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Remote Utilization Management Jobs in Wisconsin (NOW HIRING)

... systems through the utilization of data demonstrating program effectiveness and success ... May also participate in clinical rounds and conferences, risk and quality management programs ...

$76.33/hr

... systems through the utilization of data demonstrating program effectiveness and success ... Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ...

$114K - $144K/yr

... systems through the utilization of data demonstrating program effectiveness and success ... May also participate in clinical rounds and conferences, risk and quality management programs ...

Senior IT Security Analyst

Madison, WI · On-site +1

$90K - $115K/yr

... management, compliance tracking, and reporting. This Senior Analyst combines deep knowledge of ... S econdary consideration will be given to remote candidates in Wisconsin, Illinois, Michigan ...

$309K - $413K/yr

... staff, analyzes utilization data, research emerging molecular technologies, and serves as a ... This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ...

$309K - $413K/yr

... staff, analyzes utilization data, research emerging molecular technologies, and serves as a ... This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ...

$309K - $413K/yr

... staff, analyzes utilization data, research emerging molecular technologies, and serves as a ... This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ...

$309K - $413K/yr

... staff, analyzes utilization data, research emerging molecular technologies, and serves as a ... This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ...

$309K - $413K/yr

... staff, analyzes utilization data, research emerging molecular technologies, and serves as a ... This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ...

$309K - $413K/yr

... staff, analyzes utilization data, research emerging molecular technologies, and serves as a ... This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ...

$309K - $413K/yr

... staff, analyzes utilization data, research emerging molecular technologies, and serves as a ... This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ...

$309K - $413K/yr

... staff, analyzes utilization data, research emerging molecular technologies, and serves as a ... This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ...

... systems through the utilization of data demonstrating program effectiveness and success ... May also participate in clinical rounds and conferences, risk and quality management programs ...

Licensing Manager

Janesville, WI · On-site +1

$160K - $200K/yr

Hybrid or remote work arrangement will be considered. While our headquarters is located in ... Demonstrated knowledge of regulatory guidance applicable to non-power production and utilization ...

This role will be responsible for operations management of the Federal Employee Program (FEP ... Strong analytical skills with ability to interpret utilization data, competitive benchmarking, and ...

Showing results 21-40

Remote Utilization Management information

What is remote utilization management?

Remote utilization management is a process in which healthcare professionals, such as nurses or case managers, review and assess the necessity, efficiency, and appropriateness of medical services—often from a remote location. These professionals typically work for insurance companies, hospitals, or healthcare organizations to ensure that patients receive the right care while controlling costs. By working remotely, they use electronic health records, phone calls, and other digital tools to collaborate with providers and patients. This role helps improve healthcare quality and cost-effectiveness while allowing employees flexible work arrangements.

What are the key skills and qualifications needed to thrive in remote utilization management?

Success as a Remote Utilization Management Nurse requires a registered nursing license, clinical experience, and strong knowledge of medical necessity criteria and insurance guidelines. Familiarity with utilization review software, electronic health records (EHRs), and case management systems is typically necessary. Exceptional communication, critical thinking, and organizational skills help professionals excel in evaluating cases and coordinating with providers remotely. These skills are crucial for ensuring appropriate care, cost-effective resource use, and regulatory compliance in a remote healthcare setting.

How does a remote utilization management professional typically collaborate with healthcare providers and insurance teams?

Remote Utilization Management professionals frequently interact with both healthcare providers and insurance teams through secure digital platforms, phone calls, and virtual meetings. They review patient records, assess the necessity of medical services, and communicate their recommendations or authorization decisions. Effective collaboration requires clear documentation, timely responses, and strong communication skills to ensure that care is both medically appropriate and cost-effective. While the work is often independent, regular coordination with interdisciplinary teams is essential for maintaining high-quality patient outcomes and adhering to regulatory standards.

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

AspectRemote Utilization ManagementRemote Case Management
CredentialsRN, LPN, or licensed healthcare professionalsRN, LPN, or social workers
Work EnvironmentHealthcare facilities, insurance companies, telehealthHealthcare providers, insurance, community agencies
Industry UsageInsurance, healthcare, telehealthHealthcare, social services, insurance
Primary FocusReviewing medical necessity, authorizationsCoordinating patient care, support services

Remote Utilization Management primarily involves reviewing medical necessity and authorizations, while Remote Case Management focuses on coordinating patient care and support services. Both roles require healthcare credentials and are used within healthcare and insurance industries, but they serve different functions in patient care and resource allocation.

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

The most popular types of Utilization Management jobs in Wisconsin are:

What cities in Wisconsin are hiring for Remote Utilization Management jobs?

Cities in Wisconsin with the most Remote Utilization Management job openings:

Infographic showing various Remote Utilization Management job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 82% Physical, 2% Hybrid, and 16% Remote job distribution.

Facilities Coordinator

Universities of Wisconsin

Oshkosh, WI • On-site, Remote

$65K/yr

Full-time

Medical, Retirement, PTO

Posted 23 days ago


Key responsibilities

  • Supports the planning, management, and utilization of university facilities and physical spaces.

  • Coordinates space inventory, analyzes space utilization and facilities data, and provides recommendations for efficient use and development of facilities.

  • Coordinates space assignments, facility improvements, project documentation, and planning initiatives in collaboration with stakeholders.


University Of Wisconsin System rating

7.6

Company rating: 7.6 out of 10

Based on 55 frontline employees who took The Breakroom Quiz

293rd of 630 rated colleges and universities


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 Coordinator
Job Category:
Academic Staff
Employment Type:
Regular
Job Profile:
Facilities Planner
Job 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 08/30/2026 are 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.edu or 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.

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