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Case Manager Utilization Review Nurse Jobs in Appleton, WI

GQR

RN - Case Manager

Appleton, WI · On-site

$1.8K - $1.9K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Appleton, Wisconsin Start Date: September 6, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1847 ...

UnitiMed

RN Case Manager

Appleton, WI · On-site

Referral bonus up to $700 Registered Nurse (RN),Case Management/Utilization Review, About the Company: Uniti Med is an award-winning healthcare staffing company with a mission to provide staffing ...

NuWest Travel Nursing

Travel RN Case Manager

Appleton, WI · On-site

$1.7K - $2.0K/wk

NuWest Travel Nursing is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Appleton, Wisconsin. & Requirements * Specialty: Acute Care Case Management * Discipline: RN ...

Magnet Medical

RN - Case Manager

Appleton, WI · On-site

$2.0K/wk

Details Client Name Ascension Northeast Wisconsin - Saint Elizabeth Campus Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 37829390 Job Title RN - Case Manager Weekly Pay ...

Skyline Med Staff, LLC

RN - Case Manager

Appleton, WI · On-site

$2.2K/wk

Elizabeth Hospital Job Type Travel Offering Nursing Profession RN Specialty Case Manager Job ID 18968479 Job Title RN - Case Manager Weekly Pay $2226.0 Shift Details Shift 5x 8 Days Scheduled Hours ...

Moments Hospice

RN Case Manager

Oshkosh, WI · On-site

$75K - $90K/yr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Moments Hospice

RN Case Manager

New London, WI

$75K - $90K/yr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Moments Hospice

RN Case Manager

De Pere, WI · On-site

$75K - $90K/yr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Moments Hospice

RN Case Manager

Neenah, WI · On-site

$75K - $90K/yr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

Moments Hospice

RN Case Manager

Appleton, WI

$75K - $90K/yr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

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All JobsCase Utilization Review Nurse JobsCase Manager Utilization Review Nurse JobsCase Manager Utilization Review Nurse Jobs in Appleton, WI

Case Manager Utilization Review Nurse information

See Appleton, WI salary details

$18

$46

$78

How much do case manager utilization review nurse jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for case manager utilization review nurse in Appleton, WI is $46.38, according to ZipRecruiter salary data. Most workers in this role earn between $34.47 and $56.06 per hour, depending on experience, location, and employer.

What is a case manager utilization review nurse?

A Case Manager Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, coordinate with healthcare providers, and ensure that treatments meet established guidelines and insurance requirements. Their goal is to optimize patient outcomes while controlling healthcare costs and ensuring compliance with regulations. These nurses also help facilitate communication between patients, providers, and payers to support effective care management.

How does a case manager utilization review nurse typically collaborate with physicians and other healthcare providers?

Case Manager Utilization Review Nurses regularly work with physicians, social workers, and other healthcare professionals to ensure patients receive appropriate care while managing resource utilization. They often participate in interdisciplinary team meetings to discuss care plans, review patient progress, and address any barriers to discharge. Building strong communication channels and maintaining up-to-date clinical knowledge are essential, as nurses must advocate for patients while also supporting evidence-based practices and regulatory compliance. This collaborative environment helps streamline patient care and optimize outcomes.

What are the key skills and qualifications needed to thrive as a case manager utilization review nurse, and why are they important?

To excel as a Case Manager Utilization Review Nurse, you need a solid background in nursing, strong clinical assessment skills, and a valid RN license, often with case management certification. Familiarity with utilization review software, electronic health record (EHR) systems, and knowledge of insurance and regulatory guidelines is essential. Exceptional communication, critical thinking, and negotiation abilities set top performers apart in this role. These qualifications ensure effective patient advocacy, cost-effective care, and compliance with healthcare standards.

What is the difference between Case Manager Utilization Review Nurse vs Case Manager?

AspectCase Manager Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., URAC)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

While both roles involve patient care coordination, the Case Manager Utilization Review Nurse primarily focuses on reviewing medical necessity and insurance approvals, whereas the Case Manager handles broader patient care coordination and discharge planning. Both roles require nursing credentials and are vital in healthcare settings, but their specific responsibilities differ.

What are popular job titles related to Case Manager Utilization Review Nurse jobs in Appleton, WI?

For Case Manager Utilization Review Nurse jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Case Manager Utilization Review Nurse jobs in Appleton, WI look for?

The top searched job categories for Case Manager Utilization Review Nurse jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Case Manager Utilization Review Nurse jobs?

Cities near Appleton, WI with the most Case Manager Utilization Review Nurse job openings:

Case Manager Utilization Review Nurse jobs near you
Infographic showing various Case Manager Utilization Review Nurse job openings in Appleton, WI as of July 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 76% Full Time, 18% Part Time, and 3% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $96,469 per year, or $46.4 per hour.

RN - Case Manager

GQR

Appleton, WI • On-site

$1.8K - $1.9K/wk

Other

Medical, Dental, Vision

Posted 6 days ago

Job description

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Appleton, Wisconsin
Start Date: September 6, 2026
Profession: Registered Nurse (RN)
Facility:
Estimated Pay: $1847.59 - $1942.59
Duration:13 weeks
Specialty:Case Management/Utilization Review
Shift: Day
Shift Details: null Day
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:
  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700

About the Company:
Finding the right role is about more than just matching skills to a job-it's about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.

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