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Senior Rn Utilization Review Nurse Jobs in Appleton, WI

TNAA TotalMed RN

Travel Cath Lab RN

Appleton, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Appleton, Wisconsin. & Requirements * Specialty: Cardiac Cath Lab * Discipline: RN * Start Date: 08/30/2026

TNAA TotalMed RN

Travel Cath Lab RN

Appleton, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Appleton, Wisconsin. & Requirements * Specialty: Cardiac Cath Lab * Discipline: RN * Start Date: 09/06/2026

TNAA TotalMed RN

Travel Cath Lab RN

Appleton, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Appleton, Wisconsin. & Requirements * Specialty: Cardiac Cath Lab * Discipline: RN * Start Date: 08/31/2026

New Perspective

Registered Nurse RN

Oneida, WI · On-site

Why New Perspective Senior Living? A career with a purpose starts here! This is an exciting time to ... For further information, please review the Know Your Rights notice from the Department of Labor.

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Senior Rn Utilization Review Nurse information

See Appleton, WI salary details

$20

$41

$67

How much do senior rn utilization review nurse jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for senior rn utilization review nurse 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 does a Senior RN Utilization Review Nurse do?

A Senior RN Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, apply clinical guidelines, and collaborate with healthcare providers to ensure that treatments are cost-effective and meet established standards of care. Additionally, they often mentor junior staff, participate in policy development, and help optimize resource utilization within healthcare organizations. Their work supports quality patient care while managing healthcare costs.

What are some typical challenges faced by a Senior RN Utilization Review Nurse when coordinating with multidisciplinary teams?

Senior RN Utilization Review Nurses often collaborate with physicians, case managers, and insurance representatives to ensure patients receive appropriate, cost-effective care. A common challenge is balancing clinical guidelines with payer requirements, which can sometimes lead to differing opinions on the necessity of certain treatments or services. Effective communication, strong negotiation skills, and up-to-date knowledge of regulatory standards are essential to navigate these situations successfully. Being proactive and maintaining strong professional relationships helps facilitate smoother approvals and promotes patient-centered care.

What are the key skills and qualifications needed to thrive as a Senior RN Utilization Review Nurse, and why are they important?

To thrive as a Senior RN Utilization Review Nurse, you need a strong clinical nursing background, active RN licensure, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and certifications like CCM (Certified Case Manager) or URAC are highly beneficial. Exceptional critical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills ensure accurate case evaluations, compliance with regulations, and optimized patient care while controlling healthcare costs.

What is the difference between Senior Rn Utilization Review Nurse vs Rn Case Manager?

AspectSenior Rn Utilization Review NurseRn Case Manager
CertificationsRN license, possibly UR or case management certificationRN license, often case management certification
Work EnvironmentHospitals, insurance companies, healthcare organizationsHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and utilization of servicesCoordinating patient care and discharge planning
Common UsageUsed in insurance and healthcare review settingsUsed in patient care coordination and discharge planning

The Senior Rn Utilization Review Nurse primarily focuses on evaluating the necessity and appropriateness of healthcare services, often working within insurance companies or healthcare organizations. In contrast, Rn Case Managers concentrate on coordinating patient care, discharge planning, and ensuring smooth healthcare delivery. Both roles require RN licensure and relevant certifications, but their daily responsibilities and work environments differ slightly.

What are popular job titles related to Senior Rn Utilization Review Nurse jobs in Appleton, WI?

For Senior Rn Utilization Review Nurse jobs in Appleton, WI, the most frequently searched job titles are:

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The top searched job categories for Senior Rn Utilization Review Nurse jobs in Appleton, WI are:

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Cities near Appleton, WI with the most Senior Rn Utilization Review Nurse job openings:

Senior Rn Utilization Review Nurse jobs near you

Travel Medical-Surgical Registered Nurse

TNAA TotalMed RN

Neenah, WI • On-site

Contractor

Medical, Dental, Vision, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Neenah, Wisconsin.

Job Description & Requirements
  • Specialty: Med Surg
  • Discipline: RN
  • Start Date: 08/23/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, nights
  • Employment Type: Travel

UNIT: MED SURG - 5th floor
Interview type: CLINICAL INTERVIEW

HARD STOP REQUIREMENTS: Experience with Pre-post Cath & post pacemaker (required). TR band exp required.

Required Exp: 3 years RN exp + travel (NO NEW TRAVELERS ACCEPTED),

Charting: EPIC within the last 12 months

Required certifications: WI RN License, AHA BLS

Float Requirements: Throughout facility within skillset, To all ThedaCare Facilities within a 60 mile radius

Patient Ratios: 1:5-6 ratio (Days & Nights for new staffing model),  RN's paired with a support staff (LPN/CNA) based on acuity.  

Primary Cases: Med/Surg, COVID.

Scrub Colors: Black

NOTES:
*Weekly hours are not guaranteed the week of orientation, if there are unit closures, during holiday weeks, or when there is voluntary/approved time off. 
**Traveler's permanent address must be at least 50 miles from 101 N Commercial Drive, Neenah, WI  
 

1459771

About TNAA TotalMed RN

TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.


TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.

Benefits
  • Weekly pay
  • Guaranteed Hours
  • Continuing Education
  • 401k retirement plan
  • Sick pay
  • Wellness and fitness programs
  • Referral bonus
  • Employee assistance programs
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Benefits start day 1

Apply