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- ...A pharmaceutical benefits manager is seeking a Physician Clinical Reviewer in Gastroenterology to perform remote medical review of service requests. Responsibilities include reviewing clinical cases, collaborating with physicians, and ensuring compliance with medical...SuggestedRemote work
Prime Therapeutics
Indianapolis, IN4 hours agonew $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, IN1 day 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$90.87 - $154.33 per hour
...purpose-driven career? Come build the future of pharmacy with us. Job Title : Physician Clinical Reviewer - Rheumatology - REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service requests that do not initially...SuggestedWork at officeLocal areaRemote workVisa sponsorshipWork visaPrime Therapeutics
Indianapolis, IN4 hours agonew$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, IN8 hours ago- ...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves timely medical review of service requests, discussion with healthcare providers, and providing clinical...SuggestedRemote work
Prime Therapeutics
Indianapolis, IN4 hours agonew - 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
- ...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 - ...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
- 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- ...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...SuggestedTemporary workFlexible hours
Yale New Haven Health
Guilford, IN5 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...SuggestedShift workNight shift
Baptist Health
Gibson County, IN8 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, IN4 days 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 - ...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...
Fresenius Medical Care
Goshen, IN4 hours agonew - 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- ...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...
Fresenius Medical Care
Homecroft, 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
Middletown, IN1 day 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...
Yale New Haven Health
Seymour, IN5 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- ...Job Role Summary The Team Captain RN and Triage Nurse RN are positions that allow... ..., 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
Health & Hospital Corporation of Marion County
Indianapolis, IN1 day 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 work
Baptist Health
Gibson County, IN6 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- ...Registered Nurse - Cardiac Observation Unit (RN) Inpatient Nursing Eligible for... ...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, IN8 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$2,607 per week
...Prime Staffing is seeking a travel nurse RN CVOR for a travel nursing job in Indianapolis... ...CVOR Salary information and unbiased reviews from leading Travel Nurse Agencies... ...our clients and candidates. Prime Staffing utilizes a unique matchmaking approach, providing...Permanent employmentTemporary workShift workPrime Staffing
Indianapolis, IN16 hours ago
