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Part Time Utilization Review Rn Jobs in Wisconsin

FROEDTERT HEALTH

RN, Utilization Review

Menomonee Falls, WI · On-site

$34 - $52.70/hr

Minimum of 3 years of acute care nursing experience is required; Prior utilization management or ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

Froedtert

RN DENIALS MANAGEMENT HOURLY

Milwaukee, WI · On-site

$36.38 - $56.39/hr

Assists the case managers with utilization review issues, and provides recommendations for process ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

ScionHealth

RN Nights Part Time

Watertown, WI · On-site

WATERTOWN REGIONAL MEDICAL CENTER IS NOW HIRING FOR A PART -TIME REGISTERED NURSE - RN TO JOIN OUR ... Review, Chartis, Healthgrades, The Leapfrog Group, and parent company ScionHealth. Watertown ...

ScionHealth

RN Days Part Time

Watertown, WI · On-site

WATERTOWN REGIONAL MEDICAL CENTER IS NOW HIRING FOR A PART-TIME REGISTERED NURSE - RN TO JOIN OUR ... Review, Chartis, Healthgrades, The Leapfrog Group, and parent company ScionHealth. Watertown ...

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All JobsUtilization Review Rn JobsPart Time Utilization Review Rn JobsPart Time Utilization Review Rn Jobs in Wisconsin

Part Time Utilization Review Rn information

See Wisconsin salary details

$21

$42

$69

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

As of Jul 11, 2026, the average hourly pay for part time utilization review rn 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 the difference between Part Time Utilization Review Rn vs Part Time Case Manager Rn?

AspectPart Time Utilization Review RnPart Time Case Manager Rn
CertificationsRN license, Utilization Review certification (if required)RN license, Case Management certification (e.g., CCM)
Work EnvironmentInsurance companies, healthcare organizations, utilization review departmentsHospitals, insurance companies, community health agencies
Primary ResponsibilitiesReview medical necessity, approve or deny services based on criteriaCoordinate patient care, discharge planning, and resource management
Industry UsageCommonly used in insurance and healthcare utilization departmentsUsed in patient care coordination and discharge planning

While both roles require RN licensure, the Part Time Utilization Review Rn focuses on evaluating medical necessity and approving services, whereas the Part Time Case Manager Rn emphasizes coordinating patient care and discharge planning. Understanding these differences helps professionals choose the role that best fits their skills and career goals.

What are some typical challenges faced by Part Time Utilization Review RNs, and how can they be managed?

Part Time Utilization Review RNs often face challenges such as balancing productivity expectations with the complexity of reviewing medical records and ensuring compliance with ever-changing regulations. Working part time can also mean adapting quickly to updates in protocols or software with less training time. Staying organized, maintaining strong communication with the care team, and proactively seeking clarification about criteria changes can help manage these challenges. Additionally, leveraging ongoing education and collaborating with full-time colleagues can ease transitions and support effective performance.

What does a Part Time Utilization Review RN do?

A Part Time Utilization Review RN is a registered nurse who works part-time to assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, collaborate with healthcare providers, and ensure that care meets established guidelines and insurance requirements. Their goal is to promote quality care while managing healthcare costs and ensuring compliance with regulations.

What are the key skills and qualifications needed to thrive as a Part Time Utilization Review RN, and why are they important?

To thrive as a Part Time Utilization Review RN, you need a current RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of insurance guidelines and coding systems like ICD-10 is essential. Attention to detail, critical thinking, and effective communication are vital soft skills for collaborating with healthcare providers and payers. These skills ensure accurate assessments, compliance, and efficient resource use, directly impacting patient outcomes and cost management.
What are the most commonly searched types of Utilization Review Rn jobs in Wisconsin? The most popular types of Utilization Review Rn jobs in Wisconsin are:
Part Time Utilization Review Rn jobs near you
Infographic showing various Part Time Utilization Review Rn job openings in Wisconsin as of July 2026, with employment types broken down into 100% Part Time. Highlights an 96% In-person, and 4% Hybrid job distribution, with an average salary of $88,769 per year, or $42.7 per hour.
Registered Nurse (RN) Utilization Review

Registered Nurse (RN) Utilization Review

Advocate Aurora Health

Milwaukee, WI • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New

Advocate Aurora Health rating

7.6

Company rating: 7.6 out of 10

Based on 771 frontline employees who took The Breakroom Quiz

191st of 881 rated healthcare providers

Job description

Department:

11221 Advocate Aurora Health Corporate - WI Administration: Care Management

Status:

Part time

Benefits Eligible:

Yes

Hours Per Week:

20

Schedule Details/Additional Information:

  • 0.5 FTE
  • Remote
  • Day shift
  • Every other weekend
  • One holiday per year on rotation

Pay Range:

$35.50 - $53.25Registered Nurse (RN) Utilization Review 0.5 FTE

Wisconsin RN licensure required

Where You Will Work
The Utilization Review RN is responsible for performing accurate and timely concurrent and retrospective reviews using established criteria to ensure appropriate utilization of healthcare resources. This role collaborates with physicians, hospital departments, and multidisciplinary teams to expedite care delivery, prevent delays, and maintain compliance with regulatory guidelines.

We're Looking For

  • Registered Nurse license issued by the state (WISCONSIN) in which the team member practices.

  • Bachelor's Degree in Nursing

  • Requires 3 years of experience in clinical nursing, With a strong preference in utilization and/or quality management.

  • Working knowledge of Microsoft Office (Excel, Outlook, PowerPoint, Word).

  • Understanding of quality and acute care patient needs related to care management.

  • Knowledge of Utilization Review criteria;

  • Strong critical thinking skills for applying medical necessity criteria.

  • Excellent analytical, communication, and interpersonal skills for interaction with patients, families, physicians, and payers.

What You Will Do

  • Document utilization review activities per department and medical center standards in a timely manner.

  • Perform and document concurrent and retrospective reviews based on approved criteria.

  • Communicate effectively with healthcare teams, including physicians and ancillary services, to support timely care delivery.

  • Collaborate with managers, medical directors, and treatment teams to address utilization issues and ensure compliance.

  • Refer cases to physician advisors as needed for accurate status determination.

  • Stay current on healthcare regulations, reimbursement issues, and community resources.

  • Provide clinical updates to payers, coordinate denial activity, and manage avoidable delays.

  • Serve as an educator and resource for staff regarding admission status, acute care criteria, and regulatory requirements.

  • Develop and maintain relationships with community agencies to support patient and family needs.

  • Demonstrate age-specific care knowledge and skills across the patient lifespan.

Join our team and help ensure quality, efficient care for every patient!

Be the Nurse Who Redefines Care.
At Advocate Health, being a nurse means more than delivering exceptional clinical care-it means leading with purpose, compassion, and boldness. As part of our One Advocate Nurse community, you'll join a unified team committed to lifting others up, embracing innovation, and creating inclusive spaces where everyone can thrive. You'll be empowered to think boldly, collaborate with humility, and drive change through fearless curiosity. Whether you're at the bedside, in the community, or advancing care through research and education, you'll help shape the future of health-because here, we're redefining care for you, for us, for all.
Your feedback matters. Every nurse's voice is vital in shaping our culture and improving care. We value your insights and experiences because they help us grow stronger together.

Ready to Take the Next Step:

Apply Today!

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:

Compensation

  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

  • Premium pay such as shift, on call, and more based on a teammate's job

  • Incentive pay for select positions

  • Opportunity for annual increases based on performance

Benefits and more

  • Paid Time Off programs

  • Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability

  • Flexible Spending Accounts for eligible health care and dependent care expenses

  • Family benefits such as adoption assistance and paid parental leave

  • Defined contribution retirement plans with employer match and other financial wellness programs

  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.


About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

What Advocate Aurora Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Advocate Health

Sourced by ZipRecruiter

Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

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