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Manager Utilization Management Jobs in Chetek, WI

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Manager Utilization Management information

See Chetek, WI salary details

$38.5K

$89.8K

$165.2K

How much do manager utilization management jobs pay per year?

As of Jul 27, 2026, the average yearly pay for manager utilization management in Chetek, WI is $89,761.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,700.00 and $108,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Manager Utilization Management, and why are they important?

To thrive as a Manager Utilization Management, you need a thorough understanding of healthcare regulations, utilization review processes, and case management, often supported by a clinical degree (such as RN) and relevant experience. Familiarity with utilization management software, claims processing systems, and potentially certifications like CCM (Certified Case Manager) or ACM (Accredited Case Manager) is important. Strong leadership, analytical thinking, and effective communication help you guide teams and collaborate with providers and payers. These skills ensure efficient resource use, compliance, and quality patient care within managed care organizations.

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

AspectManager Utilization ManagementUtilization Review Nurse
CredentialsRN, often with management or utilization review certificationsRN, with certifications in utilization review or case management
Work EnvironmentSupervises teams, manages policies, oversees utilization review processesPerforms patient chart reviews, assesses medical necessity, collaborates with providers
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare organizations
Search & Comparison IntentYesYes

While both roles focus on utilization review, the Manager Utilization Management oversees teams and policies, ensuring efficient resource use, whereas the Utilization Review Nurse conducts patient-specific reviews to determine medical necessity. The manager role involves leadership and strategic planning, while the nurse role is more clinical and review-focused.

What are some common challenges faced by a Manager in Utilization Management, and how can they effectively address them?

Managers in Utilization Management often encounter challenges such as balancing quality patient care with cost containment, navigating evolving healthcare regulations, and managing diverse teams. To effectively address these issues, successful managers develop strong communication skills, stay updated on industry standards, and foster collaboration between clinical and administrative staff. Implementing robust training programs and utilizing data-driven decision-making can also help ensure compliance and improve overall team performance.

What does a Manager of Utilization Management do?

A Manager of Utilization Management oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead a team that reviews medical claims and care plans to ensure compliance with clinical guidelines and regulatory requirements. Their role often involves collaborating with physicians, nurses, insurance companies, and other stakeholders to optimize patient outcomes while managing healthcare costs. Additionally, they are responsible for implementing policies, training staff, and ensuring that utilization management activities align with organizational goals.
What cities near Chetek, WI are hiring for Manager Utilization Management jobs? Cities near Chetek, WI with the most Manager Utilization Management job openings:
Manager Utilization Management jobs near you

Care Manager (RN) Neurology Service Lines - Weill Cornell - Days

NYP - Westchester Division

Cornell, WI

$134K - $168K/yr

Full-time

Medical, Life

Posted 8 days ago

Job description

LocationNew York, New YorkShift:Day (United States of America)Description:

Care Manager RN Neurology Service Lines - Weill Cornell - Days

At NewYork-Presbyterian/Weill Cornell Medical Center, our Registered Nurse Care Managers are essential to delivering coordinated, high-quality care for complex patient populations. The RN Care Manager for the neurology service lines supports a highly vulnerable population requiring intensive, multidisciplinary coordination across the inpatient and outpatient continuum.

In this role, you will drive care coordination, promote efficient patient flow, and ensure safe, patient-centered transitions through proactive collaboration with the interdisciplinary team.

Key Responsibilities

  • Serve as a core clinical member of the interdisciplinary team, leading daily interdisciplinary rounds to ensure clear, timely communication of patient care plans, goals, and discharge readiness.
  • Coordinate comprehensive care for neurology/neurosurgery/spine patients across the continuum, recognizing the complexity and vulnerabilities of this population.
  • Perform initial and ongoing nursing assessments to evaluate clinical needs, identify risks, and support care planning.
  • Conduct utilization review to ensure patients meet criteria for the appropriate level of care and support optimal use of acute care resources.
  • Proactively identify and resolve barriers to patient flow, collaborating with physicians, nursing, social work, pharmacy, and ancillary services.
  • Develop and implement safe, patient-centered discharge plans, including coordination of post-acute services such as skilled nursing, home infusion (IV therapy), and durable medical equipment (DME).
  • Act as a liaison between inpatient teams, outpatient providers, and community agencies to ensure continuity of care.
  • Provide patient and family education related to discharge plans, services, and ongoing care needs.

Preferred Criteria

  • Case Management Certification (CCM) or willingness to obtain

  • Master's Degree in healthcare related field

  • Minimum of 2-3 years of acute care nursing experience required; neurology/neurosurgery preferred

  • Prior experience in care management, utilization review, or discharge planning

Required Criteria

  • Bachelors degree in Nursing (BSN)

  • CurrentNYS Registered Nurse (RN) licensure

  • 3to 5years of health care experience in an acute care setting

  • Strong clinical assessment, critical thinking, communication, and organizational skills with the ability to manage complex patient needs.

Join a healthcare system where employee engagement is at an all-time high. Here we foster a culture of respect, belonging, and inclusion. Enjoy comprehensive and competitive benefits that support you and your family in every aspect of life. Start your life-changing journey today.

Please note that all roles require on-site presence (variable by role). Therefore, all employees should live within a commutable distance to NYP.

NYP will not reimburse for travel expenses.

__________________

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NewYork-Presbyterian Hospital is an equal opportunity employer.

Salary Range:

$134,900-$168,000/Annual

It all begins with you. Our amazing compensation packages start with competitive base pay and include recognition for your experience, education, and licensure. Then we add our amazing benefits, countless opportunities for personal and professional growth and a dynamic environment that embraces every person. Join our team and discover where amazing works.

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