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Remote Optum Utilization Review Jobs in Appleton, WI

The position reviews space requests, develops test fits and facility options, evaluates potential ... Hybrid remote work may be available after the successful completion of the initial training period.

Remote Optum Utilization Review information

See Appleton, WI salary details

$20

$41

$67

How much do remote optum utilization review jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for remote optum utilization review in Appleton, WI is $41.26, according to ZipRecruiter salary data. Most workers in this role earn between $32.60 and $47.36 per hour, depending on experience, location, and employer.

What is a Remote Optum Utilization Review?

A Remote Optum Utilization Review position involves working for Optum, a healthcare services company, to evaluate medical records and determine the necessity and appropriateness of healthcare services. Employees in this role review clinical documentation to ensure that treatments meet established guidelines and help to manage healthcare costs while ensuring patient care is not compromised. The position is remote, meaning you can work from home or another location outside of a traditional office. Utilization review professionals often interact with healthcare providers, insurance companies, and patients, using their clinical expertise to make informed decisions.

What are the key skills and qualifications needed to thrive as a Remote Optum Utilization Review nurse?

To thrive as a Remote Optum Utilization Review Nurse, you need a current RN license, strong clinical judgment, knowledge of utilization management, and experience in case review or discharge planning. Proficiency with medical review software, electronic health records, and familiarity with UM guidelines such as InterQual or Milliman is typically required. Exceptional communication, attention to detail, and critical thinking are vital soft skills for effective collaboration and decision-making in a remote environment. These skills ensure accurate assessments, regulatory compliance, and optimal patient outcomes while maintaining efficiency in a virtual workflow.

How does a Remote Optum Utilization Review nurse typically collaborate with multidisciplinary teams while working from home?

As a Remote Optum Utilization Review nurse, collaboration with multidisciplinary teams is primarily conducted through secure digital platforms, including video calls, emails, and electronic health record systems. You’ll regularly communicate with physicians, social workers, case managers, and other healthcare providers to review patient cases, coordinate care plans, and ensure compliance with clinical guidelines. Despite working remotely, maintaining clear and timely communication is essential for effective patient advocacy and decision-making. Team meetings and case discussions are scheduled virtually, fostering a supportive environment and ensuring you stay connected to the broader healthcare team.

What is the difference between Remote Optum Utilization Review vs Remote UnitedHealthcare Utilization Review?

AspectRemote Optum Utilization ReviewRemote UnitedHealthcare Utilization Review
CredentialsLicenses in relevant states, certifications like CCM or CRC often preferredLicenses in relevant states, certifications like CCM or CRC often preferred
Work EnvironmentRemote, home-based with flexible hoursRemote, home-based with flexible hours
Employer & IndustryOptum, healthcare services and utilization managementUnitedHealthcare, health insurance and utilization review

Both roles involve reviewing healthcare claims and authorizations remotely, requiring similar credentials and work environments. The main difference lies in the employer and specific healthcare focus: Optum specializes in healthcare services and utilization management, while UnitedHealthcare focuses on health insurance and claims review. Candidates often compare these roles to determine the best fit based on employer and industry specialization.

What job categories do people searching Remote Optum Utilization Review jobs in Appleton, WI look for?

The top searched job categories for Remote Optum Utilization Review jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Remote Optum Utilization Review jobs?

Cities near Appleton, WI with the most Remote Optum Utilization Review job openings:

Infographic showing various Remote Optum Utilization Review job openings in Appleton, WI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 10% Hybrid, and 90% Remote job distribution, with an average salary of $85,812 per year, or $41.3 per hour.

Facilities Coordinator

Wisconsin

Oshkosh, WI • On-site, Remote

$65K/yr

Full-time

Medical, Retirement, PTO

Posted 18 days ago


Job description

Current Employees: If you are currently employed at any of the Universities of Wisconsin, log in to Workday to apply through the internal application process.Position Title:Facilities CoordinatorJob Category:Academic StaffEmployment Type:RegularJob Profile:Facilities PlannerJob Duties:

The Facilities Coordinator supports the effective planning, management, and utilization of university facilities and physical spaces. This position coordinates space inventory and planning systems, analyzes space utilization and facilities data, and provides recommendations to support the efficient use and development of indoor and outdoor university facilities. The Facilities Coordinator works collaboratively with Facilities leadership, campus partners, architects, engineers, contractors, and other stakeholders to coordinate space assignments, facility improvements, project documentation, and planning initiatives consistent with university policies and the Campus Master Plan.

Key responsibilities include maintaining accurate building and space records, including architectural drawings, floor plans, room inventories, equipment and furniture layouts, and assignable square footage; serving as the system owner for space management platforms; and coordinating updates to as-built documentation with architects, engineers, and contractors. The position reviews space requests, develops test fits and facility options, evaluates potential space assignments, and investigates future development opportunities based on unit facility plans and the Campus Master Plan.

The Facilities Coordinator also coordinates small- to mid-size facilities projects, supports larger capital projects through documentation and space-impact tracking, and provides facilities data and reporting for university and UW System submissions. This position serves as a liaison between Facilities trades and external design professionals, coordinates project documentation and work requests, and helps resolve facilities-related issues.

Additionally, the Facilities Coordinator ensures facility planning and space assignments align with applicable accessibility requirements, safety codes, campus design standards, and established room configuration, signage, and naming conventions. Success in this role requires strong analytical, organizational, communication, and project coordination skills, as well as the ability to manage detailed facilities data and collaborate effectively with a wide range of campus and external stakeholders.

Hybrid remote work may be available after the successful completion of the initial training period. Please note that the remote work policy is subject to change at the discretion of the department or university.

Universities of Wisconsin also offers an extremely competitive benefits package for 2026 that includes:

  • Health plans, currently starting at $45 per month.

  • 176 hours of vacation per year (prorated for start date).

  • 36 hours of personal holiday, and 9 legal holidays (prorated for start date).

  • 176 Hours of sick leave for first 18 months. After this period, employees can earn up to 96 hours per fiscal year. Accumulates without limit and does not expire.

  • Paid parental leave after six months of continuous employment.

  • Wisconsin Retirement System (pension) with 7.2% employer contribution for 2026.

All employment benefits are subject to change. A full list of current benefits and eligibility requirements can be found on our website.

Key Job Responsibilities:
  • Reviews, evaluates, approves, and provides recommendations for facility improvements, space assignments, and proposals utilizing best practices and established policies and procedures
  • Investigates options for potential future development based on unit facility master plans and the overall Campus Master Plan
  • Analyzes, audits, and updates facility records
  • Schedules logistics and secures resources and information to identify, assign, and acquire space for institutional use
  • Reviews space requests and models test fits and facility options for massing, scale, and impact to university facilities per the Campus Master Plan
Department:

Facilities

Compensation:

Starting at $65,000 and commensurate with experience

Required Qualifications:
  • Associates Degree

  • Experience maintaining facility records, architectural drawings, space inventories, or coordinating facilities-related projects.

  • Experience using Computer Aided Design (CAD) software such as AutoCAD.

  • Experience working with databases, spreadsheets, and reporting tools to maintain accurate records and produce reports.

  • Demonstrated ability to manage multiple projects and priorities simultaneously.

  • Strong written, verbal, and interpersonal communication skills with the ability to work effectively with technical and non-technical stakeholders.

  • Demonstrated attention to detail and commitment to data accuracy.

Preferred Qualifications:
  • Bachelor's Degree

  • At least 2 years experience maintaining facility records, architectural drawings, space inventories, or coordinating facilities-related projects.

  • Experience in higher education, government, healthcare, or institutional facilities environments.

  • Experience conducting space utilization analysis, space audits, and facilities planning activities.

  • Experience coordinating renovation, relocation, or facilities improvement projects.

How to Apply:
Applicants must submit the following documents using the online application:

  • Resume

  • Cover Letter


*Please use your application materials to speak to each of the qualifications for this position as listed above. Be sure to describe your relevant experience and areas of expertise, using specific examples from your work and education history. Applicants must complete all required fields and attach all required documents prior to submitting the online application.
All final candidates will be asked to provide names, email contact information, and/or phone numbers for three (3) references, with at least one being from a manager or supervisor, during the interview process.
Note: Once you have attached your materials and submitted your application, you will not be able to go into the system and change them.
To Ensure Consideration: Applications received by the end of the day on 08/30/2026are ensured full consideration.Applications received after that date may be given consideration. Application materials will be evaluated, and the most qualified applicants will be invited to participate in the next step of the selection process. Incomplete and/or late application materials may not receive consideration.
Contact Information:
For questions regarding your application and additional options to apply, contact Human Resources at recruitment@uwosh.edu or 920-424-1166
Work Authorization
Unless otherwise indicated in the job posting, the University of Wisconsin Oshkosh does not offer H-1B or other work authorization visa sponsorship for this position. Candidates must be legally authorized to work in the United States at the time of hire and maintain work authorization throughout the employment term. UW Oshkosh is not an e-verify employer; therefore, STEM extensions are not options for work authorization.

Legal Notices:

Reasonable Accommodations

UWO provides reasonable accommodations to qualified individuals with disabilities who are employees or applicants for employment. Employment opportunities will not be denied because of the need to make reasonable accommodations for a qualified individual with a disability. If you need assistance or accommodation in applying because of a disability, please contact hroffice@uwosh.eduor 920-424-1166. This job announcement and other material on this site will be made available in alternate formats upon request to an individual with a disability.
Confidentiality of Applicant Materials
UWO is a State agency and subject to Wisconsin's Open Records Law. UWO will not, however, reveal the identities of applicants who request confidentiality in writing except as may be required by Wisconsin's Open Records law. In certain circumstances, the identities of "final candidates" and/or the identity of the appointed applicant must be revealed upon request.
CBC & Reference Check Policy
All candidates for employment are subject to a pre-employment screening which includes a criminal background check, work authorization, and verification of education. It will also require you and your references to answer questions regarding sexual violence and sexual harassment.
Annual Security and Fire Safety Report (Clery Act)

For the UWO Annual Security and Fire Safety Reports (i.e., Clery Report), which includes statistics about reported crimes and information about campus security policies, see https://uwosh.edu/police/, or call UWO Police Department, at (920) 424-1212 for a paper copy.

UW is an Equal Opportunity Employer
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, disability, status as a protected veteran, or any other bases protected by applicable federal or State law and UW System policies. We are committed to building a workforce that represents a variety of backgrounds, perspectives, and skills, and encourage all qualified individuals to apply.