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Senior Rn Utilization Review Nurse Jobs in Madison, WI

TNAA TotalMed RN

Travel CVICU RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN CVICU for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: CVICU * Discipline: RN * Start Date: 10/12/2026 * Duration: 13 weeks ...

TNAA TotalMed RN

Travel Med Surg RN

Madison, WI · On-site

$2.0K - $2.7K/wk

TNAA TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Med Surg * Discipline: RN * Duration: 13 weeks * 36 hours per week

TNAA TotalMed RN

Travel CVICU RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN CVICU for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: CVICU * Discipline: RN * Start Date: 09/14/2026 * Duration: 13 weeks ...

TNAA TotalMed RN

Travel Step Down RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Stepdown for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Stepdown * Discipline: RN * Start Date: 10/12/2026 * Duration: 13 ...

TNAA TotalMed RN

Travel Labor & Delivery RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Labor and Delivery * Discipline: RN * Duration: 13 weeks ...

TNAA TotalMed RN

Travel Labor & Delivery RN

Madison, WI · On-site

TNAA TotalMed RN is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Madison, Wisconsin. & Requirements * Specialty: Labor and Delivery * Discipline: RN * Duration: 13 weeks ...

New Perspective

Registered Nurse RN

Sun Prairie, 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.

New Perspective

Registered Nurse RN

Sun Prairie, 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 Madison, WI salary details

$21

$42

$69

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

As of Sep 3, 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 cities near Madison, WI are hiring for Senior Rn Utilization Review Nurse jobs?

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

Senior Rn Utilization Review Nurse jobs near you

Travel CVICU RN

TNAA TotalMed RN

Madison, WI • On-site

Contractor

Medical, Dental, Vision, Retirement

Posted 19 days ago

Job description

TNAA TotalMed RN is seeking a travel nurse RN CVICU for a travel nursing job in Madison, Wisconsin.

Job Description & Requirements
  • Specialty: CVICU
  • Discipline: RN
  • Start Date: 10/12/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, rotating
  • Employment Type: Travel

We're looking for Cardiovascular Intensive Care Unit RNs for an immediate travel nurse opening in Madison, WI. The right RN should have 1-2 years' recent acute care experience. Read below for more requirements.
As a CVICU Travel Nurse, you will work with a diverse team of caregivers to administer care to patients following specialized procedures including open-heart surgery and heart transplants. Cardiovascular Intensive Care Unit RNs should have experience and skill caring for patients in a fast-paced, urgent and critical care environment.
As a CVICU Travel Nurse, you should be prepared to perform the following tasks:

  • Provide critical care to patients with potentially life-threatening heart conditions.
  • Prepare and administer prescribed medications.
  • Take samples for diagnostic tests; order, interpret and evaluate diagnostic tests.
  • Apply hemodynamic, phlebotomy and IV protocols.
  • Be called in for emergencies to provide CPR and operate defibrillators hospital-wide.
  • Educate patients and family members on how to manage recovery at home.
CVICU Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, Cardiovascular Intensive Care Unit RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds.
Requirements*: ACLS, BLS, 2 Years
* Additional certifications may be required before beginning an assignment.

TNAA TotalMed RN Job ID #1491885. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Cardiovascular Intensive Care Unit - CVICU RN - Travel Nurse

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
Travel Nurse Across America logo

About Travel Nurse Across America

Sourced by ZipRecruiter

Travel Nurse Across America (TNAA) is a leading healthcare staffing firm headquartered in North Little Rock, Arkansas, USA. Their primary focus lies within the healthcare industry, specializing in providing travel nurses for medical facilities across the country. Founded in 1999, TNAA has thrived over the years by maintaining an unwavering dedication to quality service, reliability, and personalized care for both the clients and the teams they contract. Their mission is driven by their commitment to improve the lives of the patients they serve by ensuring they're provided with the most highly skilled, caring, and dedicated healthcare professionals.

Industry

Recruiting and staffing services and health care and social assistance

Company size

201 - 500 Employees

Headquarters location

North Little Rock, AR, US

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