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Senior Rn Utilization Review Nurse Jobs in Madison, WI

TNAA TotalMed RN

Travel Endoscopy RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Endoscopy for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Endoscopy * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 ...

TNAA TotalMed RN

Travel Endoscopy RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Endoscopy for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Endoscopy * Discipline: RN * Start Date: 09/28/2026 * Duration: 13 ...

TNAA TotalMed RN

Travel ER RN

Fort Atkinson, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Fort Atkinson, Wisconsin. & Requirements * Specialty: ED - Emergency Department * Discipline: RN * ...

TNAA TotalMed RN

Travel ER RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: ED - Emergency Department * Discipline: RN * Start ...

TNAA TotalMed RN

Travel OR RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: OR - Operating Room * Discipline: RN * Duration: 17 weeks ...

TNAA TotalMed RN

Travel IMC RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Intermediate Care for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Intermediate Care * Discipline: RN * Start Date: 09/14/2026

TNAA TotalMed RN

Travel OR RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: OR - Operating Room * Discipline: RN * Start Date: 11/02 ...

TNAA TotalMed RN

Travel IMC RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: PCU - Progressive Care Unit * Discipline: RN * ...

TNAA TotalMed RN

Travel Med Surg Tele RN

Madison, WI · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Med Surg / Telemetry * Discipline: RN * Start Date: 10 ...

TNAA TotalMed RN

Travel Neuro MS/Telemetry RN

Madison, WI · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Med Surg / Telemetry * Discipline: RN * Start Date: 09 ...

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Senior Rn Utilization Review Nurse information

See Madison, WI salary details

$21

$42

$69

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

As of Aug 31, 2026, the average hourly pay for senior rn utilization review nurse in Madison, WI is $42.60, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $48.94 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 the most commonly searched types of Rn Utilization Review Nurse jobs in Madison, WI?

The most popular types of Rn Utilization Review Nurse jobs in Madison, WI are:

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

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

What job categories do people searching Senior Rn Utilization Review Nurse jobs in Madison, WI look for?

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

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

Senior Rn Utilization Review Nurse jobs near you

Registered Nurse RN

Sun Prairie, WI • On-site

New Perspective Senior Living
Health Care and Social Assistance • 1 - 5K employees

5.5

Company rating: 5.5 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

173rd of 245 rated social care providers

Free food

People enjoy working here

Recommended by students

Learn more about New Perspective Senior Livingexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 6 days ago

Job description

New Perspective Senior Living

A career with a purpose starts here!

This is an exciting time to join New Perspective. We are a growing company serving over 4,000 seniors today with a goal of reaching 10,000 within the next few years. Our growth is creating energy, excitement, and the opportunity to make a difference in the lives of others. We have a culture of servant leadership and collaboration that supports each team member's personal and professional development. At New Perspective you're not just an employee, you are a valued member of our team.

RN Position Summary & Qualifications

As a Registered Nurse at New Perspective, you'll find supportive surroundings, deep appreciation for your work, opportunities for customized career growth, and an environment for meaningful connections. This important role assists the Health and Wellness team with coordination of care for residents in assisted living and memory care.

The RN:

  • Has a current RN license in good standing in the state in which the community is located;
  • Performs RN responsibilities in accordance with applicable state and federal laws;
  • Assists with training, onboarding and coaching team members in the proper performance of nurse delegated tasks;
  • Communicates and interacts with residents, families and team members in a kind, respectful and effective manner;
  • Supports quality care and data collection initiatives; and
  • Champions hospitality when providing customer service to community residents and their families

Team Member Benefits & Perks*

  • Medical, Dental, & Vision Insurance
  • 401(k) with Company Match!
  • Paid Time Off and Holidays
  • Company-Paid Basic Life Insurance
  • Voluntary Short-Term Disability
  • Company-Paid Long-Term Disability
  • Health Reimbursement Account/Health Savings Account
  • Flexible Spending Accounts
  • Education assistance - up to $5,000 per calendar year!
  • Leadership Development & Career Advancement
  • Real-time Access to Earned Wages
  • Referral Bonuses
  • Employee Assistance Program

*Benefits vary by full-time, part-time, and PRN status.

New Perspective is an Equal Opportunity Employer

INDNP

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

New Perspective Senior Living logo

About New Perspective Senior Living

Sourced by ZipRecruiter

New Perspective Senior Living, based in Eden Prairie, MN, US, is a leading company that offers superior senior living options. Since its founding in 1998, New Perspective has been dedicated to providing a unique and personalized experience to meet the needs of seniors across their communities. The company operates in the healthcare industry, offering high-quality senior housing and services including Independent Living, Assisted Living, Memory Care, and Vibrant Living services. The purpose that drives the company's efforts is their philosophy of living life with a ‘new perspective’, which influences their core values and mission – ‘to put people before tasks and demonstrate this by aiding in the maintenance of dignity and independence of the seniors they serve.’

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

MINNETONKA, MN, US

Year founded

1998

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What New Perspective Senior Living employees say

Pay

Benefits

Hours and flexibility

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