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Utilization Management Jobs in Kenosha, WI (NOW HIRING)

Elevance Health

Family Care-Service Coordinator

Kenosha, WI · Hybrid

$19.50 - $25.75/hr

Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual's care plan. * Responsible for reporting critical incidents to ...

Elevance Health

Family Care-Service Coordinator

Racine, WI · Hybrid

$18.75 - $24.75/hr

Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual's care plan. * Responsible for reporting critical incidents to ...

Elevance Health

Family Care-Service Coordinator

Kenosha, WI · Hybrid

$18.75 - $25.25/hr

Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual's care plan. * Responsible for reporting critical incidents to ...

Elevance Health

Family Care-Service Coordinator

Racine, WI · Hybrid

$18 - $24.50/hr

Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the individual's care plan. * Responsible for reporting critical incidents to ...

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All JobsUtilization Management JobsUtilization Management Jobs in Kenosha, WI

Utilization Management information

See Kenosha, WI salary details

$38K

$87.3K

$159K

How much do utilization management jobs pay per year?

As of Aug 27, 2026, the average yearly pay for utilization management in Kenosha, WI is $87,292.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,900.00 and $101,900.00 per year, depending on experience, location, and employer.

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 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 degree is needed for utilization management?

Utilization management professionals typically need at least a bachelor's degree in healthcare, nursing, health administration, or a related field. Some roles may require a master's degree or professional certifications such as Certified Professional in Healthcare Quality (CPHQ) or Certified Case Manager (CCM). Experience in healthcare settings and knowledge of medical terminology and insurance processes are also important.

What are popular job titles related to Utilization Management jobs in Kenosha, WI?

For Utilization Management jobs in Kenosha, WI, the most frequently searched job titles are:

What job categories do people searching Utilization Management jobs in Kenosha, WI look for?

The top searched job categories for Utilization Management jobs in Kenosha, WI are:

What cities near Kenosha, WI are hiring for Utilization Management jobs?

Cities near Kenosha, WI with the most Utilization Management job openings:

Utilization Management jobs near you
Infographic showing various Utilization Management job openings in Kenosha, WI as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 2% Contract, and 1% Nights. Highlights an 82% Physical, 3% Hybrid, and 15% Remote job distribution, with an average salary of $87,292 per year, or $42 per hour.

Administrative Assistant for Utilization Review

Lake Behavioral Hospital

Waukegan, IL • On-site

$19 - $26/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

Administrative Assistant for Utilization Review

Lake Behavioral Hospital - Waukegan, IL 60085

Salary Range $19.00 - $26.00 Hourly Position Type Part Time Job Shift Day

Join Our Team As A Administrative Assistant – Utilization Review – Part Time

Your Work Matters How Will You Make A Difference?

The Administrative Assistant is responsible for providing administrative support for the Utilization Management department, including performing clerical duties, attending departmental meetings, coordinating staff activities, staff educational files and providing support for the Director of Clinical Programming.

Schedule: Monday – Friday flexible hours (8am–1pm) or Monday – Thursday (8am- 2pm)

Your Experience Matters What We're Looking For:

  • Education: Associate Degree in Business Administration or related field preferred; or an equivalent combination of education and experience.
  • Experience: At least one (1) year experience as an Administrative Assistant in a health care setting preferred in a health care setting; or combination of education, training and experience.
  • Additional Requirements: Must be able to type at least 65 w.p.m.; knowledge of Word and Excel software programs; and experience as a mental health technician desired. Ability to work overtime and flexible hours, as requested.

Primary Responsibilities

  • Completes frontline and clerical support to the Utilization Review team in processing daily, weekly, and monthly reports
  • Managing incoming calls or incoming emails from insurance companies and route them appropriately.
  • Follow-up on appeal submissions to determine status.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure clinical requests and questions are handled appropriately and in a timely manner.
  • Verify patient insurance eligibility as needed
  • Complete follow-up calls for Utilization Review Coordinators to maintain compliance on authorization timeframes.
  • Provide support for documentation uploads of authorizations.
  • Troubleshoot for missing documentation as requested.
  • Responds to tasks and written request from coordinators, providers and internal departments.
  • Open and distribute mail for the department.
  • Order supplies for the department, maintain a cost-effective and efficient office.
  • Consistently prioritize workloads to ensure daily work is completed.
  • Adhere to facility, department and Corporate Personnel Policies and Procedures.

Your Care Matters What We Provide For Our Team

  • 401(k) + matching
  • Health insurance
  • 100% company-paid life insurance coverage up to 2x your annual salary
  • Vision insurance
  • Dental insurance
  • 100% company-paid long term disability insurance
  • Paid time off
  • Cafeteria on site + discounted meals
  • Employee engagement events
  • Employee assistance program
  • Employee recognition program
  • Free parking

What Sets Us Apart

  • Career & training development opportunities
  • Dynamic and inclusive work environment
  • Engaged management team dedicated to your success
  • A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations

Disclaimer: Benefits are subject to change at the discretion of Lake Behavioral Hospital.

Compensation:

This is a Part-Time role and the expected compensation range for this role is $19.00 -$26.00 hourly. We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Administrative Assistant for Utilization Review.

Get To Know Us Outstanding Care, Compassionate People, Unparalleled Service

Discover a fulfilling career at Lake Behavioral Hospital (LBH)!

We are a 161-bed acute care facility located in Waukegan, IL and has been providing mental health treatment to the community and the state of Illinois since 2018. We are dedicated to offering services to meet the ever-changing emotion and behavioral healthcare needs of adolescents, adults, and their families. We offer specialized inpatient programs and outpatient services proven to decrease symptoms of mental illness and we are committed to help people live healthier lives. Our compassionate and experienced team of psychiatrists, licensed therapists, nurses and support staff are here to create an atmosphere of health, hope, and healing.

Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.

Together We Can Make Positive I.M.P.A.C.T.S.

Individuals Maintaining Positive Attitude and Commitment To Service

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