1

Utilization Review Director Jobs in Appleton, WI

Reviews and analyzes production, distribution, quality, maintenance, safety and operational ... Maintain safe and clean work environment by educating and directing personnel on the use of all ...

Reviews and analyzes production, distribution, quality, maintenance, safety and operational ... Maintain safe and clean work environment by educating and directing personnel on the use of all ...

Sales Associate - Soma

Appleton, WI · On-site

$13.75 - $18.50/hr

... as directed by Management. * Participates in visual directives including monthly store sets and ... When we do have an open position, we will review your application to determine if your ...

Sales Associate - Chico's

Appleton, WI · On-site

$13.75 - $18.50/hr

... as directed by Management. * Participates in visual directives including monthly store sets and ... When we do have an open position, we will review your application to determine if your ...

Sales Associate - Soma

Appleton, WI

$13.75 - $18.50/hr

... as directed by Management. * Participates in visual directives including monthly store sets and ... When we do have an open position, we will review your application to determine if your ...

Sales Associate - Chico's

Appleton, WI · On-site

$13.75 - $18.50/hr

... as directed by Management. * Participates in visual directives including monthly store sets and ... When we do have an open position, we will review your application to determine if your ...

Buyer I

Little Chute, WI · On-site

$60K - $70K/yr

Includes the execution of purchases and purchasing projects for all direct and/or indirect ... review, and revise bid and RFP documents and purchase orders to maintain department policy and ...

Includes the execution of purchases and purchasing projects for all direct and/or indirect ... Review and place contracts and subcontracts. Prepare cost-benefit analysis reports for review by ...

Includes the execution of purchases and purchasing projects for all direct and/or indirect ... Review and place contracts and subcontracts. * Prepare cost-benefit analysis reports for review by ...

Conduct regular 1:1 meetings, performance reviews, and development planning * Foster a positive ... Establish and track KPIs (accuracy, turnaround, availability, utilization) * Drive layout ...

Conduct regular 1:1 meetings, performance reviews, and development planning * Foster a positive ... Establish and track KPIs (accuracy, turnaround, availability, utilization) * Drive layout ...

Showing results 21-40

Utilization Review Director information

See Appleton, WI salary details

$20

$41

$67

How much do utilization review director jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for utilization review director in Appleton, WI is $41.26, according to ZipRecruiter salary data. Most workers in this role earn between $32.60 and $47.36 per hour, depending on experience, location, and employer.

What is the difference between Utilization Review Director vs Utilization Review Nurse?

AspectUtilization Review DirectorUtilization Review Nurse
CredentialsRN license, management experience, certifications (e.g., CCM)RN license, certification in case management or utilization review (e.g., CUC)
Work EnvironmentAdministrative, leadership roles overseeing teamsClinical, review of patient cases, direct patient care
Employer & IndustryHospitals, insurance companies, healthcare organizationsHospitals, insurance companies, healthcare providers
Search & Comparison IntentLeadership, management, strategic planning in utilization reviewClinical review, case assessment, patient care coordination

The Utilization Review Director typically oversees review teams and manages utilization strategies, requiring leadership skills and management experience. In contrast, the Utilization Review Nurse focuses on clinical case assessments and patient care reviews. Both roles require RN licensure and relevant certifications but differ mainly in scope and responsibilities.

What does a utilization review director do?

A Utilization Review Director oversees the evaluation of medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They lead teams that review patient care requests, manage compliance with regulations, and implement strategies to ensure cost-effective care without compromising quality. Their responsibilities often include policy development, data analysis, and collaboration with healthcare providers to optimize resource use and improve patient outcomes.

Is utilization review a stressful job?

Utilization Review Directors often work in high-pressure environments where they must make quick, accurate decisions regarding healthcare services. The role can be stressful due to the need to balance patient care, insurance policies, and regulatory compliance, but stress levels vary based on workload, organizational support, and experience. Strong analytical skills and certification in utilization review can help manage job demands effectively.

What degree do I need for utilization review director?

A utilization review director typically needs at least a bachelor's degree in healthcare administration, nursing, or a related field. Many employers prefer candidates with a master's degree such as an MBA or a healthcare-related advanced degree, along with relevant experience and certifications like the Certified Professional in Healthcare Quality (CPHQ).

What are some common challenges faced by a utilization review director, and how can they be addressed?

A Utilization Review Director often navigates challenges such as balancing regulatory compliance with organizational goals, managing interdisciplinary teams, and keeping up with evolving healthcare policies. Staying proactive with ongoing education, fostering open communication among staff, and implementing efficient review processes can help address these issues. Additionally, leveraging data analytics and technology streamlines case reviews and ensures evidence-based decision-making, ultimately improving both patient outcomes and operational efficiency.

What are the key skills and qualifications needed to thrive as a utilization review director, and why are they important?

To thrive as a Utilization Review Director, you need a deep understanding of clinical guidelines, healthcare regulations, and case management principles, typically supported by a nursing or related healthcare degree and relevant licensure. Familiarity with utilization management software, electronic health records (EHR), and certifications such as Certified Case Manager (CCM) or Accredited Case Manager (ACM) is common in the field. Strong leadership, communication, analytical thinking, and decision-making skills help you effectively manage teams and ensure compliance. These competencies ensure efficient resource use, regulatory adherence, and high-quality patient outcomes within healthcare organizations.
What are the most commonly searched types of Utilization Review jobs in Appleton, WI? The most popular types of Utilization Review jobs in Appleton, WI are:

Quality Control Electrician

Faith Technologies

Little Chute, WI • On-site

Other

Re-posted 7 days ago


Faith Technologies rating

8.4

Company rating: 8.4 out of 10

Based on 53 frontline employees who took The Breakroom Quiz

119th of 441 rated engineering


Job description

You’ve discovered something special. A company that cares. Cares about leading the way in construction, engineering, manufacturing and renewable energy. Cares about redefining how energy is designed, applied and consumed. Cares about thoughtfully growing to meet market demands. And ─ as “one of the Healthiest 100 Workplaces in America” ─ is focused on the mind/body/soul of team members through our Culture of Care.

#FTICareers

The Excellerate Quality Control Electrician is responsible for delivery of quality control services including coordination and implementation of the Quality Control Plan, manufacturing Quality auditing, conducting on-site/job site coaching, and conducting training to enhance job site performance as a means to foster a culture of Quality that permeates our services throughout the organization. 

MINIMUM REQUIREMENTS

Education: High School Diploma or GED

Experience: 5+ years of electrical experience and/or quality experience

Travel: 0-10% based on company need

Work Schedule: Between the hours of 6 am to 6 pm, Monday through Friday. Ability to work a flexible schedule is necessary. May vary based on customer demands and can include, but is not limited to: nights, weekends, and holidays.

KEY RESPONSIBILITIES

  • Conducts Quality inspections for layout conduit systems, various lighting systems, and basic control systems and feeders.
  • Conducts Quality inspections of installation of manufactured products.
  • Identify potential quality issues from review of construction documents (Drawings, Submittals, Specs, etc).
  • Analyze startup/commissioning schedule.
  • Analyze upcoming tasks and anticipates equipment installation standards, checklist procedures and training.
  • Demonstrate the ability to complete an overall Quality inspection for projects of limited scope and size.
  • Opportunity to lead small crews (2-5 electricians). Perform safety checks on job sites and maintains compliance with company safety policies, LOTO procedures, OSHA and customer-specific safety standards.
  • Demonstrate excellent customer relations though utilization of effective problem-solving techniques.
  • Participates in various cross-functional teams internally and externally to continually develop and refine organizational processes related to job site quality and commissioning.
  • Provides valid statistical information and applicable analyses to the commissioning foreman regarding on-site quality, commissioning, and startup procedures/schedule.
  • Provides guidance to employees, project supervisors, and management on matters concerning on-site quality and commissioning.
  • Conducts job site or on-site coaching and development of employees (related to audits and/or to assist with novel work or jobs in crisis).
  • Performs Project Expectations Review (A review of Key Essential Planning Elements that support project success) with project leadership and provides feedback, recommended corrective actions to the Project Managers, Work Crew members as well as key Management leadership personnel and support functions (as example; Safety, Purchasing, Preconstruction Services, Engineering, Estimating, Productivity Group, Excellerate, ERM).
  • Has the ability to plan for, complete, and implement assignments and responsibilities in a timely manner.
  • Demonstrates an acceptance of the company culture (adhering to company values) and an adoption of professional standards.
  • Demonstrates approachability and ability to collaborate with others and effectively influence.
  • Develops relationships with leaders, direct reports, and/or others that facilitate open dialogue and trust.
  • Defines work to be done; clearly communicates vision, objectives, and tasks to appropriate individuals. Delegates tasks to appropriate parties; clearly communicates needs and expectations. Measures and monitors the work of individual direct reports and/or collective team/taskforce team(s). Coaches and motivates direct reports/appropriate individuals to effectively perform; removes barriers to success and provides feedback, necessary resources, and open communication.
  • Assists in data collection for Short Circuit Arc Flash Studies.
  • Promotes 5S manufacturing when working through production quality improvements.
  • Participates in process improvements and drives efficiencies into the quality process.
  • Actively participates in Faith’s hiring referral and mentoring program, as appropriate.
  • Performs other related duties as required and assigned.

The job description and responsibilities described are intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

#FTICareers

How Does FTI Give YOU the Chance to Thrive?

If you’re energized by new challenges, FTI provides you with many opportunities. Joining FTI opens doors to redefine what’s possible for your future.

Once you’re a team member, you’re supported and provided with the knowledge and resources to achieve your career goals with FTI. You’re officially in the driver’s seat of your career, and FTI’s career development and continued education programs give you opportunities to position yourself for success.

FTI is a “merit to the core” organization. We recognize and reward top performers, offering competitive, merit-based compensation, career path development and a flexible and robust benefits package.

 

Benefits are the Game-Changer

We provide industry-leading benefits as an investment in the lives of team members and their families. You’re invited to review the full list of FTI benefits available to regular/full-time team members. Start here. Grow here. Succeed here. If you’re ready to learn more about your career with FTI, apply today!

Faith Technologies, Inc. is an Equal Opportunity Employer – veterans/disabled.

Employment is contingent upon successfully passing a background and drug test


What Faith Technologies employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom