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Utilization Manager Jobs in Milwaukee, WI (NOW HIRING)

Nurse Manager

Milwaukee, WI · On-site

  • Medical

  • Dental

  • Life

  • Retirement

As the Nurse Manager, you will have the opportunity to provide direct leadership of daily nursing ... Supports reduction in agency utilization through retention, engagement, and staffing discipline.

Use scheduling tools to forecast hours, track utilization, and monitor overall headcount * Facilitate meetings with Managers and Partners on a weekly basis, providing updates as needed * Ensure staff ...

Operations Manager

West Bend, WI

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Description Operations Manager CentroMotion | Weasler Engineering West Bend, WI Welcome to ... Effective decision-making skills regarding utilization of resources, hiring / training, and ...

Operations Manager

West Bend, WI · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Utilization of 5S, TPM, SMED tools to drive process discipline and accountability. • Utilizes ... Must have successfully lead and managed by the facilitation of teamwork within the directed ...

Operations Manager

West Bend, WI · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Operations Manager CentroMotion | Weasler Engineering West Bend, WI Welcome to CentroMotion, a ... Utilization of 5S, TPM, SMED tools to drive process discipline and accountability. · Utilizes ...

Showing results 41-60

Utilization Manager information

See Milwaukee, WI salary details

$38.4K

$89.7K

$165K

How much do utilization manager jobs pay per year?

As of Aug 13, 2026, the average yearly pay for utilization manager in Milwaukee, WI is $89,668.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,600.00 and $107,900.00 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.

What are the most commonly searched types of Utilization jobs in Milwaukee, WI?

The most popular types of Utilization jobs in Milwaukee, WI are:

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

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

What cities near Milwaukee, WI are hiring for Utilization Manager jobs?

Cities near Milwaukee, WI with the most Utilization Manager job openings:

Infographic showing various Utilization Manager job openings in Milwaukee, WI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $89,668 per year, or $43.1 per hour.

Registered Nurse (RN) Case Manager

Advocate Aurora Health

Milwaukee, WI • On-site

$38.20 - $57.30/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago


Advocate Aurora Health rating

7.7

Company rating: 7.7 out of 10

Based on 778 frontline employees who took The Breakroom Quiz

157th of 887 rated healthcare providers


Job description

Department:
11210 Aurora St. Lukes Medical Center - Social Services
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
M-F, some weekends and holidays, 8-1630.
Pay Range:
$38.20 - $57.30
Registered Nurse (RN) - RN Case Manager inpatient St Lukes
Where You Will Work:
Milwaukee, WI, United States Centrally located in the south side of Milwaukee
Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management.
We're Looking For:
License/Registration/Certification: Registered Nurse License issued by the state in which the Team Member practices.
Level of Education: Bachelor's Degree in Nursing
Years of Experience: 2 years of clinical nursing experience
What You'll Do:
  • Conduct comprehensive assessments and create timely care plans & interventions
  • Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences
  • Provide continuity of care and discharge planning aligned with regulatory standards
  • Coordinate smooth transfers and handoffs across units and settings
  • Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources
  • Initiate internal/external referrals; document discharge planning and UM activities accurately and on time
  • Perform concurrent/retrospective reviews using approved criteria
  • Partner closely with Social Work and support staff to implement safe, effective plans of care
  • Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes
  • Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance
  • Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes
  • Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health
  • Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements
  • Provide age-appropriate care per departmental standards

About This Location:
Aurora St. Luke's Medical Center is a 938-bed, quaternary acute care
community hospital that provides advanced health care expertise.
The organization offers leading edge oncology, cardiovascular and
neurology therapies for primarily adult patients. Nursing professional
governance is a particular organizational strength, with over 40 years
of experience in clinical nurse shared decision making. Aurora St.
Luke's has been recognized for Nursing Excellence by the American
Nurses Credentialing Center Magnet Recognition Program® since
2001, most recently celebrating our 6th consecutive designation in
February 2024.
Be the Nurse Who Redefines Care.
At Advocate Health, being a nurse means more than delivering exceptional clinical care-it means leading with purpose, compassion, and boldness. As part of our One Advocate Nurse community, you'll join a unified team committed to lifting others up, embracing innovation, and creating inclusive spaces where everyone can thrive. You'll be empowered to think boldly, collaborate with humility, and drive change through fearless curiosity. Whether you're at the bedside, in the community, or advancing care through research and education, you'll help shape the future of health-because here, we're redefining care for you, for us, for all.
Your feedback matters. Every nurse's voice is vital in shaping our culture and improving care. We value your insights and experiences because they help us grow stronger together.
Ready to Take the Next Step:
Apply Now!
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
  • Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
  • Premium pay such as shift, on call, and more based on a teammate's job
  • Incentive pay for select positions
  • Opportunity for annual increases based on performance

Benefits and more
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

What Advocate Aurora Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


Advocate Health logo

About Advocate Health

Sourced by ZipRecruiter

Advocate Healthcare, based in Oak Lawn, Illinois, United States, is a leading figure in the health care industry. Accessible via their official website, 'advocatehealth.com', this organization provides a wide variety of medical services and treatment options. Founded in 1995 through a merger of Evangelical Health Systems Corporation and Lutheran General HealthSystem, Advocate Healthcare has grown exponentially over the years. Now, it operates more than 400 sites of care, including 12 hospitals that encompass 11 acute care hospitals, the state’s largest integrated children’s network, five Level I trauma centers, and three Level II trauma centers. Upholding their values of equality, compassion, excellence, partnership and stewardship, Advocate Healthcare's mission is centered on building lifelong relationships with patients by delivering the best health outcomes and highest level of service through an integrated approach to care and wellness.

Industry

Hospitals and health care and social assistance

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US