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, 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
$90.87 - $154.33 per hour
...driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Dermatology- 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- ...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
- ...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, IN10 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...SuggestedFull time
Fresenius Medical Care
Spring Hills, IN10 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...SuggestedFull time
Fresenius Medical Care
Goshen, IN10 hours 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 workNight shift
Baptist Health
Gibson County, IN16 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...
- ...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, IN2 days ago - ...Additional Job Description Area Float RN ( Mishawaka, Elkhart, Goshen, Plymouth,... ...on the Hemodialysis Treatment Sheet. Reviews, transcribes, and enters physician lab... ...alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab...Full timeReliefImmediate startShift workRotating shift
Fresenius Medical Care
Mishawaka, IN2 days ago $11.3 per hour
...Kentucky. Subject to availability Deaconess RN on Call is available for employees 24/7/3... .../family education, Provide care utilizing established principles and ethical standards... ...laws. For further information, please review the Know Your Rights notice from the Department...Full timePart timeWork at officeFlexible hoursShift workWeekend workDeaconess
Newburgh, IN2 days ago- ...Manager/Clinical Coordinator. The Registered Nurse (Rn) Assesses, Plans, Implements, Evaluates And... ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed...Immediate start
Yale New Haven Health
Middlebury, IN3 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- ...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 work
Baptist Health
Gibson County, IN4 days 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- ..., and judgment. Services provided by the RN include; supervising care delivered, coordinating... ...is a cardiac-focused department that is utilized for admitting and recovering Cath Lab... ...laws. For further information, please review the Know Your Rights notice from the Department...Full timePart timeReliefImmediate startFlexible hoursShift workNight shiftWeekend workAfternoon shift
Deaconess
Newburgh, IN4 days ago $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- ...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 workDay shift
Hendricks Regional Health
Danville, IN2 days ago - ...Job Description Performs utilization review of inpatient admissions, outpatient surgeries, and ancillary services. Performs precertification... ...(BSN) preferred. Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure...Work at office
Indiana University Health
Muncie, IN10 hours ago - ...As an RN or LPN within our Bowen Health Recovery Center, you will provide psychiatric... ...and documentation of results is in EMR. Utilize nursing process to assess and develop nursing... ...laws. For further information, please review the Know Your Rights notice from the Department...For contractorsRelocationShift workWeekend workWeekday work
Bowen Center
Fort Wayne, IN2 days ago - ...Planning: a. Collaborate with Staff RN Case Manager to identify the patient's present... ...are realized. c. Complete 4-week reviews in a timely manner and ensure all recommendations... ...operate all clinical equipment. g. Utilize appropriate infection control procedures....Day shift
Johnson Memorial Health Services
Franklin, IN3 days ago
