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Utilization Manager Jobs in Wisconsin (NOW HIRING)

Network Health, Inc

RN Care Manager

Menasha, WI · Remote

Previous experience in case management, utilization management, insurance, or managed care preferred * Experience with Medicare, Medicaid preferred Network Health is an Equal Opportunity Employer

Network Health

RN Care Manager

Menasha, WI · Remote

Previous experience in case management, utilization management, insurance, or managed care preferred * Experience with Medicare, Medicaid preferred Network Health is an Equal Opportunity Employer

Network Health

RN Care Manager

Menasha, WI · On-site

Previous experience in case management, utilization management, insurance, or managed care preferred * Experience with Medicare, Medicaid preferred Network Health is an Equal Opportunity Employer ...

Network Health WI

RN Care Manager

Menasha, WI · On-site +1

Previous experience in case management, utilization management, insurance, or managed care preferred * Experience with Medicare, Medicaid preferred Network Health is an Equal Opportunity Employer ...

Bcbsa

$155K - $175K/yr

Analytics Team - Collaborate on drug trends and utilization data to inform clinical policy decisions, medical policy and formulary compliance, drug share shift and utilization management strategies

Hub Group, Inc

Driver Manager

Milwaukee, WI · On-site

$55K/yr

Manages driver utilization to ensure their drivers achieve targeted utilization levels; works with ... load planners to improve driver productivity * Responsible for driver execution of assigned work

Hub Group

Driver Manager

Milwaukee, WI · On-site

$55K/yr

Manages driver utilization to ensure their drivers achieve targeted utilization levels; works with ... load planners to improve driver productivity * Responsible for driver execution of assigned work

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Showing results 41-60

All JobsUtilization JobsUtilization Manager JobsUtilization Manager Jobs in Wisconsin

Utilization Manager information

See Wisconsin salary details

$39.4K

$91.9K

$169.1K

How much do utilization manager jobs pay per year?

As of Aug 13, 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 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 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 is the difference between Utilization Manager vs Utilization Coordinator?

AspectUtilization ManagerUtilization Coordinator
CertificationsOften requires healthcare or case management certificationsMay have similar certifications but less emphasis on management
Work EnvironmentTypically in healthcare organizations, overseeing utilization review processesSupports daily operations, assisting with case documentation and scheduling
Employer & Industry UsageCommon in healthcare, insurance, and managed care companiesFound 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:

What are popular job titles related to Utilization Manager jobs in Wisconsin?

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:

What are popular job titles related to Utilization Manager jobs in WI?

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

Utilization Manager jobs near you
Infographic showing various Utilization Manager job openings in Wisconsin as of August 2026, with employment types broken down into 100% Full Time. Highlights an 80% In-person, and 20% Remote job distribution, with an average salary of $91,863 per year, or $44.2 per hour.

RN Care Manager

Network Health, Inc

Menasha, WI • Remote

Full-time

Re-posted 7 days ago

Job description

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager advocates for options and services to meet an individual’s and family’s comprehensive health needs through communication and coordination of available resources to promote quality, cost-effective outcomes.

Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required). Travel to the corporate office in Menasha is required occasionally for the position, including on first day.

Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday

Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

  • Screen candidates for case management and when appropriate completes assessments, care plans with prioritized goals, interventions, and timeframes for re-assessment using evidence-based clinical guidelines. Evaluate and determine member needs based on clinical or behavioral information such as diagnosis, disease progression, procedures and other related therapies
  • Review results from medical or behavioral tests and procedures and updates care plan to reflect progress towards goals; close cases when expected goals/outcomes are achieved
  • Provide information and outreach regarding case or condition management activities to members, caregivers, providers and their administrative staff
  • Evaluate and process member referrals from physicians to other specialty providers
  • Assess, plan, facilitate and advocate for individuals to identify quality, cost effective interventions services and resources to ensure health needs are met
  • Works with members and families on self-management approaches using coaching techniques such as motivational interviewing
  • Educate the individual, his/her family and caretakers about case and condition management, the individual’s health condition(s), medications, provider and community resources and insurance benefits to support quality, cost effective health outcomes.
  • Facilitate the coordination, communication and collaboration of the individual’s care among his/her providers including tertiary, non-plan providers and community resources with the goal of controlling costs and improving quality.
  • Schedule visits with the individual and participates in facility-based care conferences as appropriate to ensure quality care, appropriate use of services, and transition planning.
  • Stay abreast of current best practices and new developments
  • Other duties as assigned

Job Requirements:

  • Graduation from accredited school of nursing
  • Bachelor’s degree in Nursing preferred
  • RN licensure in the State of Wisconsin
  • Case Management certification preferred
  • Four years of clinical health care experience as a RN required
  • Previous experience in case management, utilization management, insurance, or managed care preferred
  • Experience with Medicare, Medicaid preferred

Network Health is an Equal Opportunity Employer

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