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Part Time Utilization Management Nurse Jobs in Madison, WI

Oak Medical

Part-Time Wound Care Nurse Practitioner

Madison, WI · On-site

$103K - $141K/yr

Wound Care Nurse Practitioner Part-Time (.6 FTE) | Madison Service Area Monday, Tuesday & Friday ... Evaluate, diagnose, and manage acute and chronic wounds across multiple care settings * Develop and ...

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Part Time Utilization Management Nurse information

See Madison, WI salary details

$39.3K

$90.2K

$164.2K

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

As of Aug 29, 2026, the average yearly pay for part time utilization management nurse in Madison, WI is $90,165.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,000.00 and $105,300.00 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 Madison, WI?

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

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

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

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

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

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

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

Part Time Utilization Management Nurse jobs near you

Registered Nurse (RN) - Part Time

Madison, WI • On-site

Shorewood Behavioral Health
See more jobs at Shorewood Behavioral Healthexternal

Part-time

Re-posted 23 days ago

Job description

Overview

Shifts Available:

Days: 7:00am - 7:00pm

Nights: 7:00pm - 7:00am

Are you prepared for the impact you can make as an RN in Behavioral Health? We are looking for Registered Nurses at Shorewood Behavioral Health. 

This BRAND NEW state-of-the-art 120-bed behavioral healthcare hospital is located in Madison, WI.  Shorewood Behavioral Health Hospital will specialize in providing comprehensive acute and outpatient psychiatric care for adolescents, adults, and seniors dealing with mental health and substance use disorders. The hospital will offer Partial Hospitalization Programs (PHP), Intensive Outpatient Programs (IOP), and Electroconvulsive Therapy (ECT), along with the development of specialized programs to meet community need. 

Responsibilities

REGISTERED NURSE ESSENTIAL FUNCTIONS

  • Provide and coordinate care by assessing patients' physical and behavioral health needs.
  • Develop and implement nursing care plans.
  • Maintain medical records and educate patients and their families about various physical and behavioral health conditions.
  • Provide nursing care and services within the standards and scope of nursing practice as defined within the state Nurse Practice Act regulations, policies, procedures, and protocols, as well as facility and corporate policies and procedures.
  • Ensure physicians' orders are legible if taken verbally and transcribed appropriately per policy and procedure.
  • Ensure patients' status is assessed on an ongoing basis and pertinent information is gathered and documented.
  • Notify physicians of significant changes in status such as difficulties with detox, medical emergency, change in medical status regarding response to medications, and related challenges.
  • Ensure that initial nursing treatment plans are completed upon admission and that all nursing treatment plans are specific to assessed needs.
  • Demonstrate knowledge and utilization of universal precautions in providing direct patient care.
  • Accurately administer medications per ordered note.
  • Document accurate count of controlled substance medication administration on required documents.
  • Complete admission and discharge processing efficiently and accurately as directed.
  • Exhibit therapeutic rapport with patients by maintaining professional boundaries, respecting personal space, giving patients direct attention, and maintaining rational detachment.
  • Provide direction or coordinate the activities of the unit as directed.
  • Communicate therapeutically and professionally with patients, visitors, co-workers, and others involved inpatient treatment.
Qualifications

EDUCATION/LICENSURE/EXPERIENCE/SKILL REQUIREMENTS

  • Must have graduated from an accredited school of nursing.
  • Must possess a current Registered Nurse (RN) license as required by the state of employment or be eligible to practice nursing in accordance with state requirements
  • One year of nursing experience; previous psychiatric, mental, behavioral, or substance use nursing experience a plus
  • CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
  • First aid may be required based on state or facility requirements.

We are committed to providing equal  employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

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Employment Type: PART_TIME

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