Appleton, WI · On-site
$1.7K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Appleton, Wisconsin Start Date: September 13, 2026 Profession: Registered Nurse (RN) Facility: Estimated ...
Appleton, WI · On-site
$1.7K/wk
Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Appleton, Wisconsin Start Date: September 13, 2026 Profession: Registered Nurse (RN) Facility: Estimated ...
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
Menasha, WI · On-site +1
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
Menasha, WI · On-site +1
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
Menasha, WI · On-site +1
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
Menasha, WI · On-site +1
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
Appleton, WI · On-site
$2.3K/wk
Day shift schedule from 08:00 to 16:30 * 13-week contract assignment * May require floating to ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
Appleton, WI · On-site
$2.3K/wk
Day shift schedule from 08:00 to 16:30 * 13-week contract assignment * May require floating to ... Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over ...
Menasha, WI · On-site +1
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
Menasha, WI · On-site +1
... of utilization review and quality assessment processes * Provide medical consultation as requested ... Medical issues related to contract negotiations with health care providers * Determining if ...
Menasha, WI · On-site +1
... contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc. * Reviews home office claims ...
Menasha, WI · On-site +1
... contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc. * Reviews home office claims ...
Menasha, WI · On-site +1
... contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc. * Reviews home office claims ...
Menasha, WI · On-site +1
... contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc. * Reviews home office claims ...
Menasha, WI · On-site
... contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc. * Reviews home office claims ...
Menasha, WI · On-site
... contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc. * Reviews home office claims ...
De Pere, WI · On-site
$90 - $120/hr
Review and understand the terms and conditions of project contract requirements. * Full ... Monitor proper utilization/management of Company-Owned and rented equipment. * Direct supervision ...
De Pere, WI · On-site
$90 - $120/hr
Review and understand the terms and conditions of project contract requirements. * Full ... Monitor proper utilization/management of Company-Owned and rented equipment. * Direct supervision ...
Menasha, WI · On-site +1
Keeps current on all business programs, including, products offered, group contracts and ... Reviews and follows up on open work items to ensure resolution is within established timeframes
Menasha, WI · On-site +1
Keeps current on all business programs, including, products offered, group contracts and ... Reviews and follows up on open work items to ensure resolution is within established timeframes
Appleton, WI · On-site
$80K - $108K/yr
Review, interpret and act upon business metrics including utilization, backlog, work in process and ... Participate in contract bidding, provide limited observation during construction, review submittals ...
Appleton, WI · On-site
$80K - $108K/yr
Review, interpret and act upon business metrics including utilization, backlog, work in process and ... Participate in contract bidding, provide limited observation during construction, review submittals ...
Review, interpret and act upon business metrics including utilization, backlog, work in process and ... Participate in contract bidding, provide limited observation during construction, review submittals ...
Review, interpret and act upon business metrics including utilization, backlog, work in process and ... Participate in contract bidding, provide limited observation during construction, review submittals ...
Review, interpret and act upon business metrics including utilization, backlog, work in process and ... Participate in contract bidding, provide limited observation during construction, review submittals ...
Review, interpret and act upon business metrics including utilization, backlog, work in process and ... Participate in contract bidding, provide limited observation during construction, review submittals ...
Oshkosh, WI · On-site
$92K - $154K/yr
Responsiblefor supporting and leading contract management activities, which may include negotiating with vendors, requesting quotes, reviewing utilization, assessing value, and providing ...
Oshkosh, WI · On-site
$92K - $154K/yr
Responsiblefor supporting and leading contract management activities, which may include negotiating with vendors, requesting quotes, reviewing utilization, assessing value, and providing ...
Oshkosh, WI · On-site
$92K - $154K/yr
Responsible for supporting and leading contract management activities, which may include negotiating with vendors, requesting quotes, reviewing utilization, assessing value, and providing ...
Oshkosh, WI · On-site
$92K - $154K/yr
Responsible for supporting and leading contract management activities, which may include negotiating with vendors, requesting quotes, reviewing utilization, assessing value, and providing ...
De Pere, WI · On-site
$75 - $100/hr
Review and understand the terms and conditions of project contract requirements. * Full ... Monitor proper utilization/management of Company‑Owned and rented equipment. * Direct supervision ...
De Pere, WI · On-site
$75 - $100/hr
Review and understand the terms and conditions of project contract requirements. * Full ... Monitor proper utilization/management of Company‑Owned and rented equipment. * Direct supervision ...
Appleton, WI · On-site
Review of financial statements prepared by outside 3rd party includes doing an analysis of ... Prepares and reports key statistics through the effective utilization of information systems.
Quick apply
Appleton, WI · On-site
Review of financial statements prepared by outside 3rd party includes doing an analysis of ... Prepares and reports key statistics through the effective utilization of information systems.
$20.88 - $25.10
2% of jobs
$25.10 - $29.32
9% of jobs
$32.21 is the 25th percentile. Wages below this are outliers.
$29.32 - $33.54
21% of jobs
The median wage is $36.96 / hr.
$33.54 - $37.76
23% of jobs
$37.76 - $41.98
13% of jobs
$45.27 is the 75th percentile. Wages above this are outliers.
$41.98 - $46.21
10% of jobs
$46.21 - $50.43
8% of jobs
$50.43 - $54.65
5% of jobs
$54.65 - $58.87
5% of jobs
$58.87 - $63.09
2% of jobs
$63.09 - $67.32
2% of jobs
$20
$41
$67
A Contract Utilization Review job involves analyzing and evaluating the usage of contracts to ensure compliance, cost-effectiveness, and efficiency. Professionals in this role review contract terms, monitor vendor performance, and assess utilization data to optimize contract value. They may work in industries such as healthcare, government, or procurement, ensuring that agreements are being properly executed. The goal is to identify areas for improvement, reduce waste, and enhance operational efficiency.
A typical day in Contract Utilization Review involves reviewing patient medical records, ensuring adherence to payer contracts and regulatory standards, and communicating with healthcare providers to validate medical necessity of services. Professionals in this role often collaborate with clinical staff, case managers, and insurance representatives to resolve discrepancies or authorization issues. The work is detail-oriented and deadline-driven, making organizational skills vital. This dynamic position offers significant opportunities to learn more about healthcare regulations and may serve as a stepping stone toward more advanced roles in healthcare administration or compliance.
To thrive in Contract Utilization Review, you need a solid understanding of medical terminology, insurance policies, and contract compliance, often supported by a healthcare-related degree or certification in utilization management. Familiarity with utilization review software, electronic medical records (EMR), and knowledge of regulatory standards such as CMS guidelines is essential. Strong analytical thinking, attention to detail, and effective communication skills are crucial for collaborating with care teams and insurers. These abilities ensure reviews are accurate, contracts are properly administered, and patient care meets organizational and payer requirements.
The most popular types of Utilization Review jobs in Appleton, WI are:
The top searched job categories for Contract Utilization Review jobs in Appleton, WI are:
Cities near Appleton, WI with the most Contract Utilization Review job openings:
$1.7K/wk
Other
Medical, Dental, Vision
Posted 11 days ago
GQR Healthcare is seeking a travel nurse RN Acute Care Case Management for a travel nursing job in Appleton, Wisconsin.
Job Description & RequirementsContract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Appleton, Wisconsin
Start Date: September 13, 2026
Profession: Registered Nurse (RN)
Facility:
Estimated Pay: $1732.33 - $1827.33
Duration:8 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:
GQR Job ID #818886. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)
About GQR HealthcareGQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.
In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.
Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.
Why Vivian Health?Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.
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Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.
Recruiting and staffing services
201 - 500 Employees
Austin, TX, US
2019
