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Case Manager Utilization Review Nurse Jobs in Racine, WI

Moments Hospice

RN Case Manager

Milwaukee, 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

Milwaukee, 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

Racine, 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

Milwaukee, 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

Milwaukee, 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

Milwaukee, 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

Racine, 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 ...

Addus HomeCare

RN Case Manager

Waukegan, IL · On-site

$80K - $97K/yr

Hospice Registered Nurse (RN) Case Manager Full-Time | Lake Forest, Waukegan, and Zion, IL JourneyCare Hospice Tired of high caseloads, frequent weekend rotations, and feeling stretched too thin? At ...

Hospice Alliance

RN CASE MANAGER

Pleasant Prairie, WI · On-site

The RN Case Manager is responsible for identifying and coordinating patient/family care to support terminally ill patients and families in home, skilled nursing facilities and other residential care ...

Hospice Alliance

RN CASE MANAGER

Pleasant Prairie, WI · On-site

The RN Case Manager is responsible for identifying and coordinating patient/family care to support terminally ill patients and families in home, skilled nursing facilities and other residential care ...

New

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 ...

Moments-Hospice-

RN Case Manager

Milwaukee, WI · On-site

$80 - $100/hr

As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...

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 ...

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.

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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 Sep 7, 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 72% Full Time, 17% Part Time, and 11% Contract. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $92,707 per year, or $44.6 per hour.

RN Case Manager

Moments Hospice

Milwaukee, WI • On-site

$75K - $90K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago

Moments Hospice rating

8.1

Company rating: 8.1 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

7th of 47 rated hospices

Job description

At Moments Hospice, we never want our staff to have to stress about their commute. That's why our winning compensation package includes a fleet car benefit option with gas and insurance covered. Enjoy a vehicle for both business and personal use at a minimal cost to you. We fuel more than just your career when you join our team - apply now!
Why Join Moments Hospice? Our commitment to personal and professional growth includes employee-sponsored health benefits, opportunities for clinical advancement, and investments in educational development. We offer a rewarding work environment with clear expectations and reasonable caseloads. On-call support is available for our case managers, ensuring you always have the help you need.
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners and take part in our entrepreneurial spirit, fostering internal growth and clinical advancement.
Responsibilities:
  • Conduct initial client assessments and continuously refine care plans.
  • Provide hands-on nursing care and patient education.
  • Maintain open lines of communication with patients, families, and the healthcare team.
  • Manage patient care coordination for your caseload.
  • Participate in interdisciplinary team meetings to ensure comprehensive care planning.

Qualifications:
  • Licensed as a Registered Nurse / RN in the state you work in.
  • Proficiency with Electronic Medical Records (EMR) software.
  • Excellent planning, organizing, and communication skills.
  • Ability to solve problems autonomously, ensuring responsibilities are met while maintaining high standards.
  • Valid Driver's License and reliable vehicle with current insurance

Benefits:
  • Competitive salary
  • Company car with fuel and insurance covered
  • Comprehensive health, dental, and vision insurance
  • Generous PTO accruing immediately
  • 401(k) with company matching

$75,000 - $90,000 a year
Apply Now: We make it easy for you to apply and join our team. Experience a career that not only meets your professional goals but also provides a supportive community committed to your success.
https://momentshospice.com/terms-of-service/
https://momentshospice.com/privacy-agreement/
Job Type: On The Road
#RegisteredNurse #RN #CaseManager #Nurse #RNCaseManager
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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