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Director Utilization Management Jobs in Wisconsin

Sargent Electric

Solar Site Manager

De Pere, WI · On-site

$75 - $100/hr

Monitor proper utilization/management of Company‑Owned and rented equipment. * Direct supervision of project site team including General Foreman, Yard Manager, Safety, QA/QC and other required site ...

St. Luke's University Health Network

WI · On-site

$65 - $90/hr

Works as a team with other members of care management, including RN care managers, assistants, coordinators, utilization management staff, and director. * Facilitates communication among all ...

Elevance Health

Family Care-Service Coordinator

Sparta, WI · Hybrid

$18.50 - $24.50/hr

This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

Monroe, WI · Hybrid

$18.75 - $25/hr

This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

Waukesha, WI · Hybrid

$20 - $26.50/hr

This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

Elkhorn, WI · Hybrid

$20.75 - $27.50/hr

This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement ... Submits utilization/authorization requests to utilization management with documentation supporting ...

Elevance Health

Family Care-Service Coordinator

Dodgeville, WI · Hybrid

$20.25 - $27/hr

This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement ... Submits utilization/authorization requests to utilization management with documentation supporting ...

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Director Utilization Management information

See Wisconsin salary details

$18.2K

$52.8K

$84.8K

How much do director utilization management jobs pay per year?

As of Sep 7, 2026, the average yearly pay for director utilization management in Wisconsin is $52,811.00, according to ZipRecruiter salary data. Most workers in this role earn between $40,400.00 and $60,600.00 per year, depending on experience, location, and employer.

What is a director utilization management?

A Director of Utilization Management oversees the review and approval of medical services to ensure they are necessary, efficient, and cost-effective. They develop strategies to improve care quality while managing healthcare costs, working closely with providers, payers, and regulatory bodies. Their responsibilities include policy development, compliance with healthcare regulations, and leading a team of utilization review professionals. This role is common in hospitals, insurance companies, and managed care organizations.

What are the typical daily responsibilities of a director utilization management?

A Director Utilization Management generally oversees a team responsible for reviewing patient care to ensure appropriate resource use and compliance with payer requirements. Daily tasks may include analyzing utilization data, developing policy and process improvements, collaborating with clinical and administrative staff, and addressing escalated cases or issues. Directors frequently attend strategy meetings, conduct staff training, and engage with external partners like insurance providers. This role requires balancing administrative oversight with hands-on problem solving to support both cost efficiency and quality patient care.

What are the key skills and qualifications needed to thrive in the director utilization management position, and why are they important?

To thrive as a Director Utilization Management, you need a strong background in healthcare administration, case management, and data-driven decision-making, often supported by a clinical degree and several years of management experience. Familiarity with utilization management software, electronic health records (EHRs), and certifications such as CCM or ACM are typically valued. Exceptional leadership, communication, and problem-solving skills distinguish top performers in this role. These competencies are vital for optimizing resource use, ensuring regulatory compliance, and leading teams to meet quality care standards.

What does a director of utilization management do?

A director of utilization management oversees the review and approval of healthcare services to ensure they are medically necessary and cost-effective. They develop policies, manage teams of reviewers, and collaborate with healthcare providers and insurance companies to optimize patient care and resource utilization.

What are the most commonly searched types of Utilization Management jobs in Wisconsin?

The most popular types of Utilization Management jobs in Wisconsin are:

What are popular job titles related to Director Utilization Management jobs in Wisconsin?

For Director Utilization Management jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Director Utilization Management jobs in Wisconsin look for?

The top searched job categories for Director Utilization Management jobs in Wisconsin are:

Director Utilization Management jobs near you
Infographic showing various Director Utilization Management job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 12% Part Time, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $52,811 per year, or $25.4 per hour.

Registered Nurse (RN) Care Manager - Summit

Advocate Health

Oconomowoc, WI • On-site

Other

Posted 19 days ago

Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

Based on 781 frontline employees who took The Breakroom Quiz

193rd of 898 rated healthcare providers

Job description

Registered Nurse (RN) – RN Case Manager inpatient Summit site 0.6 FTE

Seeking a proactive, self-directed individual with excellent organizational skills and the ability to work both independently and collaboratively. Strong interpersonal communication, teamwork, and adaptability are essential for success in this role.

Where You Will Work:


Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management.

We’re Looking For:

License/Registration/Certification: Registered Nurse License issued by the state in which the Team Member practices.
Level of Education: Bachelor’s Degree in Nursing
Years of Experience: 2 years of clinical nursing experience

What You’ll Do:

  • Conduct comprehensive assessments and create timely care plans & interventions

  • Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences

  • Provide continuity of care and discharge planning aligned with regulatory standards

  • Coordinate smooth transfers and handoffs across units and settings

  • Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources

  • Initiate internal/external referrals; document discharge planning and UM activities accurately and on time

  • Perform concurrent/retrospective reviews using approved criteria

  • Partner closely with Social Work and support staff to implement safe, effective plans of care

  • Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes

  • Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance

  • Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes

  • Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health

  • Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements

  • Provide age-appropriate care per departmental standards

Be the Nurse Who Redefines Care.
At Advocate Health, being a nurse means more than delivering exceptional clinical care—it means leading with purpose, compassion, and boldness. As part of our One Advocate Nurse community, you’ll join a unified team committed to lifting others up, embracing innovation, and creating inclusive spaces where everyone can thrive. You’ll be empowered to think boldly, collaborate with humility, and drive change through fearless curiosity. Whether you're at the bedside, in the community, or advancing care through research and education, you’ll help shape the future of health—because here, we’re redefining care for you, for us, for all.
Your feedback matters . Every nurse’s voice is vital in shaping our culture and improving care. We value your insights and experiences because they help us grow stronger together.

Ready to Take the Next Step:
Apply Now!

What Advocate Aurora Health employees say

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Hours and flexibility

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About Advocate Health

Sourced by ZipRecruiter

Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

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