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Part Time Remote Utilization Review Jobs in Milwaukee, WI

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Speech-Language Pathologist

Milwaukee, WI · Remote

$40 - $54/hr

  • Retirement

  • PTO

100% remote | W2 employment | $40 - $54/hour | Flexible Scheduling (It is required to hold a state ... Depending upon your availability, a part-time hourly or flexible PRN role may be available. Our ...

Baxter and Woodman Inc

Traffic Engineer Technical Lead

Milwaukee, WI · On-site +1

$130K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Hybrid and Remote work arrangements may be considered. Employment Type: Full Time or Part-Time (20 ... Lead, Manage, and Review traffic impact studies, transportation analyses, traffic signal warrant ...

Baxter and Woodman Inc

Traffic Engineer Technical Lead

Waterford, WI · On-site +1

$130K - $160K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Hybrid and Remote work arrangements may be considered. Employment Type: Full Time or Part-Time (20 ... Lead, Manage, and Review traffic impact studies, transportation analyses, traffic signal warrant ...

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All JobsUtilization Review JobsPart Time Remote Utilization Review JobsPart Time Remote Utilization Review Jobs in Milwaukee, WI

Part Time Remote Utilization Review information

See Milwaukee, WI salary details

$21

$41

$67

How much do part time remote utilization review jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for part time remote utilization review in Milwaukee, WI is $41.66, according to ZipRecruiter salary data. Most workers in this role earn between $32.93 and $47.84 per hour, depending on experience, location, and employer.

What is a part time remote utilization review?

A Part Time Remote Utilization Review position involves evaluating medical records and healthcare services to ensure they are necessary and appropriate, typically for insurance companies or healthcare providers. This job is performed remotely, allowing professionals to work from home or another location outside of a traditional office setting. Part-time roles generally require fewer hours than full-time positions, making them suitable for those seeking flexible schedules. Professionals in this role often have backgrounds in nursing or healthcare and use their expertise to review patient care for quality and cost-effectiveness.

What skills and qualifications are needed for a part time remote utilization review?

To thrive as a Part Time Remote Utilization Review Nurse, you need a current RN license, strong clinical judgment, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization management software, electronic health records (EHRs), and systems such as InterQual or MCG is typically required. Excellent communication, critical thinking, and self-motivation are vital soft skills for coordinating care and making independent decisions remotely. These skills ensure accurate case evaluations, regulatory compliance, and effective collaboration with healthcare teams while working from a remote setting.

What challenges do part time remote utilization review professionals face, and how can they be managed?

Part-time remote utilization review professionals often face challenges such as balancing a variable workload, ensuring timely communication with healthcare providers, and staying current with changing insurance guidelines. Since much of the work is done independently, strong time management and self-motivation are essential to meet review deadlines. Regularly scheduled check-ins with the team and utilizing digital collaboration tools can help maintain connectivity and support. Staying organized and proactive in seeking clarification when needed can mitigate common challenges and lead to a successful experience in this role.

What is the difference between Part Time Remote Utilization Review vs Part Time Remote Claims Reviewer?

AspectPart Time Remote Utilization ReviewPart Time Remote Claims Reviewer
CredentialsTypically requires healthcare licenses (e.g., RN, MD) and utilization review certificationsUsually requires insurance or claims processing experience, with some industry-specific certifications
Work EnvironmentRemote, healthcare-focused, reviewing medical necessity and appropriateness of careRemote, insurance or healthcare claims processing, verifying coverage and claims accuracy
Employer & Industry UsageHospitals, insurance companies, healthcare organizationsInsurance companies, third-party administrators, healthcare payers

Part Time Remote Utilization Review and Part Time Remote Claims Reviewer both operate remotely but focus on different aspects of healthcare administration. Utilization reviewers assess medical necessity, while claims reviewers verify insurance claims. Understanding these differences helps job seekers find roles aligned with their skills and credentials.

What are the most commonly searched types of Remote Utilization Review jobs in Milwaukee, WI?

The most popular types of Remote Utilization Review jobs in Milwaukee, WI are:

What job categories do people searching Part Time Remote Utilization Review jobs in Milwaukee, WI look for?

The top searched job categories for Part Time Remote Utilization Review jobs in Milwaukee, WI are:

What cities near Milwaukee, WI are hiring for Part Time Remote Utilization Review jobs?

Cities near Milwaukee, WI with the most Part Time Remote Utilization Review job openings:

Part Time Remote Utilization Review jobs near you
Infographic showing various Part Time Remote Utilization Review job openings in Milwaukee, WI as of June 2026, with employment types broken down into 4% As Needed, 72% Full Time, 16% Part Time, 4% Temporary, and 4% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $86,649 per year, or $41.7 per hour.

ProHealth Care - Remote Patient Monitoring 0.5 FTE ( Hybrid role )

ProHealth Care, Inc.

Waukesha, WI • On-site, Remote

Full-time, Part-time

Retirement, PTO

Posted 2 days ago

New

ProHealth Care rating

7.2

Company rating: 7.2 out of 10

Based on 66 frontline employees who took The Breakroom Quiz

350th of 887 rated healthcare providers

Job description

What You Will Do:
This is NOT a remote position and the candidate chosen for this role will need to be able to work on site in Waukesha, WI.
The Remote Patient Monitoring (RPM) RN will assess patient generated data provided via digital technology to manage the care of the acute and chronically ill patient. The RPM RN will provide individualized patient assessment, patient education, medication management, goal setting and clinical care planning. In collaboration with physicians and care team members, RPM nurses will educate and support self-management of medical conditions in the home environment using motivational communication techniques and positive reinforcement to changes. The RPM enrolled patient will submit vital signs and symptoms that the RN will rapidly interpret addressing patient needs, objectives and goals to improve clinical outcomes and patient experience. The RN will draw on clinical expertise for short and long-term health management goals for primary and specialty care. The RN will remotely monitor all data and respond to alerts efficiently and effectively, escalating care to patient's primary or specialty provider. Early detection and intervention for adverse health trends may decrease acute care utilization, emergency department visits and hospital admissions and readmissions. The nurse will build a long-term relationship with their panel of patients through regular communication, so they may become trusted members of the care team.
Additional Requirements:
  • Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred.
  • 1-2 years' experience working in hospital and or ambulatory care setting working with patients with chronic diseases.
  • Previous experience in remote patient monitoring highly desirable. Experience in working in an electronic medical record and care management system. Technological experience as primary healthcare delivery system. Epic experience.
  • Additional Requirements
  • Strong technological aptitude with the ability to quickly learn and adapt to new software and tools.

Why Join ProHealth Care:
We have nearly 5,000 dedicated clinical and non-clinical employees and physicians who work together every day to serve the health and well-being of our community. At ProHealth Care everyone contributes to the care our patients receive. And, everyone is treated with kindness and respect in our welcoming environment.
This Position Will Offer You:
  • Engaging and community focused culture
  • Competitive Salaries
  • Opportunity for professional career growth
  • Robust benefits for full-time and regular part-time roles, including Generous PTO; Choices in insurance; HSA; Tuition reimbursement; immediate 401K match; discounted tickets to various entertainment, social, and sporting events

ProHealth Care is an equal opportunity employer and is committed to an inclusive work environment and values the perspectives of our people. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

What ProHealth Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About ProHealth Care

Sourced by ZipRecruiter

ProHealth Care has been the health care leader in Waukesha County and surrounding areas providing outstanding care across a full spectrum of services. The people of ProHealth Care strive to continuously improve the health and well-being of the community by combining skill, compassion and innovation. ProHealth Care supports a Just Culture, one that encourages an open learning environment and maintaining safe systems. The ProHealth family includes Waukesha Memorial Hospital, Oconomowoc Memorial Hospital, the Rehabilitation Hospital of Wisconsin, ProHealth Medical Group clinics, AngelsGrace Hospice, ProHealth Home Care & Hospice, West Wood Health & Fitness Center and Regency Senior Communities.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Oconomowoc, WI, US

Year founded

1914

Social media

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