RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners ...
RN Case Manager
Appleton, WI · On-site
$47.85 - $56.55/hr
Case Manager Appleton, WI SkyBridge Healthcare is currently seeking a Registered Nurse with Case Manager experience for a 13-week contract in Appleton, WI. SkyBridge Healthcare is a premier staffing ...
RN Case Manager
Appleton, WI · On-site
$47.85 - $56.55/hr
Case Manager Appleton, WI SkyBridge Healthcare is currently seeking a Registered Nurse with Case Manager experience for a 13-week contract in Appleton, WI. SkyBridge Healthcare is a premier staffing ...
RN Case Manager
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
Neenah, WI · On-site
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
Neenah, WI · On-site
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
Oshkosh, WI · On-site
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
Oshkosh, WI · On-site
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
Oshkosh, WI · On-site
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
RN Case Manager
Oshkosh, WI · On-site
$87K - $95K/yr
In the role of Registered Nurse Case Manager , you'll be entrusted with providing 1:1, whole-person ... Educate patients and caregivers on care techniques, medications, diet, and symptom management
Travel Nurse - RN / LPN
Appleton, WI · On-site
He or she may work under the supervision of the nurse manager on duty. As a Travel Nurse you will coordinate with the operations team and may be assigned to work at any one of our locations below.
Travel Nurse - RN / LPN
Appleton, WI · On-site
He or she may work under the supervision of the nurse manager on duty. As a Travel Nurse you will coordinate with the operations team and may be assigned to work at any one of our locations below.
RN - Case Manager
Appleton, WI · On-site
RN Case Manager RN Case Manager position available ... Inpatient hospital Case Management experience is required. The role may require floating to other ...
New
RN - Case Manager
Appleton, WI · On-site
RN Case Manager RN Case Manager position available ... Inpatient hospital Case Management experience is required. The role may require floating to other ...
New
Travel Nurse - RN / LPN
Appleton, WI · On-site
He or she may work under the supervision of the nurse manager on duty. As a Travel Nurse you will coordinate with the operations team and may be assigned to work at any one of our locations below.
Travel Nurse - RN / LPN
Appleton, WI · On-site
He or she may work under the supervision of the nurse manager on duty. As a Travel Nurse you will coordinate with the operations team and may be assigned to work at any one of our locations below.
Daisy Medical Staffing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Appleton, WI. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2286 ...
Daisy Medical Staffing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Appleton, WI. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2286 ...
Travel Nurse - RN / LPN
Appleton, WI · On-site
He or she may work under the supervision of the nurse manager on duty. As a Travel Nurse you will coordinate with the operations team and may be assigned to work at any one of our locations below.
Travel Nurse - RN / LPN
Appleton, WI · On-site
He or she may work under the supervision of the nurse manager on duty. As a Travel Nurse you will coordinate with the operations team and may be assigned to work at any one of our locations below.
Travel Nurse - RN - Case Manager - $2286 / Week
Appleton, WI · On-site
$2.2K/wk
Daisy Medical Staffing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Appleton, WI. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2286 ...
Travel Nurse - RN - Case Manager - $2286 / Week
Appleton, WI · On-site
$2.2K/wk
Daisy Medical Staffing is seeking an experienced Case Manager Registered Nurse for an exciting Travel Nursing job in Appleton, WI. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2286 ...
The Case Manager RN is responsible for providing comprehensive care coordination and case ... This role involves patient assessment, care planning, resource management, interdisciplinary ...
Quick apply
The Case Manager RN is responsible for providing comprehensive care coordination and case ... This role involves patient assessment, care planning, resource management, interdisciplinary ...
Maintains residentdocumentation, medical management documentation and care plan documentation. * Leads and delegates nursing tasks todirect care staff in compliance with the Nurse Practice Act and ...
Maintains residentdocumentation, medical management documentation and care plan documentation. * Leads and delegates nursing tasks todirect care staff in compliance with the Nurse Practice Act and ...
Utilization Management Nurse information
See Appleton, WI salary details
$38.1K - $49.1K
15% of jobs
$49.1K - $60.1K
8% of jobs
$61.6K is the 25th percentile. Wages below this are outliers.
$60.1K - $71.1K
15% of jobs
The median wage is $78K / yr.
$71.1K - $82K
20% of jobs
$82K - $93K
11% of jobs
$98.5K is the 75th percentile. Wages above this are outliers.
$93K - $104K
13% of jobs
$104K - $115K
5% of jobs
$115K - $126K
3% of jobs
$126K - $137K
4% of jobs
$137K - $148K
3% of jobs
$148K - $159K
3% of jobs
$38.1K
$87.3K
$159K
How much do utilization management nurse jobs pay per year?
As of Aug 16, 2026, the average yearly pay for utilization management nurse in Appleton, WI is $87,311.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,900.00 and $102,000.00 per year, depending on experience, location, and employer.
What are some common challenges a utilization management nurse faces when coordinating care between providers and insurance companies?
A Utilization Management Nurse often navigates the challenge of balancing patient advocacy with insurance guidelines, ensuring that care recommendations meet both clinical standards and payer requirements. Communicating complex medical information to both providers and insurance representatives can be demanding, especially when there are disagreements about coverage or medical necessity. Additionally, staying updated on changing policies and maintaining thorough documentation under tight deadlines are frequent aspects of the role. Strong collaboration skills and attention to detail are essential for success in this position.
What are the key skills and qualifications needed to thrive as a utilization management nurse?
To thrive as a Utilization Management Nurse, you need a registered nursing license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical management software, InterQual or Milliman guidelines, and insurance authorization processes is typically required. Excellent analytical thinking, communication, and negotiation skills help you coordinate with providers and advocate for patients. These competencies ensure appropriate resource use, compliance with regulations, and optimal patient outcomes.
What is a utilization management nurse?
A Utilization Management Nurse is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients. They review medical records and treatment plans to ensure that care meets established guidelines and is cost-effective. Utilization Management Nurses work with healthcare providers, insurance companies, and patients to coordinate care and prevent unnecessary procedures or hospitalizations. Their goal is to support high-quality patient care while managing healthcare costs.
What is the difference between Utilization Management Nurse vs Case Manager?
| Aspect | Utilization Management Nurse | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, case management certification often preferred |
| Work Environment | Insurance companies, healthcare organizations, utilization review departments | Hospitals, community health agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of services | Coordinating patient care and discharge planning |
Utilization Management Nurses primarily focus on reviewing medical necessity and approving healthcare services, while Case Managers coordinate patient care and facilitate discharge planning. Both roles require RN licensure and work within healthcare or insurance settings, but their core responsibilities differ in scope and focus.
What does a utilization management nurse do?
A utilization management nurse ensures that healthcare services are administered appropriately. Their job responsibilities include working in a hospital, health practice, or other clinical setting reviewing patient clinical records, drafting clinical appeals, and overseeing staff members. The qualifications for a utilization management nurse include a nursing degree and a registered nursing license. Most people in this job also have career experience in case management and utilization review.
More about Utilization Management Nurse jobs
What are the most commonly searched types of Utilization Management Nurse jobs in Appleton, WI?
The most popular types of Utilization Management Nurse jobs in Appleton, WI are:
What are popular job titles related to Utilization Management Nurse jobs in Appleton, WI?
For Utilization Management Nurse jobs in Appleton, WI, the most frequently searched job titles are:
- No Experience Utilization Review Nurse
- Remote Utilization Management Nurse
- Freelance Utilization Review Nurse
- Manager Utilization Management
- Night Utilization Review Nurse
- Remote Utilization Management
- Flex Schedule Remote Utilization Review Nurse
- Per Diem Remote Chart Review Nurse
- Utilization Review Rn
- Remote Utilization Review Nurse
What job categories do people searching Utilization Management Nurse jobs in Appleton, WI look for?
The top searched job categories for Utilization Management Nurse jobs in Appleton, WI are:
- Optum Utilization Review Nurse
- Remote Optum Utilization Review
- Temporary Aetna Utilization Review Nurse
- Remote Utilization Review Nurse Practitioner
- Case Manager Utilization Review Nurse
- Registered Nurse Case Review
- Senior Rn Utilization Review Nurse
- Freelance International Utilization Review Nurse
- Remote Aetna Utilization Review Nurse
What cities near Appleton, WI are hiring for Utilization Management Nurse jobs?
Cities near Appleton, WI with the most Utilization Management Nurse job openings:
Moments Hospice rating
8.1
Based on 9 frontline employees who took The Breakroom Quiz
8th of 45 rated hospices
Job description
At Moments Hospice, we never want our staff to have to stress about their commute. That’s why our winning compensation package includes a fleet car benefit option with gas and insurance covered. Enjoy a vehicle for both business and personal use at a minimal cost to you. We fuel more than just your career when you join our team – apply now!
Why Join Moments Hospice? Our commitment to personal and professional growth includes employee-sponsored health benefits, opportunities for clinical advancement, and investments in educational development. We offer a rewarding work environment with clear expectations and reasonable caseloads. On-call support is available for our case managers, ensuring you always have the help you need.
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and months as comfortable as possible. Enjoy the opportunity to work closely with the company's owners and take part in our entrepreneurial spirit, fostering internal growth and clinical advancement.
Responsibilities:- Conduct initial client assessments and continuously refine care plans.
- Provide hands-on nursing care and patient education.
- Maintain open lines of communication with patients, families, and the healthcare team.
- Manage patient care coordination for your caseload.
- Participate in interdisciplinary team meetings to ensure comprehensive care planning.
- Licensed as a Registered Nurse / RN in the state you work in.
- Proficiency with Electronic Medical Records (EMR) software.
- Excellent planning, organizing, and communication skills.
- Ability to solve problems autonomously, ensuring responsibilities are met while maintaining high standards.
- Valid Driver's License and reliable vehicle with current insurance
- Competitive salary
- Company car with fuel and insurance covered
- Comprehensive health, dental, and vision insurance
- Generous PTO accruing immediately
- 401(k) with company matching
Apply Now: We make it easy for you to apply and join our team. Experience a career that not only meets your professional goals but also provides a supportive community committed to your success.
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https://momentshospice.com/privacy-agreement/
Job Type: On The Road
#RegisteredNurse #RN #CaseManager #Nurse #RNCaseManager
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
About Moments Hospice
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
201 - 500 Employees
Headquarters location
Minneapolis, MN, US
Year founded
2016