Rogers Behavioral Health in Wisconsin is seeking a Utilization Review Case Management Specialist to guide the treatment process from admission to discharge. You will monitor care, ensure medical ...
Rogers Behavioral Health in Wisconsin is seeking a Utilization Review Case Management Specialist to guide the treatment process from admission to discharge. You will monitor care, ensure medical ...
Rogers Behavioral Health in Wisconsin is seeking a Utilization Review Case Management Specialist to guide the treatment process from admission to discharge. You will monitor care, ensure medical ...
Rogers Behavioral Health in Wisconsin is seeking a Utilization Review Case Management Specialist to guide the treatment process from admission to discharge. You will monitor care, ensure medical ...
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
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Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Financial and utilization considerations (in partnership with analytics/actuarial/finance ... Therapeutic Class Management * Lead therapeutic class strategy reviews to ensure clinical positions ...
Project Manager - AC Power Systems
Milwaukee, WI · On-site
$114K/yr
Oversee project execution, monitor progress, control costs, manage invoicing, and ensure efficient resource utilization. Manage contracts, claims, and the procurement of services, materials, and ...
Project Manager - AC Power Systems
Milwaukee, WI · On-site
$114K/yr
Oversee project execution, monitor progress, control costs, manage invoicing, and ensure efficient resource utilization. Manage contracts, claims, and the procurement of services, materials, and ...
Project Manager - AC Power Systems
Milwaukee, WI · On-site
$114K/yr
Oversee project execution, monitor progress, control costs, manage invoicing, and ensure efficient resource utilization. Manage contracts, claims, and the procurement of services, materials, and ...
Project Manager - AC Power Systems
Milwaukee, WI · On-site
$114K/yr
Oversee project execution, monitor progress, control costs, manage invoicing, and ensure efficient resource utilization. Manage contracts, claims, and the procurement of services, materials, and ...
RN Field Case Manager
$76K - $97K/yr
Assess the member's current health status, resource utilization, past and present treatment plan ... Identify related risk management quality concerns and report these scenarios to the appropriate ...
RN Field Case Manager
$76K - $97K/yr
Assess the member's current health status, resource utilization, past and present treatment plan ... Identify related risk management quality concerns and report these scenarios to the appropriate ...
Assess the member's current health status, resource utilization, past and present treatment plan ... Identify related risk management quality concerns and report these scenarios to the appropriate ...
Assess the member's current health status, resource utilization, past and present treatment plan ... Identify related risk management quality concerns and report these scenarios to the appropriate ...
Region Director Care Coordination-Central Region
South Milwaukee, WI · Remote
$72.88 - $108.42/hr
You will also require knowledge of utilization management processes and denial prevention strategies, actively collaborating with relevant System and Regional Directors to reduce preventable denials ...
Region Director Care Coordination-Central Region
South Milwaukee, WI · Remote
$72.88 - $108.42/hr
You will also require knowledge of utilization management processes and denial prevention strategies, actively collaborating with relevant System and Regional Directors to reduce preventable denials ...
... utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the ...
... utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the ...
... utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the ...
... utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the ...
WI · On-site
$131 - $196/hr
Work closely with the informatics teams on intermittent projects or ongoing optimization related to medication utilization. * Manage the pharmaceutical supply chain to assure sufficient medication ...
WI · On-site
$131 - $196/hr
Work closely with the informatics teams on intermittent projects or ongoing optimization related to medication utilization. * Manage the pharmaceutical supply chain to assure sufficient medication ...
... utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the ...
... utilization management criteria, and implementation of safe and appropriate discharge plans. The Case Manager assesses the psychosocial needs of the patient and provides intervention as part of the ...
WI · On-site
$190 - $274/hr
Distinguished Technologist - Memory/Storage Utilization & Data Placement ArchitectSkip to main ... Works closely with product management, engineering stakeholders from related departments and ...
WI · On-site
$190 - $274/hr
Distinguished Technologist - Memory/Storage Utilization & Data Placement ArchitectSkip to main ... Works closely with product management, engineering stakeholders from related departments and ...
The role involves providing support and consultation for utilization management (medical and pharmacy), appeals, medical policy (development and maintenance), and quality improvement (Medicare Stars ...
The role involves providing support and consultation for utilization management (medical and pharmacy), appeals, medical policy (development and maintenance), and quality improvement (Medicare Stars ...
RN Care Coordinator, ED (36hrs, Nights)
Oregon, WI · On-site
$85 - $115/hr
Inpatient Rehab * Utilization Management Education * Successful completion of an RN program by date of hire. * High School Diploma or General Education Development (GED) required. License ...
RN Care Coordinator, ED (36hrs, Nights)
Oregon, WI · On-site
$85 - $115/hr
Inpatient Rehab * Utilization Management Education * Successful completion of an RN program by date of hire. * High School Diploma or General Education Development (GED) required. License ...
RN Care Coordinator, ED (36hrs, Nights)
Oregon, WI · On-site
$85 - $105/hr
Inpatient Rehab * Utilization Management Education * Successful completion of an RN program by date of hire. * High School Diploma or General Education Development (GED) required. License ...
New
RN Care Coordinator, ED (36hrs, Nights)
Oregon, WI · On-site
$85 - $105/hr
Inpatient Rehab * Utilization Management Education * Successful completion of an RN program by date of hire. * High School Diploma or General Education Development (GED) required. License ...
New
... on utilization and medical management processes Provide clinical knowledge and act as a clinical resource to non-clinical team staff Enter and maintain pertinent clinical information in various ...
... on utilization and medical management processes Provide clinical knowledge and act as a clinical resource to non-clinical team staff Enter and maintain pertinent clinical information in various ...
Nurse Manager I, Hospital
Oregon, WI · On-site
$110 - $150/hr
... and utilization; monitoring the use and maintenance of equipment, supplies and medications ... Manages designated work unit or team by translating business plans into tactical action items ...
Nurse Manager I, Hospital
Oregon, WI · On-site
$110 - $150/hr
... and utilization; monitoring the use and maintenance of equipment, supplies and medications ... Manages designated work unit or team by translating business plans into tactical action items ...
Solar Site Project Manager
De Pere, WI · On-site
$90 - $120/hr
Monitor proper utilization/management of Company-Owned and rented equipment. * Direct supervision of project site team including General Foreman, Yard Manager, Safety, QA/QC and other required site ...
Solar Site Project Manager
De Pere, WI · On-site
$90 - $120/hr
Monitor proper utilization/management of Company-Owned and rented equipment. * Direct supervision of project site team including General Foreman, Yard Manager, Safety, QA/QC and other required site ...
Utilization Manager information
See Wisconsin salary details
$39.4K - $51.2K
9% of jobs
$59.9K is the 25th percentile. Wages below this are outliers.
$51.2K - $62.9K
22% of jobs
$62.9K - $74.7K
11% of jobs
The median wage is $82K / yr.
$74.7K - $86.5K
14% of jobs
$86.5K - $98.3K
12% of jobs
$105.7K is the 75th percentile. Wages above this are outliers.
$98.3K - $110.1K
13% of jobs
$110.1K - $121.9K
13% of jobs
$121.9K - $133.7K
5% of jobs
$133.7K - $145.5K
2% of jobs
$145.5K - $157.3K
0% of jobs
$157.3K - $169.1K
0% of jobs
$39.4K
$91.9K
$169.1K
How much do utilization manager jobs pay per year?
As of Sep 5, 2026, the average yearly pay for utilization manager in Wisconsin is $91,863.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,100.00 and $110,500.00 per year, depending on experience, location, and employer.
What is a utilization manager?
A utilization manager works in the insurance industry to analyze health care needs in medical cases and determine further patient care. In this career, your job duties include conducting interviews to determine what services you register for and cutting down on unnecessary costs. You may review medical records and compile documentation to improve care and report your findings. Skills in management, customer service, and health care services are vital in this career. Job experience in nursing is a benefit when applying for utilization manager positions. Additional qualifications include a bachelor’s degree and medical case management certificate.
What are the key skills and qualifications needed to thrive as a utilization manager?
To thrive as a Utilization Manager, you need a solid background in healthcare management, case review, and knowledge of insurance regulations, often supported by a degree in nursing, healthcare administration, or a related field. Familiarity with utilization management software, electronic health records (EHRs), and certification such as Certified Case Manager (CCM) are typically required. Strong analytical thinking, communication, and negotiation skills help Utilization Managers effectively coordinate care and collaborate with providers. These skills ensure appropriate resource use, regulatory compliance, and optimal patient outcomes within healthcare organizations.
What are some common challenges faced by utilization managers, and how can they be addressed?
Utilization Managers often face challenges such as balancing cost containment with patient care quality, navigating complex insurance policies, and managing high caseloads. To address these, effective communication with healthcare providers and payers is essential, as is staying current with regulatory requirements and best practices. Building strong relationships within interdisciplinary teams and leveraging data analytics tools can also help Utilization Managers make informed decisions and improve workflow efficiency.
What is the difference between Utilization Manager vs Utilization Coordinator?
| Aspect | Utilization Manager | Utilization Coordinator |
|---|---|---|
| Certifications | Often requires healthcare or case management certifications | May have similar certifications but less emphasis on management |
| Work Environment | Typically in healthcare organizations, overseeing utilization review processes | Supports daily operations, assisting with case documentation and scheduling |
| Employer & Industry Usage | Common in healthcare, insurance, and managed care companies | Found in similar settings, often working under Utilization Managers |
In summary, a Utilization Manager generally has broader responsibilities, overseeing utilization review and resource allocation, while a Utilization Coordinator focuses on supporting daily tasks and documentation. Both roles are integral in healthcare settings but differ in scope and level of responsibility.
More about Utilization Manager jobs
What are the most commonly searched types of Utilization jobs in Wisconsin?
The most popular types of Utilization jobs in Wisconsin are:
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For Utilization Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Utilization Manager jobs in Wisconsin look for?
The top searched job categories for Utilization Manager jobs in Wisconsin are:
What cities in Wisconsin are hiring for Utilization Manager jobs?
Cities in Wisconsin with the most Utilization Manager job openings:
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For Utilization Manager jobs in WI, the most frequently searched job titles are:
Utilization Review Case Manager Behavioral Health
Oconomowoc, WI • On-site
Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
Job description
Rogers Behavioral Health in Wisconsin is seeking a Utilization Review Case Management Specialist to guide the treatment process from admission to discharge. You will monitor care, ensure medical necessity, and collaborate with clinical teams to resolve care delivery issues. You will coordinate with payers and providers, lead discharge planning, and support regulatory compliance across Joint Commission standards.