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Remote Utilization Management Nurse Jobs in Racine, WI

TEEMA Group

Registered Nurse - RN

West Allis, WI · Remote

$50 - $56/hr

You will manage patient care plans, perform routine clinical assessments, educate caregivers, and ... Deliver skilled direct nursing interventions, maintaining high proficiency in pain and symptom ...

HSA Bank

Benefits Account Executive

Milwaukee, WI · Remote

$60K - $65K/yr

... utilization of benefit solutions. Proactively and reactively manages client relationships by ... In addition, this position is eligible for incentive compensation. #LI-BY1 #LI-REMOTE HSA Bank, a ...

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Remote Utilization Management Nurse information

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$39

$64

How much do remote utilization management nurse jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for remote utilization management nurse in Racine, WI is $39.65, according to ZipRecruiter salary data. Most workers in this role earn between $31.35 and $45.53 per hour, depending on experience, location, and employer.

What is a remote utilization management nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What does a remote utilization management nurse do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

What are the key skills and qualifications needed to thrive as a remote utilization management nurse?

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

What are some common challenges faced by remote utilization management nurses, and how can they be addressed?

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.

What is the difference between Remote Utilization Management Nurse vs Remote Case Manager?

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

More about Remote Utilization Management Nurse jobs

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For Remote Utilization Management Nurse jobs in Racine, WI, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Management Nurse jobs in Racine, WI look for?

The top searched job categories for Remote Utilization Management Nurse jobs in Racine, WI are:

What cities near Racine, WI are hiring for Remote Utilization Management Nurse jobs?

Cities near Racine, WI with the most Remote Utilization Management Nurse job openings:

Remote Utilization Management Nurse jobs near you
Infographic showing various Remote Utilization Management Nurse job openings in Racine, WI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $82,465 per year, or $39.6 per hour.

Strategic Sourcing Manager - Procurement

Bakertilly

Milwaukee, WI • On-site, Remote

$98K - $186K/yr

Full-time

Re-posted 16 days ago

Key responsibilities

  • Lead strategic sourcing for new professional services purchases, including needs assessments, managing RFx processes, and negotiating enterprise agreements.

  • Own the renewal management for existing contracts by initiating reviews 90+ days before expiration to optimize terms and right-size licenses.

  • Analyze and build TCO and ROI models to support contract development and KPI compliance by suppliers.

Baker Tilly rating

8.8

Company rating: 8.8 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

5th of 23 rated bookkeepers and accountants

Job description

Overview

Baker Tilly is a leading advisory, tax and assurance firm, providing clients with a genuine coast-to-coast and global advantage in major regions of the U.S. and in many of the world's leading financial centers - New York, London, San Francisco, Los Angeles, Chicago and Boston. Baker Tilly Advisory Group, LP and Baker Tilly US, LLP (Baker Tilly) provide professional services through an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations and professional standards. Baker Tilly US, LLP is a licensed independent CPA firm that provides attest services to its clients. Baker Tilly Advisory Group, LP and its subsidiary entities provide tax and business advisory services to their clients. Baker Tilly Advisory Group, LP and its subsidiary entities are not licensed CPA firms.

Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Visitbakertilly.comor join the conversation onLinkedIn,FacebookandInstagram.

Please discuss the work location status with your Baker Tilly talent acquisition professional to understand the requirements for an opportunity you are exploring.

Baker Tilly is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status, gender identity, sexual orientation, or any other legally protected basis, in accordance with applicable federal, state or local law.

Any unsolicited resumes submitted through our website or to Baker Tilly Advisory Group, LP, employee e-mail accounts are considered property of Baker Tilly Advisory Group, LP, and are not subject to payment of agency fees. In order to be an authorized recruitment agency ("search firm") for Baker Tilly Advisory Group, LP, there must be a formal written agreement in place and the agency must be invited, by Baker Tilly's Talent Attraction team, to submit candidates for review via our applicant tracking system.

Job Description:

The Strategic Sourcing Manager - Professional Services position will manage the strategic sourcing and contract lifecycle of professional services including but not limited to marketing, communications, people solutions, corporate services and facility management. They will lead and advise on negotiations when assigned, perform 3rd party supplier due diligence, and perform market/industry research to help build and enrich a procurement pipeline.

Responsibilities:

  • Lead strategic sourcing for new professional services purchases - conducting needs assessments, managing RFx processes and negotiating enterprise agreements.
  • Own the renewal management for existing contracts, initiating reviews 90+ days before expiration to optimize terms and right-size licenses.
  • Analyze and build TCO and ROI models, so contracting teams can build contracts to support KPI compliance by our supplier base
  • Partner with key business stakeholders to assess needs and build requirements for RFx events.
  • Maintain supplier relationships through structured business reviews, performance tracking and issue resolution.
  • Feed market intelligence and sourcing insights back to the Professional Services Category Manager to inform broader category strategy.
  • Engage and participate in special projects or complete other duties as assigned

Qualifications:

  • Bachelor's degree required
  • 5 years of experience in procurement strategic sourcing and supplier management
  • Deep knowledge of consulting and service deliverable-based contracts
  • Strong analytical capabilities - comfortable with spend data, utilization metrics and TCO modeling

The pay rate range for this job position are listed below. Actual compensation is influenced by a variety of relevant factors including but not limited to applicant's skills, prior experience, qualifications, degrees, professional certifications, work arrangements and geographic location. Baker Tilly offers a comprehensive compensation and benefits package to eligible employees.

The national pay rate range is $98,230 to $186,220

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