Utilization Management Nurse
SIHO HOLDING INCColumbus, Indiana, United States
Posted February 25, 2026
Full Time
About the Company
SIHO Holding Inc. is a leading health plan administrator headquartered in Columbus, Indiana, offering a full spectrum of health insurance and medical management solutions for businesses of all sizes. Its core services include third‑party administration, wellness and population‑health programs, COBRA and flexible‑spending plan management, and health‑system development that partner local providers with employers to deliver cost‑effective care. SIHO distinguishes itself by blending the sophistication of a national carrier with a community‑focused approach, providing an integrated claims‑processing platform, walk‑in member support, and dedicated teams for employers, brokers, and providers. Founded in 1987 by physicians, hospitals, and employers, the company remains committed to raising healthcare standards while keeping flexibility and affordability at the forefront.
Job Description
The Utilization Management Nurse will perform review of services prospectively, retrospectively, and throughout the episode of care to ensure quality, cost effectiveness, and compliance to plan guidelines. The nurse will make coverage determinations and interact with members, healthcare providers, and care team members to complete reviews in a timely manner.
Requirements
- Registered Nurse with current, unrestricted license in primary state of employment
- Previous UM or Health Plan experience highly preferred
- Self-directed organizational and prioritization skills, and independent time management skills required
- Sound clinical background with experience in the clinical field
- Excellent verbal and written communication skills
- Microsoft Office Experience: Outlook, Word, Excel
