Utilization Review Nurse
$35.50 - $53.25/hr
Care Management Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details ... Conducts and documents utilization review activities in accordance with department and medical ...
New
Utilization Review Nurse
$35.50 - $53.25/hr
Care Management Status: Part time Benefits Eligible: No Hou rs Per Week: 0 Schedule Details ... Conducts and documents utilization review activities in accordance with department and medical ...
New
Case Manager
$20 - $24/hr
If you have experience as a SNF Case Manager, Insurance Authorization Specialist, Managed Care Coordinator, Utilization Review Specialist, or Healthcare Authorization Coordinator, we encourage you to ...
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Case Manager
$20 - $24/hr
If you have experience as a SNF Case Manager, Insurance Authorization Specialist, Managed Care Coordinator, Utilization Review Specialist, or Healthcare Authorization Coordinator, we encourage you to ...
Case Manager
Milwaukee, WI · On-site
$20 - $24/hr
If you have experience as a SNF Case Manager, Insurance Authorization Specialist, Managed Care Coordinator, Utilization Review Specialist, or Healthcare Authorization Coordinator, we encourage you to ...
Case Manager
Milwaukee, WI · On-site
$20 - $24/hr
If you have experience as a SNF Case Manager, Insurance Authorization Specialist, Managed Care Coordinator, Utilization Review Specialist, or Healthcare Authorization Coordinator, we encourage you to ...
Advanced Health Coordinated Care Organization is hiring a part-time remote Utilization Review Nurse ... Preferred candidates will have experience in managed care and the OHP program. This role requires ...
Advanced Health Coordinated Care Organization is hiring a part-time remote Utilization Review Nurse ... Preferred candidates will have experience in managed care and the OHP program. This role requires ...
Case Management Director
Milwaukee, WI · On-site
) Case Management Director - Skilled Nursing & Post-Acute Care Multi-Facility Leadership Role ... and utilization review experience who thrives in a fast-paced healthcare environment and ...
Case Management Director
Milwaukee, WI · On-site
) Case Management Director - Skilled Nursing & Post-Acute Care Multi-Facility Leadership Role ... and utilization review experience who thrives in a fast-paced healthcare environment and ...
Case Management Director - Skilled Nursing & Post-Acute Care Multi-Facility Leadership Role ... and utilization review experience who thrives in a fast-paced healthcare environment and ...
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Case Management Director - Skilled Nursing & Post-Acute Care Multi-Facility Leadership Role ... and utilization review experience who thrives in a fast-paced healthcare environment and ...
Case Manager
Fitchburg, WI · On-site
$20.25 - $26/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...
Case Manager
Fitchburg, WI · On-site
$20.25 - $26/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...
Case Manager
Fitchburg, WI · On-site
$21 - $27.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...
Case Manager
Fitchburg, WI · On-site
$21 - $27.25/hr
Participate in utilization review process: data collection, trend review, and resolution actions. * Participate in case management on-call schedule as needed. Qualifications * Must be qualified to ...
$2.20K - $2.29K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Portland, Maine Start Date: March 2, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
$2.20K - $2.29K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Portland, Maine Start Date: March 2, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
$2.20K - $2.29K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Portland, Maine Start Date: March 2, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
$2.20K - $2.29K/wk
Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Portland, Maine Start Date: March 2, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute Care ...
Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge. The patient ...
Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge. The patient ...
RN Case Manager
Beloit, WI · On-site
Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge. The patient ...
RN Case Manager
Beloit, WI · On-site
Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge. The patient ...
RN Case Manager
Beloit, WI · On-site
$34.90 - $55.84/hr
Department:  Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge.
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RN Case Manager
Beloit, WI · On-site
$34.90 - $55.84/hr
Department:  Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge.
RN Case Manager
Beloit, WI · On-site
Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge. The patient ...
RN Case Manager
Beloit, WI · On-site
Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge. The patient ...
RN Case Manager
Beloit, WI · On-site
$34.90 - $55.84/hr
Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge. The patient ...
RN Case Manager
Beloit, WI · On-site
$34.90 - $55.84/hr
Care Coordination The RN Case Manager (CM) will complete utilization review responsibilities and assist with coordinating the patient transition of care from admission to discharge. The patient ...
... from Utilization Review and other areas. * Participates in and leads, as necessary ... Registered Nurse Case Manger Minimum Requirements: * RN Wisconsin license * 3-5 years of hospital ...
... from Utilization Review and other areas. * Participates in and leads, as necessary ... Registered Nurse Case Manger Minimum Requirements: * RN Wisconsin license * 3-5 years of hospital ...
... from Utilization Review and other areas. * Participates in and leads, as necessary ... Registered Nurse Case Manger Minimum Requirements: * RN Wisconsin license * 3-5 years of hospital ...
... from Utilization Review and other areas. * Participates in and leads, as necessary ... Registered Nurse Case Manger Minimum Requirements: * RN Wisconsin license * 3-5 years of hospital ...
... from Utilization Review and other areas. * Participates in and leads, as necessary ... Registered Nurse Case Manger Minimum Requirements: * RN Wisconsin license * 3-5 years of hospital ...
... from Utilization Review and other areas. * Participates in and leads, as necessary ... Registered Nurse Case Manger Minimum Requirements: * RN Wisconsin license * 3-5 years of hospital ...
... from Utilization Review and other areas. * Participates in and leads, as necessary ... Registered Nurse Case Manger Minimum Requirements: * RN Wisconsin license * 3-5 years of hospital ...
... from Utilization Review and other areas. * Participates in and leads, as necessary ... Registered Nurse Case Manger Minimum Requirements: * RN Wisconsin license * 3-5 years of hospital ...
Case Manager
Cudahy, WI · On-site
$19.50 - $25.25/hr
Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...
Case Manager
Cudahy, WI · On-site
$19.50 - $25.25/hr
Provides case management services related to various levels of health care, finances, housing ... Documents discharge planning interventions and utilization review activity per department and ...
Utilization Review Case Manager information
See Wisconsin salary details
$16.74 - $20.73
3% of jobs
$20.73 - $24.73
1% of jobs
$24.73 - $28.72
6% of jobs
$30.65 is the 25th percentile. Wages below this are outliers.
$28.72 - $32.71
30% of jobs
The median wage is $34.15 / hr.
$32.71 - $36.70
26% of jobs
$38.22 is the 75th percentile. Wages above this are outliers.
$36.70 - $40.70
22% of jobs
$40.70 - $44.69
3% of jobs
$44.69 - $48.68
0% of jobs
$48.68 - $52.67
5% of jobs
$52.67 - $56.67
2% of jobs
$56.67 - $60.66
1% of jobs
$16
$36
$60
How much do utilization review case manager jobs pay per hour?
As of May 28, 2026, the average hourly pay for utilization review case manager in Wisconsin is $36.83, according to ZipRecruiter salary data. Most workers in this role earn between $29.86 and $38.80 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Utilization Review Case Manager, and why are they important?
To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.
What are some common challenges Utilization Review Case Managers face when coordinating care across multiple departments?
Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.
What is a Utilization Review Case Manager?
A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.
What is the difference between Utilization Review Case Manager vs Utilization Review Nurse?
| Aspect | Utilization Review Case Manager | Utilization Review Nurse |
|---|---|---|
| Credentials | Typically requires a nursing license or relevant healthcare certification | Registered Nurse (RN) license is required |
| Work Environment | Office-based, insurance companies, healthcare organizations | Hospital, clinic, insurance review departments |
| Primary Focus | Reviewing medical necessity, coordinating care, managing cases | Assessing medical records, clinical review, patient care evaluation |
Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.
What are popular job titles related to Utilization Review Case Manager jobs in Wisconsin? For Utilization Review Case Manager jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Utilization Review Case Manager jobs in Wisconsin look for? The top searched job categories for Utilization Review Case Manager jobs in Wisconsin are:
- Interqual
- Clinical Utilization Review
- Hospital Case Manager
- Workers Comp Nurse Case Manager
- Remote Anthem Utilization Review Nurse
- Senior Specialist Cigna Utilization Review
- Remote Aetna Utilization Review Nurse
- Remote Aetna Utilization Review
- Authorization Utilization Review
- Director Remote Utilization Review
What cities in Wisconsin are hiring for Utilization Review Case Manager jobs? Cities in Wisconsin with the most Utilization Review Case Manager job openings: