Manager Registered Nurse Utilization Review

• Location: Indianapolis, IN
• Facility: Ascension St. Vincent Hospital
• Department/Specialty: Utilization Management
• Schedule: Full-Time, Day shift, Monday-Friday, with some weekends on-call. Must be able to work in Eastern Time zone.

• Lead daily department operations and budgeting to ensure a high-performing team and a sustainable, well-resourced work environment.
• Hire, mentor, and evaluate staff members to build a highly skilled workforce dedicated to continuous professional development.
• Design and implement quality review programs with key performance metrics to guarantee exceptional utilization review standards.
• Partner with medical and executive leadership to place patients in the most appropriate care settings while meeting all financial and regulatory standards.
• Serve as the primary clinical expert for staff on review criteria and appeals to ensure accurate documentation and smooth patient transitions.

Licensure / Certification / Registration

• Required Credential(s):
  • Registered Nurse credentialed from the Indiana Board of Nursing obtained prior to hire date or job transfer date.

Education

• Required professional licensure/certification AND 3 years of experience and 1 year of cumulative leadership experience required.

Additional Preferences

• Active Indiana or compact RN License
• Bachelors in Nursing
• Minimum of 2 years of leadership experience in Utilization Review or Case Management required
• Utilization Review or Case Management experience required
• ACMA or CCM certification preferred