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Case Manager Utilization Review Nurse Jobs in Racine, WI

Hire Talent

RN HH Case Manager

Burlington, WI · On-site

The RN Case Manager will coordinate and manage care for patients with end-stage illnesses, ensuring comfort-focused care in various home-based settings. This role requires strong clinical judgment ...

Luther Manor

Hospice-RN Case Manager

Wauwatosa, WI · On-site

$72K - $92K/yr

BE APART OF LUTHER MANOR'S HOSPICE TEAM FULL TIME RN CASE MANAGER POSITION AVAILABLE The Luther Manor Hospice RN Case Manager gives skilled nursing care to patients in their homes; administers ...

Olaro

Travel RN Case Manager

Mount Pleasant, WI · On-site

Olaro is seeking a travel nurse RN Case Management for a travel nursing job in Mount Pleasant, Wisconsin. & Requirements * Specialty: Case Management * Discipline: RN * Start Date: 09/13/2026

New

Protouch Staffing

RN HH Case Manager

Burlington, WI

$3.1K/wk

RN Hospice Case Manager - Home Hospice ???? Burlington & Walworth, WI ???? Day Shift | Monday - Friday This position supports a Home Hospice program providing compassionate end-of-life care across ...

Host Healthcare

Travel RN Case Manager

Racine, WI · On-site

Specialty: Case Management * Discipline: RN * Start Date: 09/13/2026 * Duration: 12 weeks * 40 hours per week * Shift: 8 hours, days * Employment Type: Travel Host Healthcare Job ID ...

New

US Fertility

Fertility Nurse Case Manager

Milwaukee, WI · On-site

$72K - $84K/yr

Fertility Nurse Case Manager Sign on Bonus $1000 Build What Matters Most--Families, Futures, and ... For further information, please review the Know Your Rights notice from the Department of Labor.

Luther Manor

Hospice-RN Case Manager

Wauwatosa, WI · On-site

BE APART OF LUTHER MANOR'S HOSPICE TEAM FULL TIME RN CASE MANAGER POSITION AVAILABLE The Luther Manor Hospice RN Case Manager gives skilled nursing care to patients in their homes; administers ...

Addus HomeCare

RN Case Manager- Hospice

Zion, IL · On-site

$80K - $97K/yr

Hospice Registered Nurse (RN) Case Manager - Full-Time JourneyCare Hospice is seeking a compassionate and experienced Hospice RN Case Manager to provide patient-centered, end-of-life care in the ...

Addus HomeCare

RN Case Manager- Hospice

Waukegan, IL · On-site

$80K - $97K/yr

Hospice Registered Nurse (RN) Case Manager - Full-Time JourneyCare Hospice is seeking a compassionate and experienced Hospice RN Case Manager to provide patient-centered, end-of-life care in the ...

Clarvida - Illinois

Youth Case Manager

Grayslake, IL

$50K/yr

Youth Case Manager Location: Grayslake, IL (On-site / Community-based) Employment Type: Full-time ... Applications will be reviewed on a rolling basis until the position is filled. Learn more:www ...

Clarvida - Illinois

Youth Case Manager

Grayslake, IL

$50K/yr

Youth Case Manager Location: Grayslake, IL (On-site / Community-based) Employment Type: Full-time ... Applications will be reviewed on a rolling basis until the position is filled. Learn more: www ...

Clarvida

Youth Case Manager

Grayslake, IL · On-site

$50K/yr

Applications will be reviewed on a rolling basis until the position is filled. Learn more: www ... Keywords Youth case manager Illinois, DCFS youth case manager IL, child welfare case management ...

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Showing results 41-60

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

Case Manager Utilization Review Nurse information

See Racine, WI salary details

$18

$44

$75

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

As of Aug 17, 2026, the average hourly pay for case manager utilization review nurse in Racine, WI is $44.57, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $53.89 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 Racine, WI?

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

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

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

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

Cities near Racine, 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 Racine, WI as of August 2026, with employment types broken down into 75% Full Time, 15% Part Time, and 10% Contract. Highlights an 89% In-person, and 11% Remote job distribution, with an average salary of $92,707 per year, or $44.6 per hour.

RN HH Case Manager

Hire Talent

Burlington, WI • On-site

Other

Re-posted 15 days ago

Job description

Registered Nurse (RN) – Hospice Home Health Case Manager

We are seeking a compassionate and experienced Registered Nurse (RN) Hospice Case Manager to join a dedicated hospice team serving patients in the Burlington and Walworth communities.

The RN Case Manager will coordinate and manage care for patients with end-stage illnesses, ensuring comfort-focused care in various home-based settings. This role requires strong clinical judgment, excellent communication skills, and the ability to provide holistic care to patients and their families.

Patient Population:

  • End-stage hospice patients
  • Care provided in:
    • Patient homes
    • Assisted Living Facilities (ALF)
    • Skilled Nursing Facilities (SNF)
    • Group homes
    • Independent living communities
    • Two hospitals providing General Inpatient (GIP) hospice care

Unit Overview:

  • Average Daily Census: ~105 patients
  • RN Case Managers: 7 (each managing 14–16 patients)
  • CNA Support: 6 CNAs

Key Responsibilities:

  • Manage a caseload of hospice patients in the community
  • Provide comprehensive nursing assessments and symptom management
  • Develop and implement individualized care plans
  • Coordinate care with physicians, hospice staff, and interdisciplinary teams
  • Educate patients and families regarding disease progression and end-of-life care
  • Document patient care accurately in the EMR system
  • Provide compassionate support to patients and families during end-of-life care

Requirements:

  • Minimum Experience: 2 years RN experience
  • Travelers: Experienced travelers preferred
  • Licensure: Active Registered Nurse (RN) license
  • Certifications:
    • BLS (Basic Life Support)
  • Other Requirements:
    • Valid Driver's License
    • Auto Insurance
    • Reliable transportation for community visits

Skills & Competencies:

  • Hospice or end-of-life care experience preferred
  • Strong patient assessment and care coordination skills
  • Ability to work independently in a community-based setting
  • Excellent communication and compassionate patient care

Technology & Equipment:

  • EMR: Epic & Rover
  • IV Pump: Yes
  • Medication Dispensing: Yes
  • Monitoring Equipment: Chair and bed alarms
  • Supplies: Home health bag and trunk supplies

Scheduling & Work Environment:

  • Shift: Monday – Friday, 8:00 AM – 4:30 PM
  • Weekend Requirement: None
  • On-Call: None
  • Holiday Requirement: None
  • Floating: Community-based patient home visits
  • Orientation: 1 week

Additional Information:

  • Scrub Color: Blue or Black
  • Parking: Free parking available at Burlington and Walworth offices
  • Unit Culture: Strong teamwork and supportive environment

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