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Remote Utilization Management Jobs in Wisconsin (NOW HIRING)

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

... remote position , depending on experience. Key responsibilities include: * Manage and optimize ... Monitor utilization and provide actionable reporting and insights * Identify process improvements ...

$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 ...

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

CUI Program Manager - Motion

New Berlin, WI · Remote

$115K - $115K/yr

Remote #LI-Remote You will be mainly accountable for: * Lead Motion's CUI compliance program ... Project Management Professional (PMP) certification, CMMC Certified Professional (CCP), CMMC ...

CUI Program Manager - Motion

WI · Remote

$119K - $120K/yr

Remote #LI-Remote You will be mainly accountable for: * Lead Motion's CUI compliance program ... Project Management Professional (PMP) certification, CMMC Certified Professional (CCP), CMMC ...

Account Management of priority C clients of aligned Relationship Manager client portfolio ... Provide or coordinate product training as required to clients to ensure effective utilization of ...

Effectively leads distributed or remote teams with strong communication, motivation, and ... utilization of team member's skills and expertise. * Collaborate with upper management to establish ...

Effectively leads distributed or remote teams with strong communication, motivation, and ... utilization of team member's skills and expertise. * Collaborate with upper management to establish ...

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Remote Utilization Management information

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$69

How much do remote utilization management jobs pay per hour?

As of Jun 11, 2026, the average hourly pay for remote utilization management 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.

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 are the key skills and qualifications needed to thrive as a Remote Utilization Management Nurse, and why are they important?

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.

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 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 June 2026, with employment types broken down into 84% Full Time, 15% Part Time, and 1% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $88,769 per year, or $42.7 per hour.

Resource Manager

Careers - MBE CPAs

Reedsburg, WI • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago


Job description

What's the role?

MBE CPAs is seeking a Resource Manager to lead workflow planning, scheduling, and resource allocation across our Tax and Client Accounting Services (CAS) teams. This is a highly strategic role focused on improving efficiency, balancing workloads, and supporting strong client service outcomes.
 
This role may be based in any of our 19 MBE office locations, filled as a hybrid opportunity, or filled as a remote position, depending on experience.
 
Key responsibilities include:
  • Manage and optimize workflow, scheduling, and resource allocation across teams
  • Balance workloads and ensure efficient use of staff at all levels
  • Partner with department leaders to anticipate staffing needs and solve capacity challenges
  • Monitor utilization and provide actionable reporting and insights
  • Identify process improvements and reduce bottlenecks across operations
  • Support forecasting, planning, and use of external staffing resources as needed
  • Collaborate with recruiting and leadership on hiring and development needs

What experience and skills do I need to be successful?

 
  • 4-5 years work experience in logistics, resource management or related field; CPA firm experience highly valued
  • Demonstrated ability to develop and implement systems and comprehensive solutions to resource management challenges
  • Exceptional communication, influencing and analytical skills; thrives on collaboration
  • Applies practical cause-and-effect and systems thinking
  • Strong business acumen; ability to learn quickly about company business and related strategic growth and profit drivers
  • Familiarity with forecasting processes and tools
  • Service oriented with the strength to make difficult decisions and challenge norms

Great Perks and Benefits:

 

Some major perks this firm can offer are long-term job stability, work-life balance to support raising a family, and significant opportunity to grow your career within the firm. In addition:

  • Competitive medical, dental, and vision insurance plans.
  • FSA/HSA account options.
  • Paid Time Off (PTO).
  • 401k employer matching program to save for retirement.
  • Tuition reimbursement, CPA assistance, and professional growth opportunities through continuing education.
  • Supplemental insurance options for life, AD&D, STD, LTD, and critical illness.
  • Bonuses for helping with business development leads.
  • Incredible potential for upward mobility and career growth.

How do I join?

First step is applying with your resume. Qualified candidates will then complete a phone screen with HR, followed by an interview with the MBE team.

What else are you hiring for?

See all MBE CPA's openings on their website or reach out to our lead recruiter, Brock Kazda, on LinkedIn.

More about the MBE Affiliate Group:

MBE CPAs is a team of accounting experts who use our industry-based knowledge to help others succeed in their financial journeys. We expanded our services from just accounting and tax to now include an entire affiliate group of services to support our clients with 19 office locations including 13 in Wisconsin in Black Earth, Door Country, Fort Atkinson, Mauston, Marshfield, Portage, Reedsburg, Sauk City, Sun Prairie, Tomah, Wausau, Wisconsin Dells-Lake Delton, and our corporate headquarters in Baraboo plus offices in Phoenix, Goodyear, and Chandler, Arizona, in Scottsbluff and Kimball, Nebraska, and Durango, Colorado.