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Part Time Utilization Management Nurse Jobs in Appleton, WI

... utilization specialists, and administrative professionals. This environment allows for ... Demonstrates, anticipates, and proactively manages risk to prevent crises. 8. Performs skillfully ...

HHC/Hospice RN (Part-Time)

Chilton, WI · On-site

$34.09 - $43.83/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Plans, manages caseload, and provides nursing services in a specific geographic area. Teaches ... Regular part-time employees working half time or more per week shall receive fringe benefits on a ...

Will need to orientate at either part-time or full-time status before going PRN (24-32 hours) UNIT ... Demonstrates, anticipates, and proactively manages risk to prevent crises. 8. Performs skillfully ...

Nurse Clinician 3 - Part Time

Oshkosh, WI · On-site +1

$47.04 - $57.23/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... management of medications, provision of emergency care, and maintenance of medical records. In ... Treating patient conditions with appropriate utilization of nursing protocols. * Developing ...

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Part Time Utilization Management Nurse information

See Appleton, WI salary details

$38.1K

$87.3K

$159K

How much do part time utilization management nurse jobs pay per year?

As of Aug 16, 2026, the average yearly pay for part time utilization management nurse in Appleton, WI is $87,311.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,900.00 and $102,000.00 per year, depending on experience, location, and employer.

What is a part time utilization management nurse?

A Part Time Utilization Management Nurse evaluates the medical necessity, efficiency, and appropriateness of healthcare services for patients. They review patient records, collaborate with healthcare providers, and ensure treatments align with clinical guidelines and insurance policies. Working part-time, they may focus on prior authorizations, case reviews, or appeals. This role helps optimize resource use while ensuring quality patient care and compliance with regulations.

What are the typical responsibilities of a part time utilization management nurse?

As a Part Time Utilization Management Nurse, you are responsible for reviewing patient records, assessing medical necessity, and determining the appropriateness of hospital admissions or continued stays according to established guidelines. You’ll routinely interact with physicians, case managers, and insurance representatives to advocate for patients and ensure cost-effective care. Your weekly duties may involve detailed documentation, participation in interdisciplinary meetings, and responding to authorization requests in a timely manner. By balancing clinical judgment with regulatory requirements, you play a key role in optimizing patient outcomes while managing healthcare resources efficiently.

What are the key skills and qualifications needed to thrive in the part time utilization management nurse position?

A Part Time Utilization Management Nurse needs an active RN license, strong clinical assessment abilities, and a solid understanding of medical necessity criteria. Familiarity with utilization review software, medical coding, and knowledge of insurance guidelines or programs such as InterQual or Milliman is often required. Excellent critical thinking, attention to detail, and professional communication skills help nurses collaborate effectively with providers and payers. These competencies ensure appropriate care delivery, resource management, and compliance with healthcare regulations in a dynamic environment.

What are the most commonly searched types of Utilization Management Nurse jobs in Appleton, WI?

The most popular types of Utilization Management Nurse jobs in Appleton, WI are:

What are popular job titles related to Part Time Utilization Management Nurse jobs in Appleton, WI?

For Part Time Utilization Management Nurse jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Part Time Utilization Management Nurse jobs in Appleton, WI look for?

The top searched job categories for Part Time Utilization Management Nurse jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Part Time Utilization Management Nurse jobs?

Cities near Appleton, WI with the most Part Time Utilization Management Nurse job openings:

Infographic showing various Part Time Utilization Management Nurse job openings in Appleton, WI as of August 2026, with employment types broken down into 100% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $87,311 per year, or $42 per hour.

Behavioral Health RN - Part Time

ThedaCare

Neenah, WI • On-site

Part-time

Posted 17 days ago


ThedaCare rating

6.6

Company rating: 6.6 out of 10

Based on 128 frontline employees who took The Breakroom Quiz

569th of 887 rated healthcare providers


Job description

Why ThedaCare?
Living A Life Inspired!
Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world.
At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare.
Benefits, with a whole-person approach to wellness -
  • Lifestyle Engagement
    • e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support

  • Access & Affordability
    • e.g. minimal or zero copays, team member cost sharing premiums, daycare

About ThedaCare!
Summary :
The RN Clinical Nurse provides patient-centered, specialized, evidence-based nursing care across the continuum through an interprofessional approach to treatment, research, education, and advocacy. Contributes to the goals of the department by being accountable for the delivery of compassionate and safe care within the scope of practice as defined by the Wisconsin Board of Nursing and ThedaCare policy. Through collaborative practice with members of the care team, is responsible for patient outcomes that meet the high quality of care provided by ThedaCare. Furthers the professional practice of nursing at ThedaCare by promoting a culture of innovation and a commitment to growth and professional development.
Job Description:
SCHEDULE:
  • (1) 12 hour shift bi-weekly (5:30a-6p / 5:30p-6)
  • Weekend and Holiday requirement - discussed in interview
  • Will need to orientate at either part-time or full-time status before going PRN (24-32 hours)

UNIT DETAILS (Behavioral Health- Neenah Hospital):
This 19 bed unit serves a great purpose in the community treating various health needs. Our compassionate team is comprised of Psychiatric hospitalists, RN's, CNA's, Occupational Therapists, mental health therapists, utilization specialists, and administrative professionals. This environment allows for collaboration and learning on a daily basis. Our team is dedicated to the highest quality of care and fosters great learning opportunities.
KEY ACCOUNTABILITIES:
  • Utilizes the nursing process, evidence-based practice, and specific competencies to assess the physical condition and nursing needs of patients, and develops a plan of care in a collaborative practice with the patient and interprofessional team.
  • Plans for the care needs of the patient in collaboration with the interprofessional team to provide the highest quality of care and clinical outcomes.
  • Demonstrates clinical expertise in the provision of care in the clinical specialty assigned, and performs all functions of the professional clinical nurse (RN), which are age appropriate, developmentally sensitive, and culturally specific.
  • Identifies ways to improve the patient's experience of care, streamline care processes, and lower costs while promoting quality to improve patient, family, and team member satisfaction.
  • Contributes to a professional environment that encourages mentoring, engagement, and development to retain expert clinicians.
  • Provides consultation and maintains positive relationships with physicians and other interprofessional team members, collaborating to problem solve and improve patient care.
  • Demonstrates, anticipates, and proactively manages risk to prevent crises. 8. Performs skillfully in life threatening emergencies, matching demands and resources during crises situations.

QUALIFICATIONS:
  • Current Wisconsin RN Licensure
  • American Heart Association Healthcare Provider Basic Life Support (BLS)
  • BSN Completion: Upon hire, any non-BSN nurse with less than one (1) year of licensed Registered Nurse experience will be required to obtain a Bachelor of Science in Nursing (BSN) within five (5) years of hire.

PHYSICAL DEMANDS:
  • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of Fifty (50) pounds without assistance
  • Job classification is exposed to blood borne pathogens (blood or bodily fluids) while performing job duties
  • Manual dexterity and hand-eye coordination to perform patient care procedures

WORK ENVIRONMENT:
  • Frequent exposure to sharp objects and instruments
  • Occasional exposure to moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, and risk of electrical shock
  • Occasional high noise level in work environment
  • Standing and/or walking for extended periods of time
  • Transporting, transferring, positioning patients and/or equipment from one location to another; little likelihood for injury if proper body mechanics and procedures are followed
  • Possible exposure to communicable diseases, hazardous materials, and pharmacological agents
  • Occasional contact with aggressive and or combative patients.

Scheduled Weekly Hours:
24Scheduled FTE:
0.6Location:
ThedaCare Regional Medical Center - Neenah - Neenah,WisconsinOvertime Exempt:
NoWorker Shift Details:
Variable

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About ThedaCare

Sourced by ZipRecruiter

We want to make exceptional care effortless for our patients. At ThedaCare, that means going above and beyond treating a particular condition – it means helping you achieve better health for life. You and your family are at the center of everything we do, from prioritizing your schedule when making appointments to designing our facilities for your comfort and convenience. Remaining proactive in your care allows us to better predict and prevent disease before complications arise, and when it comes to making important health-related decisions, we are here to support you. In every interaction, we want you to have full confidence the care you receive is purposeful, cost-effective and will help you continue enjoying life as you’ve planned it. ThedaCare is the third largest healthcare employer in Wisconsin, and the largest employer in Northeast Wisconsin with over 7,000 team members.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Neenah, WI, US

Year founded

1909