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Part Time Utilization Review Nurse Jobs in Wisconsin

Ernest Health

Pharmacist - Part Time

Green Bay, WI · On-site

$56.75 - $68/hr

With a compassionate team of therapists, nurses, and physicians, we provide personalized physical ... Conducts drug utilization reviews and prepares drug review criteria for medical staff approval.

Bellin

Pharmacist -Infusion Services

Green Bay, WI · On-site

Casual Part-Time 0.30 FTE (12 hours/week) Work Schedule: Days/PMs with rotating Saturdays Want to ... therapeutic interchanges, drug utilization review, efficient drug distribution processes ...

Pacs

Occupational Therapist (OTR), PRN

River Falls, WI

$50/hr

Communicate effectively with physicians, nursing staff, residents, families, and interdisciplinary team members * Participate in care conferences, rehabilitation meetings, utilization review meetings ...

Pacs

Physical Therapist (PT), PRN

River Falls, WI

$50/hr

Communicate effectively with physicians, nursing staff, residents, families, and interdisciplinary team members * Participate in care conferences, utilization review meetings, rehabilitation meetings ...

Lad Lake Inc

Nurse - Part-time

Dousman, WI · On-site

We're looking for an experienced, compassionate Part-Time Registered Nurse (RN) to join our team ... Review health-related incidents, injuries, restraints, and medication events to ensure appropriate ...

Lad Lake Inc

Nurse - Part-time

Milwaukee, WI · On-site

We're looking for an experienced, compassionate Part-Time Registered Nurse (RN) to join our team ... Review health-related incidents, injuries, restraints, and medication events to ensure appropriate ...

Lad Lake Inc

Nurse - Part-time

Dousman, WI

We're looking for an experienced, compassionate Part-Time Registered Nurse (RN) to join our team ... Review health-related incidents, injuries, restraints, and medication events to ensure appropriate ...

Green County

Nursing Supervisor- PM Shift

Monroe, WI · On-site

$75K - $85K/yr

This position is part time, 6 days a pay period for the PM shift 2:30pm-11pm. Essential Duties and ... Monitor the follow-up review of the care plan for effective and appropriate interventions. Attend ...

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Part Time Utilization Review Nurse information

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$69

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

As of Sep 5, 2026, the average hourly pay for part time utilization review nurse in Wisconsin is $42.68, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $48.99 per hour, depending on experience, location, and employer.

What is a part time utilization review nurse?

A Part Time Utilization Review Nurse is a registered nurse who works part-time hours and is responsible for reviewing medical records to determine if healthcare services are medically necessary and appropriate. They assess the quality and efficiency of patient care, ensuring compliance with insurance policies and regulatory standards. These nurses often work for hospitals, insurance companies, or healthcare organizations, and play a key role in cost management and quality assurance. Their work helps to ensure that patients receive appropriate care while also controlling healthcare expenses.

What does a part time utilization review nurse do?

As a part-time utilization review nurse, your job is to review the medical necessity of a procedure and ensure that all services offered to a patient meet regulatory compliance requirements. Utilization review nurses often focus on reducing costs while maintaining or improving the quality of patient care. You then relay this information to other reviewers and third-party payers. Many utilization review nurses help answer questions from insurance companies, apply critical thinking and good judgment to unusual cases, ensure accurate and appropriate documentation of everything that occurs, and conduct additional research as needed for a given case. Part-time utilization review nurses usually work in areas that have lower patient volume.

What are the key skills and qualifications needed to thrive as a part time utilization review nurse, and why are they important?

To thrive as a Part Time Utilization Review Nurse, you need a valid RN license, in-depth clinical knowledge, and experience in care management or case review. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance/Medicare guidelines are typically required. Strong analytical thinking, attention to detail, and effective communication skills help set exceptional candidates apart. These skills ensure accurate case evaluations, compliance with regulations, and effective collaboration with healthcare teams and payers.

What are some common challenges faced by part time utilization review nurses, and how can they effectively manage their workload?

Part-time Utilization Review Nurses often face the challenge of balancing a high volume of case reviews within limited working hours, which can create time management pressures. Additionally, they may need to stay updated with frequently changing insurance policies and clinical guidelines. Effective communication and collaboration with full-time colleagues and healthcare providers are crucial for seamless transitions and accurate reviews. Utilizing efficient documentation practices and prioritizing urgent cases can help part-time nurses stay organized and maintain quality outcomes.

What is the difference between Part Time Utilization Review Nurse vs Part Time Case Manager?

AspectPart Time Utilization Review NursePart Time Case Manager
CredentialsRN license, certifications in utilization review or case managementRN license, case management certification often preferred
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, insurance companies, community health agencies
Primary FocusReview medical necessity and appropriateness of careCoordinate patient care and discharge planning
Common UsageUsed in insurance and healthcare settings for review rolesUsed for patient advocacy and care coordination roles

While both roles require nursing credentials and work within healthcare settings, the Part Time Utilization Review Nurse primarily focuses on assessing the necessity of medical treatments, whereas the Part Time Case Manager emphasizes coordinating patient care and discharge planning. Understanding these differences helps in choosing the right career path or job opportunity.

More about Part Time Utilization Review Nurse jobs

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

The most popular types of Utilization Review Nurse jobs in Wisconsin are:

What are popular job titles related to Part Time Utilization Review Nurse jobs in Wisconsin?

For Part Time Utilization Review Nurse jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Part Time Utilization Review Nurse jobs in Wisconsin look for?

The top searched job categories for Part Time Utilization Review Nurse jobs in Wisconsin are:

What cities in Wisconsin are hiring for Part Time Utilization Review Nurse jobs?

Cities in Wisconsin with the most Part Time Utilization Review Nurse job openings:

Part Time Utilization Review Nurse jobs near you
Infographic showing various Part Time Utilization Review Nurse job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 12% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $88,769 per year, or $42.7 per hour.

Pharmacist - Part Time

Ernest Health

Green Bay, WI • On-site

$56.75 - $68/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Key responsibilities

  • Consults with nursing and medical staff on prescription orders, patient reactions, and errors or complaints.

  • Conducts drug utilization reviews and prepares drug review criteria for medical staff approval.

  • Monitors drug therapies as assigned by medical staff and suggests alternatives as appropriate.

Ernest Health rating

6.4

Company rating: 6.4 out of 10

Based on 28 frontline employees who took The Breakroom Quiz

Job description

Overview
Pharmacist - Part Time - Green Bay, Wisconsin
We are seeking a Pharmacist - Part Time to join our team of passionate patient caregivers!
Green Bay Rehabilitation Hospital in Green Bay, Wisconsin is an advanced inpatient rehabilitation hospital devoted to helping individuals recover from life-altering injuries and illnesses. We specialize in comprehensive rehab services for stroke survivors, brain and spinal cord injury patients, orthopedic injuries, and other complex medical conditions. With a compassionate team of therapists, nurses, and physicians, we provide personalized physical, occupational, and speech therapy tailored to each patient's needs. Our modern facility and innovative therapy technologies create a nurturing environment for healing. Joint Commission-accredited and ranked among the top rehabilitation centers nationally, Green Bay Rehabilitation Hospital is proud to offer patient-centered care that empowers patients to achieve their highest level of independence.
Green Bay, Wisconsin
Famous for its Packers spirit, Green Bay is more than football-it offers riverfront living, outdoor trails, and a strong sense of community. With low crime, great schools, and affordable housing, Green Bay is ideal for families and professionals.
As a participating hospital of Ernest Health, we offer robust recognition, wellness, and retention programs. These programs focus to enhance the employees' work experience, recognize, and celebrate achievements. We also encourage employees to share their work experience through "My Ernest Journey" and through our Engagement Survey, where our approach is "You Spoke, We Listened". These platforms provide additional avenues for employees to give feedback about their work experience and share what is important to them.
Our hospital offers comprehensive benefits, designed to support your health and financial well-being.
Benefits:
  • PPO and High Deductible Medical Plan options
  • Flexible Spending and Health Savings Account options available
  • Dental and Vision coverage
  • 401K with employer matching
  • Life insurance
  • Short-and-long term disability

Wellness & Work Life Balance:
  • Employee Assistance Program
  • Wellness Program with quarterly wellness challenges with participation incentives
  • Earned Time Off - start accruing vacation time on start date

Professional Growth:
  • Continuing education opportunities and reimbursement

Qualifications
Required Skills:
  • Current license as a Registered Pharmacist required
  • Experience in a hospital setting preferred.
  • Supervisory experience preferred.

Additional Qualifications/Skills:
  • Knowledge of and adherence to national pharmacist regulations and standards of practice.
  • Knowledge of clinical operations and procedures.
  • Demonstrates general computer skills including: data entry, word processing, email, and record management.
  • Demonstrates an understanding of treatment costs and financial support as they relate to quality and efficiency.
  • Demonstrates strong critical thinking skills.
  • Leadership skills in delegating, organizing, and educating coworkers and staff.
  • Effective organizational and time management skills.
  • Effective written and verbal communication skills.
  • Ability to work independently with minimal supervision.
  • Ability to maintain proper levels of confidentiality.
  • Ability to work closely and professionally with others.
  • Ability to maintain quality, safety, and/or infection control standards.

Responsibilities
Consults with nursing and medical staff on prescription orders, patient reactions, and errors or complaints. Conducts drug utilization reviews and prepares drug review criteria for medical staff approval. Monitors drug therapies as assigned by medical staff and suggests alternatives as appropriate. Consults with physician and physician groups concerning financial risk management related to prescribing. Integrates the hospital's mission and "Guiding Principles" into daily practice.

What Ernest Health employees say

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