1

Utilization Review Case Manager Jobs in Wisconsin

RN Case Manager

Appleton, WI ยท On-site

$1.8K - $1.9K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Appleton, Wisconsin Start Date: August 23, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1847 ...

New

RN Field Case Manager I

Waukesha, WI ยท On-site

$62K - $93K/yr

As a RN Field Case Manager, you will make a meaningful difference in the lives of injured workers ... A cost containment background, such as utilization review or managed care is helpful * Strong ...

RN Field Case Manager I

Waukesha, WI ยท On-site

$62K - $93K/yr

As a RN Field Case Manager, you will make a meaningful difference in the lives of injured workers ... A cost containment background, such as utilization review or managed care is helpful * Strong ...

Case Management Manager

Mequon, WI ยท On-site

$17.75 - $22.75/hr

Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. * Develop staff schedule and revise assignments daily ...

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care ... Conducts utilization reviews. * Communicates appropriate information for timely updates and ...

The Case Manager works with physicians and multidisciplinary team members to develop a plan of care ... Conducts utilization reviews. * Communicates appropriate information for timely updates and ...

... 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 ...

Case Management Manager

Mequon, WI ยท On-site

$99K/yr

Serve as content specialist for staff in the areas of utilization criteria, appeal and review process, and case management system documentation. * Develop staff schedule and revise assignments daily ...

next page

Showing results 1-20

Utilization Review Case Manager information

See Wisconsin salary details

$16

$36

$60

How much do utilization review case manager jobs pay per hour?

As of Aug 16, 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 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?

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing 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 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 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 cities in Wisconsin are hiring for Utilization Review Case Manager jobs?

Cities in Wisconsin with the most Utilization Review Case Manager job openings:

Infographic showing various Utilization Review Case Manager job openings in Wisconsin as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 15% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $76,601 per year, or $36.8 per hour.

RN Case Manager

GQR Global Markets

Appleton, WI โ€ข On-site

$1.8K - $1.9K/wk

Other

Medical, Dental, Vision

Posted yesterday

New


Job description

Contract โ€“ W2 Case Management/Utilization Review Registered Nurse (RN) Job

Location: Appleton, Wisconsin Start Date: August 23, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $1847.59 โ€“ $1942.59 Duration: 13 weeks Specialty: Case Management/Utilization Review Shift: Day

Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.

Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to ensure you start on time and have an exceptional experience
  • Referral bonus up to $700

About the Company: Finding the right role is about more than just matching skills to a jobโ€“it's about aligning with your goals, values, and the way you want to work.

As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.