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Utilization Review Director Jobs in Cameron, WI (NOW HIRING)

Utilization Review Director information

See Cameron, WI salary details

$21

$41

$67

How much do utilization review director jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for utilization review director in Cameron, WI is $41.64, according to ZipRecruiter salary data. Most workers in this role earn between $32.88 and $47.84 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 cities near Cameron, WI are hiring for Utilization Review Director jobs?

Cities near Cameron, WI with the most Utilization Review Director job openings:

(USA) Maintenance Manager (fashion, Import, Jewelry, Regional, Returns, Sam's, Wm.com)

Walmart

Colfax, WI • On-site

$104K - $156K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago


Walmart rating

6.0

Company rating: 6.0 out of 10

Based on 22,421 frontline employees who took The Breakroom Quiz

25th of 39 rated national retailers


Job description

Position Summary... What you'll do...Communicate with or to individuals or groups verbally andor in writing eg customers suppliers associatesDrive and implement the business plan for area of responsibility to achieve facility goals eg production quality safety and implement operational improvementsForecast and follow up on staffing workload and performance results to meet business demands for workload and performance resultsManage assigned financial aspects by monitoring and tracking expenses compared to budget monitoring asset utilization and preparing reviewing andor analyzing business reportsMonitor and ensure area of responsibilitys compliance with Logistics and company quality and safety standards policies procedures and directives by developing distributing andor maintaining procedures and supporting documentationIdentify and ensure associate customer and supplier concerns are resolved using own judgment or consulting others when neededSupervise and manage associates and leaders in area of responsibility by giving direction monitoring performance and providing feedback identifying training and development needs and providing opportunities for learning and growth teaching supporting and modeling Logistics and company policies and procedures and participating in the hiring promotion coaching teaching and evaluation of associates leaders and managersOversees maintenance department daily operations by monitoring and driving department performance related to maintaining warehouse equipment eg material handling equipment pneumatic systems electrical systems air compressors ammonia refrigeration equipment general building repairs and monitoring and ensuring associate compliance with state and federal regulations ie OSHA Hazardous Waste NFPA Storm Water DOT etc relating to maintenance operationsOversee and direct financial aspects as assigned andor in area of responsibility by monitoring and tracking expenses and capital expenditures compared to budget monitoring asset utilization and preparing reviewing andor analyzing business reports Respect the Individual Builds highperforming teams embraces differences in people cultures ideas and experiences creates a workplace where associates feel seen supported and connected through a culture of belonging creates opportunities for all associates to thrive and performx000B Respect the Individual Works collaboratively builds strong and trusting relationships communicates with impact energy and positivity to motivate and influencex000B Respect the Individual Attracts and retains the best talent empowers and develops talent and recognizes others contributions and accomplishments Act with Integrity Maintains and promotes the highest standards of integrity ethics and compliance models the Walmart values to support and foster our culture holds oneself and others accountable supports Walmarts goal of becoming a regenerative company by making a positive impact for associates customers members and the world around useg creating a sense of belonging eliminating waste participating in local giving Act with Integrity Acts in a selfless manner and is consistently humble selfaware honest fair and transparent Serve Our Customers and Members Delivers results while putting the customer first considers and adapts to how where and when customers shop and applies the EDLP and EDLC business models to all plans Serve Our Customers and Members Makes decisions based on data insights and analysis balances short and longterm priorities and considers our customers fellow associates shareholders suppliers business partners and communities when making plans Strive for Excellence Displays curiosity and a desire to learn takes calculated risks demonstrates courage and resilience and encourages learning from mistakes Strive for Excellence Drives continuous improvements adopts and encourages the use of new technologies and skills and supports others through change At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. For information about PTO, see https://one.walmart.com/notices. Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.
For information about benefits and eligibility, see One.Walmart.
The annual salary range for this position is $104,000.00 - $156,000.00 Additional compensation includes annual or quarterly performance bonuses. Additional compensation for certain positions may also include :
- Regional Pay Zone (RPZ) (based on location)
- Stock

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Minimum Qualifications...

Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.

Associate’s degree or equivalent technical certification (e.g., Maintenance, Controls, Electrical) and 1 year of experience in an operations, distribution, logistics, or retail environment with responsibilities including: supervising and developing managers/supervisors, managing workload across multiple departments, participating in hiring and promotions. OR at least 3 years of experience in a maintenance or related technical environment with the same leadership and staffing responsibilities listed above.
Associates will be required to attend and successfully complete all job-required trainings and assessments (for example, Academy trainings, Open Door trainings, etc.). Preferred Qualifications...

Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.

Facility Maintenance, Financial Modeling and Analysis, Managing challenging workforce issues, Material Handling Equipment (MHE), Modeling/Forecasting, Preparing and executing budgets, Profit and Loss (P&L) Accountability, Project Management, Recruiting, Supervising Associates, Talent Development, Walmart Logistics Manager, Walmart Logistics Systems Associates, Bachelors: Business, Bachelors: Finance, Bachelors: Logistics, Bachelors: Management, Bachelors: Operations Management Primary Location... 6100 3M DR, MENOMONIE, WI 54751-4930, United States of America Walmart and its subsidiaries are committed to maintaining a drug-free workplace and has a no tolerance policy regarding the use of illegal drugs and alcohol on the job. This policy applies to all employees and aims to create a safe and productive work environment.

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About Walmart

Sourced by ZipRecruiter

From our humble beginnings as a small discount retailer in Rogers, Ark., Walmart has opened thousands of stores in the U.S. and expanded internationally. Through innovation, we're creating a seamless experience to let customers shop anytime and anywhere online and in stores. We are creating opportunities and bringing value to customers and communities around the globe. Walmart operates approximately 10,500 stores and clubs in 19 countries and eCommerce websites. We employ 2.1 million associates around the world — nearly 1.6 million in the U.S. alone.

Industry

Retail and transportation and warehousing

Company size

10,000+ Employees

Headquarters location

Bentonville, AR, US

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