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Utilization Management Jobs in Brookfield, WI (NOW HIRING)

Network Health

Claims Analyst II

Brookfield, WI · On-site +1

Keeps current on group contracts specifics, provider discounts, percentages and per diems, enrollee certificates and agreements, authorizations and other utilization management policies, etc.

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Utilization Management information

See Brookfield, WI salary details

$36.9K

$84.7K

$154.3K

How much do utilization management jobs pay per year?

As of Aug 8, 2026, the average yearly pay for utilization management in Brookfield, WI is $84,712.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,100.00 and $98,900.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in utilization management, and why are they important?

To thrive in Utilization Management, you need a strong understanding of healthcare procedures, insurance guidelines, and case review processes, usually backed by a clinical background such as RN, LPN, or allied health certification. Familiarity with medical management software, electronic health records (EHR), and utilization review tools like InterQual or MCG is often required. Excellent analytical thinking, attention to detail, and effective communication skills greatly enhance performance in this role. These competencies enable accurate assessment of medical necessity, ensure regulatory compliance, and support efficient, collaborative workflows between providers, insurers, and patients.

What is utilization management?

A Utilization Management (UM) job involves evaluating medical services to ensure they are necessary, cost-effective, and compliant with healthcare guidelines. Professionals in this field review patient care plans, authorize treatments, and collaborate with healthcare providers to optimize resource use. They work for insurance companies, hospitals, or healthcare organizations to balance quality care with cost control. Strong analytical skills and knowledge of medical policies are essential in this role.

What are the typical daily responsibilities of a utilization management professional?

As a Utilization Management professional, your day-to-day duties typically include reviewing patient admissions, authorizing ongoing treatment or procedures, assessing medical necessity, and ensuring services comply with insurance policies and industry guidelines. You will frequently collaborate with physicians, nurses, and insurance representatives to facilitate timely and appropriate care decisions while managing cost and quality. Documentation and communication play key roles as you help bridge the gap between clinical teams and payers. This role is often fast-paced, requires decisive action, and provides opportunities to have a direct impact on patient outcomes and organizational efficiency.

What are the most commonly searched types of Utilization Management jobs in Brookfield, WI? The most popular types of Utilization Management jobs in Brookfield, WI are:
What are popular job titles related to Utilization Management jobs in Brookfield, WI? For Utilization Management jobs in Brookfield, WI, the most frequently searched job titles are:
What job categories do people searching Utilization Management jobs in Brookfield, WI look for? The top searched job categories for Utilization Management jobs in Brookfield, WI are:
What cities near Brookfield, WI are hiring for Utilization Management jobs? Cities near Brookfield, WI with the most Utilization Management job openings:
Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Brookfield, WI as of July 2026, with employment types broken down into 82% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $84,712 per year, or $40.7 per hour.

Regional Nurse (RN) Long Term Care

Aria of Brookfield

Milwaukee, WI • On-site

$100K - $120K/yr

Full-time

Re-posted 26 days ago

Job description

Do you see you see yourself wanting to empower patients to be partners in the care they receive?  

Do you find yourself wanting to see patients receive their greatest degree of independence? 

Are you committed to providing a safe haven for healing for patients and families? 

Do you strive in an environment where teamwork makes the dream work? 

 

If you answered yes to these questions, then ARIA Healthcare is the place for you. 

At Aria Healthcare, our interdisciplinary team of health professionals is committed to seeing the person before the illness and providing our residents with the gold standard of care.

General Purpose:
Supports successful implementation and maintenance of clinical and quality initiatives and protocols for use at the facility to level to assure the facility is following all State and Federal regulations and its own policies and procedures.
Essential Job Functions:
This facility expects their employees to do whatever is necessary to promote an atmosphere of teamwork with other employees and hospitality and comfort for its residents. Therefore, the following list is not all-inclusive:

Responsibilities:

  • Monitors and measures activities related to Quality Assurance.

  • Reviews clinical records and provides feedback to Clinical Leadership.

  • Compiles, trends and reports quality data in the following areas: patient care, safety, risk management, infection control, outcomes and customer satisfaction.

  • Works collaboratively with Clinical Leadership to assure documentation is complete and consistent with care and reflects legal requirements.

  • Identifies education and training needs based on trends.

  • Maintains knowledge of Medicare and Medicaid rules and regulations as well as applies to Transitions processes.

  • Responsible for ensuring processes to monitor and evaluate safety, risk management and infection control programs.

  • Coordinates, educates and implements monitoring activities for safety, risk management and infection control.

  • Develop and roll out new Quality Assurance Program

  • Consolidate all survey results and track/trend company-wide results and which areas for focus

  • Combine all medical records requests and review, monitor, and manage legal cases

  • Manage and update all managers with pertinent information

. Requirements:

  • RN licensed in the state program is located.

  • Three (3) to five (5) years clinical nursing experience. An emphasis in Post Acute/Skilled Nursing is preferred.

  • Ability to work within an interdisciplinary setting.

  • Excellent understanding of performance improvement, quality assessment and utilization management.

  • Compliance with accepted professional standards and practices.

  • Excellent coordination and communication skills.

  • Demonstrate excellent observation, assessment, nursing judgement and communication skills. Ability to provide accurate written documentation in a timely manner.

  • Flexible and cooperative in fulfilling all obligations

***Must be willing to travel***

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