Travel RN Case Manager
Appleton, WI · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Travel RN Case Manager
Appleton, WI · On-site
Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
RN Coordinator Utilization Management
Menasha, WI · On-site +1
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
RN Coordinator Utilization Management
Menasha, WI · On-site +1
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Utilization Management Inter-reviewer reliability and denial files) * Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while ...
Case Manager
$18.50 - $23.75/hr
... review meetings with parents and social workers; working collaboratively with internal care ... Provides case management to support residents by developing treatment plans and aftercare ...
Case Manager
$18.50 - $23.75/hr
... review meetings with parents and social workers; working collaboratively with internal care ... Provides case management to support residents by developing treatment plans and aftercare ...
This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ... Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless ...
This role focuses on preventing avoidable admissions, driving efficient resource utilization, and ... Certified Case Manager (CCM) required, or willingness to obtain within 12 months of hire, unless ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
RN Case Manager
$75K - $90K/yr
As an RN Case Manager, you will play a critical role in making our patients' final days, weeks, and ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Home Health Case Manager (Remote)
Appleton, WI · On-site +1
The Home Health Case Manager (Remote) plays a crucial role in collaborating with health care team ... appropriate utilization of services * Responsible for the collaboration between the ...
Home Health Case Manager (Remote)
Appleton, WI · On-site +1
The Home Health Case Manager (Remote) plays a crucial role in collaborating with health care team ... appropriate utilization of services * Responsible for the collaboration between the ...
Part-Time Disability Services Case Manager/Support Specialist
Green Bay, WI · On-site
$32.93 - $35.49/hr
This position blends individualized case management, accommodation determination, and student ... Regularly review and assess students' academic and career goals to ensure alignment with their ...
Part-Time Disability Services Case Manager/Support Specialist
Green Bay, WI · On-site
$32.93 - $35.49/hr
This position blends individualized case management, accommodation determination, and student ... Regularly review and assess students' academic and career goals to ensure alignment with their ...
MDS Coordinator
Oshkosh, WI · On-site
$80K - $90K/yr
... case managers * ICD 10 coding for all new admissions and continual updating for LTC population ... Run Utilization Review Meetings and ensure PDPM scores and rates are validated * Review and Educate ...
Quick apply
MDS Coordinator
Oshkosh, WI · On-site
$80K - $90K/yr
... case managers * ICD 10 coding for all new admissions and continual updating for LTC population ... Run Utilization Review Meetings and ensure PDPM scores and rates are validated * Review and Educate ...
Utilization Review Case Manager information
See Appleton, WI salary details
$16.18 - $20.04
3% of jobs
$20.04 - $23.90
1% of jobs
$23.90 - $27.76
6% of jobs
$29.63 is the 25th percentile. Wages below this are outliers.
$27.76 - $31.62
30% of jobs
The median wage is $33.01 / hr.
$31.62 - $35.48
26% of jobs
$36.95 is the 75th percentile. Wages above this are outliers.
$35.48 - $39.34
22% of jobs
$39.34 - $43.20
3% of jobs
$43.20 - $47.06
0% of jobs
$47.06 - $50.92
5% of jobs
$50.92 - $54.78
2% of jobs
$54.78 - $58.64
1% of jobs
$16
$35
$58
How much do utilization review case manager jobs pay per hour?
As of Jul 18, 2026, the average hourly pay for utilization review case manager in Appleton, WI is $35.60, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $37.55 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?
| 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 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 Appleton, WI? For Utilization Review Case Manager jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Utilization Review Case Manager jobs in Appleton, WI look for? The top searched job categories for Utilization Review Case Manager jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Utilization Review Case Manager jobs? Cities near Appleton, WI with the most Utilization Review Case Manager job openings:
Contractor
Medical, Dental, Vision, Life, Retirement
Posted 4 days ago
Job description
American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Appleton, Wisconsin.
Job Description & Requirements- Specialty: Case Management
- Discipline: RN
- Start Date: 08/02/2026
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel
- Shift: Days, 5x8hrs
- Hours: 40 hrs/wk
- Start Date: Aug 2, 2026
- Length: 13 weeks
- Openings: 1
American Traveler is seeking an experienced RN Case Manager for a 13-week inpatient hospital Case Management assignment requiring a WI or compact RN license.
Details- Inpatient hospital Case Management unit
- Day shift schedule: 8:00 AM – 4:30 PM
- 13-week contract
- Floating to sister facilities may be required
- Active WI or compact RN license required
- BLS certification required (AHA accepted)
- Minimum 1 year of inpatient hospital Case Management experience required
- Must possess a US Social Security Number and provide a US home address
- Two professional references required for consideration
- Copy of Driver's License required for consideration
- Skills checklist required for consideration
- Nursys license verification required within 30 days prior to assignment start
- Primary source license verification required within 30 days prior to assignment start
- Local candidates are accepted, though a radius rule applies that may affect the pay rate — contact your recruiter for details
- COVID vaccination is not required for this position
American Traveler Job ID #P-719869. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management
About American TravelerWith over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.
With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.
With our team behind you, you can relax and enjoy a rewarding travel career.