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Part Time Utilization Review Rn Jobs in Wisconsin

FROEDTERT HEALTH

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 ...

All One Staffing LLC

Registered Nurse RN

Osceola, WI · On-site

$50 - $51/hr

Currently looking for experienced Registered Nurses to fill full-time, part-time, and casual openings. Interested candidates should have an up to date TB and have reliable transportation.

All One Staffing LLC

Registered Nurse RN

Sheboygan, WI · On-site

$50 - $51/hr

Currently looking for experienced Registered Nurses to fill full-time, part-time, and casual openings. Interested candidates should have an up to date TB and have reliable transportation.

Platinum Communities

RN Consultant

Sheboygan, WI · On-site

Job Type Part-time Description The Registered Nurse (RN) provides clinical oversight and nursing ... • Develop, review, and update resident care plans, service plans, and health-related ...

All One Staffing LLC

Registered Nurse RN

Reedsburg, WI · On-site

$55 - $60/hr

Currently looking for experienced Registered Nurses to fill full-time, part-time, and casual openings. Interested candidates should have an up to date TB and have reliable transportation.

All One Staffing LLC

Registered Nurse RN

Kohler, WI · On-site

$50 - $51/hr

Currently looking for experienced Registered Nurses to fill full-time, part-time, and casual openings. Interested candidates should have an up to date TB and have reliable transportation.

All One Staffing LLC

Registered Nurse RN

Frederic, WI · On-site

$50 - $51/hr

Currently looking for experienced Registered Nurses to fill full-time, part-time, and casual openings. Interested candidates should have an up to date TB and have reliable transportation.

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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 Aug 1, 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 95% In-person, and 5% Hybrid job distribution, with an average salary of $88,769 per year, or $42.7 per hour.

RN DENIALS MANAGEMENT HOURLY

FROEDTERT HEALTH

Milwaukee, WI • On-site

$36.38 - $56.39/hr

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 12 days ago

Job description

Discover. Achieve. Succeed. #BeHere
Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility.
This job is REMOTE.
FTE: 0.500000
Standard Hours: 20.00
Shift: Shift 1
Shift Details: 1/2 day Wednesday, Thursday and Friday Holidays: no Weekends: no
Job Summary:
Assumes responsibility for managing inpatient denials for all payers related to medical necessity and clinical validation audits, and coordinates the appeal process with physicians, coding, third party payers, and third party auditors. Assists the case managers with utilization review issues, and provides recommendations for process improvement in the areas of utilization review and denial management. Other duties as assigned.
EXPERIENCE DESCRIPTION:
A minimum of 5 years of acute care nursing experience is required. Prior utilization management, insurance background, and denial management experience is preferred.
EDUCATION DESCRIPTION:
Bachelor's degree is required. Professional knowledge of nursing theory and practice at a level normally acquired through completion of a minimum of four years education at an accredited School of Nursing in order to be eligible for licensure as a Registered Nurse is required.
TRAINING DESCRIPTION:
Previous experience with clinical validation denial review and appeal processes. Knowledge of ICD-10 Coding Guidelines.
SPECIAL SKILLS DESCRIPTION:
Interpersonal skills necessary to instruct and maintain effective contacts with a variety of hospital personnel. Analytical skills necessary to prepare statistical reports and develop solutions to problems. Technical writing ability for appeal letters and reports.
LICENSURE DESCRIPTION:
Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact).
Compensation, Benefits & Perks at Froedtert Health
Pay is expected to be between: (expressed as hourly) $36.38 - $56.39. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.
Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
  • Paid time off
  • Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
  • Academic Partnership with the Medical College of Wisconsin
  • Referral bonuses
  • Retirement plan - 403b
  • Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
  • Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.
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About Froedtert

Sourced by ZipRecruiter

Froedtert is a world-class healthcare organization based in Milwaukee, WI, United States. The company operates within the healthcare and wellness industry, providing a broad spectrum of medical services to the residents of southeastern Wisconsin and beyond. Froedtert was founded in 1980 and is an academic health network, which ripples an integrated affiliation with the Medical College of Wisconsin. The company prides itself on its cutting-edge treatments, sophisticated technology, and groundbreaking research. Froedtert’s mission is to advance health in the communities they serve, with a profound commitment towards patient care, education, research and community outreach.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Milwaukee, WI, US

Year founded

1980

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