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Remote Utilization Review Jobs in Wisconsin (NOW HIRING)

Licensing Engineer

Janesville, WI · On-site +1

$73K - $121K/yr

... support of the review of licensing actions by the U.S. Nuclear Regulatory Commission; the ... Hybrid or remote work arrangement will be considered. While our headquarters is located in ...

US Remote Dallas and Scottsdale preferred Overview: The Senior Director, Finance IT is a senior ... Conduct regular license and entitlement reviews across all Finance platforms to ensure the ...

New

Lead Quarterly and Executive Business Reviews (QBRs/EBRs) that clearly communicate progress, value ... Remote #LI-RM1 Pay Range $111K - $139K - $167K USD The salary range shown reflects the company ...

The Virtual Registered Nurse (VRN) will manage and deliver remote patient care in an acute setting. As an integral part of the patient care team, the VRN collaborates and communicates effectively ...

Proficiency using Epic systems and remote monitoring programs. * Cultural competence and sensitivity to work with individuals from varied backgrounds. * Case Management (CCM) certification preferred ...

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Remote Utilization Review information

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How much do remote utilization review jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for remote utilization review 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 are the key skills and qualifications needed to thrive in remote utilization review?

To thrive as a Remote Utilization Review professional, you need a solid foundation in clinical knowledge, critical thinking, and an active RN or LPN license, often supported by experience in case management or prior authorization. Familiarity with medical coding (ICD-10, CPT), electronic health records (EHRs), and utilization management software is typically required, along with URAC or related certifications. Excellent communication, attention to detail, and strong organizational skills help you efficiently manage cases and coordinate with providers and payers. These skills ensure accurate assessments of medical necessity, compliance with regulations, and effective remote collaboration with healthcare teams.

What does a remote utilization review do?

A typical day for a Remote Utilization Review professional involves reviewing patient medical records, evaluating the necessity of proposed treatments against established guidelines, and collaborating with healthcare providers to gather additional information when needed. You will spend much of your time analyzing documentation, submitting recommendations, and ensuring that care authorization decisions align with payer policies and clinical best practices. Communication with case managers, physicians, and insurance representatives is frequent and essential. The work is generally independent and deadline-driven but requires strong teamwork and responsiveness through virtual meetings, emails, and calls.

What is a remote utilization review?

A Remote Utilization Review job involves assessing medical records and treatment plans to ensure they meet insurance guidelines and medical necessity criteria. Professionals in this role, often nurses or healthcare specialists, work remotely to review patient care for cost-effectiveness and compliance with policies. They collaborate with healthcare providers, insurance companies, and case managers to approve or deny services based on established guidelines. This position requires strong analytical skills, knowledge of medical policies, and attention to detail.

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

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

What are popular job titles related to Remote Utilization Review jobs in Wisconsin?

For Remote Utilization Review jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review jobs in Wisconsin look for?

The top searched job categories for Remote Utilization Review jobs in Wisconsin are:

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

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

Infographic showing various Remote Utilization Review job openings in Wisconsin as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $88,769 per year, or $42.7 per hour.

Licensing Engineer

SHINE Technologies LLC

Janesville, WI • On-site, Remote

$73K - $121K/yr

Full-time

Re-posted 28 days ago


Job description

Description

SHINE Technologies is seeking a Licensing Engineer who will assist the company in the support of the review of licensing actions by the U.S. Nuclear Regulatory Commission; the preparation for, and coordination of, inspections by the regulatory agencies; the preparation and submittal of permit applications to other applicable regulatory agencies; and to ensure ongoing compliance with all licenses and permits.

The Licensing Engineer will work as part of an innovative, collaborative, cross-discipline team to license SHINE's commercial and research and development activities, including the SHINE medical isotope production facility.

Hybrid or remote work arrangement will be considered. While our headquarters is located in Janesville, Wisconsin, we welcome applicants from across the U.S. who can effectively collaborate in a virtual environment. Candidates may be asked to travel occasionally for team meetings or onsite engagements, depending on business needs.  


The base salary range for this position is $73,000 - $121,900 per year plus a comprehensive compensation package. Our salary ranges are determined by role, level, and location.


Duties and Responsibilities:

Specific duties and responsibilities include, but are not limited to:

  • Maintain the licensing basis of SHINE's licensed activities, including Safety Analysis Reports and the programs and plans described therein.
  • Coordinate with technical personnel to ensure design changes meet the applicable licensing basis or are adequately incorporated into the licensing basis.
  • Coordinating NRC construction inspections, including pre-inspection assessments and responses to inspector requests.
  • Oversight of vendor deliverables to ensure regulatory, quality, and schedule objectives are met.
  • Preparation and review of licensing correspondence to regulatory agencies (e.g., regulatory engagement plans, application supplements, amendment requests, responses to requests for additional information, exemption requests).
  • Supporting interactions with regulatory agencies, including public meetings, regulatory audits, and clarification discussions.
  • Ensuring compliance with local, state, and federal regulations for construction and operation of licensed facilities.
  • Perform other duties as assigned.


Requirements

  • Bachelor's degree in engineering, scientific discipline, or related field, or equivalent experience such as a Senior Reactor Operator License or the Naval Nuclear Propulsion Program.
  • Demonstrated, applicable experience in nuclear licensing or comparable field.
  • Familiarity with Title 10 of the Code of Federal Regulations (CFR) and other applicable regulations.
  • Familiarity with regulatory guidance applicable to non-power production and utilization facilities and radioactive material licenses.
  • Proficient in Microsoft Office Suite and Adobe Acrobat Pro.
  • Ability to communicate effectively with all levels within the organization, as well as interface with regulators, contractors, and suppliers.

Working Conditions and Physical Effort: 

  • Requires frequent leaning, bending, stooping, crouching, grasping, and reaching above the shoulders and below the knees.
  • Moderate physical activity. Requires handling of average-weight objects up to 40 pounds or standing and/or walking for more than four (4) hours per day. 
  • Fine motor coordination and strong depth perception is beneficial.
  • Work involves moderate exposure to unusual elements, such as extreme temperatures, dirt, dust, fumes, smoke, unpleasant odors, and/or loud noises. 
  • Work environment involves some exposure to hazards or physical risks, which require following basic safety precautions. 

Employees must be able to perform the essential functions of the position satisfactorily. If requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of this job, absent undue hardship.

Eligibility for employment is conditioned on the applicant's ability to qualify for access to information subject to U.S. Export Controls. Additionally, applicant's eligibility may be conditioned based upon meeting the Nuclear Regulatory Commission requirements for access to Safeguards Information, which typically requires a pre-employment drug screen, fingerprinting and criminal background check.


SHINE values diversity in all its forms as a critical component of innovation, which is fundamental to our success. Every member of the SHINE community benefits from the talents and experiences of our peers, from the mutual respect we exercise, and from the responsibility we take for our actions.


SHINE Technologies is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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