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Utilization Review Director Jobs in Appleton, WI

Chico's FAS, Inc.

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 ...

Chico's FAS, Inc.

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 ...

Chico's FAS

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 ...

Chico's FAS

Sales Associate - Chico's

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 ...

Chico's FAS

Sales Associate - Chico's

Green Bay, 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 ...

Faith Technologies

Low Voltage Technician

Menasha, WI · On-site

$21.25 - $29/hr

Our job site professionals thrive under self-directed management to complete projects on time and ... Demonstrates excellent customer relations though utilization of effective problem-solving ...

Faith Technologies

Low Voltage Technician

Green Bay, WI · On-site

$20.25 - $27.50/hr

Our job site professionals thrive under self-directed management to complete projects on time and ... Demonstrates excellent customer relations though utilization of effective problem-solving ...

Faithtechnologies

Low Voltage Technician

Green Bay, WI · On-site

$20.25 - $27.50/hr

Our job site professionals thrive under self-directed management to complete projects on time and ... Demonstrates excellent customer relations though utilization of effective problem-solving ...

Faith Technologies

Low Voltage Technician

Menasha, WI · On-site

$21.25 - $29/hr

Our job site professionals thrive under self-directed management to complete projects on time and ... Demonstrates excellent customer relations though utilization of effective problem-solving ...

Faithtechnologies

Low Voltage Technician

Menasha, WI · On-site

$21.25 - $29/hr

Our job site professionals thrive under self-directed management to complete projects on time and ... Demonstrates excellent customer relations though utilization of effective problem-solving ...

Ahlstrom

Reliability Engineer, Pulp & Recovery

Kaukauna, WI · On-site

$104K - $130K/yr

Review existing process/mechanical designs and specifications being purchased or fabricated ... Direct experience in pulp and paper mill operations preferred * Solid general knowledge of ...

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Showing results 41-60

All JobsUtilization Review JobsUtilization Review Director JobsUtilization Review Director Jobs in Appleton, WI

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:
Utilization Review Director jobs near you

Sales Associate - Chico's

Chico's FAS, Inc.

Appleton, WI • On-site

$13.75 - $18.50/hr

Full-time

Re-posted 15 days ago

Chico's FAS rating

5.7

Company rating: 5.7 out of 10

Based on 85 frontline employees who took The Breakroom Quiz

65th of 104 rated fashion retailers

Job description

Join our chic team, dedicated to a styling and social experience that inspires women to express their individuality.
POSITION OBJECTIVE:
The Sales Associate is responsible for supporting Management in in promoting a customer and product-focused sales culture, where our values and guiding principles are at the forefront of all store operations, including ensuring a great customer experience and maximum profitability. We love what we do, and believe that with our teams, we are the most amazing place to work, learn, and grow!
FUNCTIONAL RESPONSIBILITIES:
Drive for Results
  • Meets company sales goals by utilizing sales techniques and communicating product knowledge to the customer; recommends merchandise selections or helps to locate or obtain merchandise based on customer needs and desires.
  • Maintains knowledge of current sales and promotions; maintains pricing and visual standards.
  • Maintains standards in merchandise handling, presentation, loss prevention, and all other duties as directed by Management.
  • Participates in visual directives including monthly store sets and zone maintenance.

Customer Experience
  • Models and promotes the Most Amazing Personal Service (MAPS) principles and standards, offering a cohesive omni channel experience.
  • Ensures prompt resolution of customer concerns.
  • Ensures a fast and efficient register experience, remaining current on policies regarding payments, coupon acceptance, returns and exchanges, security practices and other applicable operations.
  • Reinforces buying decisions at the checkout and achieves add on goals including gift card sales.
  • Signs up clients for reward program.
  • Builds and maintains a solid customer following through clienteling and wardrobing.
  • Knows current product fit and style assortment offerings in store and on line.
  • Maintains consistent client communication through utilization of customer book.

Operational Excellence
  • Supports replenishment activities that keep the store full and abundant.
  • Assists with locate fulfillment.
  • Assists with visual directives, including floor sets, window changes, visual presentations, signage placement, etc. as directed.
  • Assist with boutique cleanliness and organization

Teamwork and Growth
  • Promotes an inclusive, collaborative approach to problem solving.
  • Seeks personal developmental opportunities and readily solicits feedback.

Other duties as assigned.
This position may be found in multiple brands. Some duties may vary from brand to brand.
QUALIFICATIONS:
  • High School diploma or equivalent
  • Retail or sales experience preferred
  • Must be 18 years of age or older
  • Excellent communication skills
  • Excellent customer service skills
  • Able to learn or adapt to technology provided by the company
  • Strong organizational skills and ability to multi-task in a fast-paced environment
  • Able to communicate with customers, Associates, and Management
  • Regular attendance is essential to this position to ensure adequate coverage to meet company objectives. Ability to work a flexible work schedule, including nights, weekends, and holidays is required

PHYSICAL REQUIREMENTS:
  • Constant Walking/Standing- 67-100% of 8-hour shift
  • Occasional Lifting up to 50 lbs.- 1-33% of 8-hour shift
  • Frequent Climbing- 34%-66% of 8-hour shift

Due to our growth, we are always accepting applications for top talent to join our store teams. When we do have an open position, we will review your application to determine if your qualifications are a match with our position requirements. You may apply to any location or position at any time; however, the position to which you apply may not currently be open. Accommodation is available to applicants for employment with disabilities. To request accommodation during the application process, please contact your local Store Manager for assistance.
0423 Fox River Mall
Chico's FAS, Inc. is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, childbirth and related medical conditions, lactation, genetic information, gender, sexual orientation, gender identity or expression, military service, veteran status, or any other category protected under federal, state, or local law.

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