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Utilization Review Manager Jobs in Madison, WI (NOW HIRING)

Review and approve hours worked and PTO using Kronos. * Conduct periodic audits to ensure work is compliant with the established protocols and processes and objectives - meeting customer and branch ...

Review and approve hours worked and PTO using Kronos. * Conduct periodic audits to ensure work is compliant with the established protocols and processes and objectives - meeting customer and branch ...

Construction Project Manager

Oregon, WI · On-site

$75.77 - $103.32/hr

Review project milestones and progress with clients and customers. * Manage project budgets and ... Optimize and manage CSNW staff utilization across assigned projects. * Maintain strong coordination ...

New

Monitor warehouse capacity and optimize storage utilization. * Oversee cycle counting and physical ... Establish performance expectations and conduct performance reviews. * Develop staffing plans to ...

Review audit workpapers, financial statements, disclosures, and engagement documentation for ... Monitor engagement economics, including realization, budgets, write-ups/write-downs, utilization ...

Licensing Manager

Janesville, WI · On-site +1

$160K - $200K/yr

Interface with regulatory agencies in the planning of regulatory engagements, regulatory reviews ... Demonstrated knowledge of regulatory guidance applicable to non-power production and utilization ...

Licensing Manager

Janesville, WI · On-site

$160K - $200K/yr

Interface with regulatory agencies in the planning of regulatory engagements, regulatory reviews ... Demonstrated knowledge of regulatory guidance applicable to non-power production and utilization ...

Licensing Manager

Janesville, WI · On-site

$160K - $200K/yr

Interface with regulatory agencies in the planning of regulatory engagements, regulatory reviews ... Demonstrated knowledge of regulatory guidance applicable to non-power production and utilization ...

General Manager

Whitewater, WI · On-site

$90 - $120/hr

Review and manage deliveries to ensure accuracy and timeliness. * Verify, approve, and manage ... Track labor utilization and productivity. * Maintain records for equipment maintenance, inventory ...

Senior Project Manager

Oregon, WI · On-site

$120 - $180/hr

Reviews assigned project(s) after award to define project scope, determine work procedures ... Analyzes project performance and resource utilization. * Identifies potential out of scope work.

... utilization - Facilitate regular project meetings, track progress, and manage risks and issues. - Report out progress, issues and status at regular review meetings. - Ensure projects meet regulatory ...

Production Manager

Janesville, WI · On-site

$90 - $130/hr

Manage staffing levels and labor utilization to support production demands. * Review overtime requirements and implement actions to optimize labor efficiency. * Ensure production resources are ...

Manage staffing levels and labor utilization to support production demands. * Review overtime requirements and implement actions to optimize labor efficiency. * Ensure production resources are ...

Manage staffing levels and labor utilization to support production demands. * Review overtime requirements and implement actions to optimize labor efficiency. * Ensure production resources are ...

Responsible for detailed performance review and management of assigned direct reports including ... Adheres to global tools for monitoring and utilization forecasting. * Assist with staff recruitment ...

Showing results 41-60

Utilization Review Manager information

See Madison, WI salary details

$39.3K

$91.7K

$168.8K

How much do utilization review manager jobs pay per year?

As of Sep 2, 2026, the average yearly pay for utilization review manager in Madison, WI is $91,706.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $110,300.00 per year, depending on experience, location, and employer.

What does a utilization review manager do?

A Utilization Review Manager oversees the process of evaluating the necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that patient care adheres to established guidelines and that healthcare resources are used effectively. Their duties typically include leading a team of reviewers, collaborating with healthcare providers, ensuring compliance with regulations, and making recommendations on care authorization. The goal is to balance quality patient care with cost-effective resource management.

What are the key skills and qualifications needed to thrive as a utilization review manager?

To thrive as a Utilization Review Manager, you need a solid background in healthcare management, clinical knowledge (often as an RN or healthcare professional), and experience with utilization review processes. Familiarity with case management software, electronic health records (EHRs), and certifications such as Certified Case Manager (CCM) or Certified Professional in Utilization Review (CPUR) are often expected. Strong analytical thinking, attention to detail, leadership, and effective communication are crucial soft skills for success in this role. These skills ensure appropriate resource use, regulatory compliance, and coordinated patient care, which are vital for both healthcare quality and operational efficiency.

What are some common challenges faced by utilization review managers in balancing patient care and cost efficiency?

Utilization Review Managers often encounter the challenge of ensuring patients receive appropriate care while also adhering to insurance and regulatory guidelines that emphasize cost efficiency. This requires strong analytical skills to assess clinical information and make fair determinations, often under tight deadlines and with incomplete data. The role also involves frequent communication with physicians, payers, and case managers to resolve disagreements and clarify criteria, making negotiation and diplomacy essential. Staying updated on changing healthcare regulations and payer requirements can add to the complexity, but it also provides opportunities for professional growth and leadership within healthcare administration.

What is the difference between Utilization Review Manager vs Utilization Review Coordinator?

AspectUtilization Review ManagerUtilization Review Coordinator
CertificationsTypically requires certifications like CCM or ACUMay require similar certifications but often less advanced
Work EnvironmentSupervises review teams, manages processes in healthcare or insurance settingsPerforms case reviews, supports the review process under supervision
Employer & IndustryHospitals, insurance companies, healthcare organizationsInsurance companies, healthcare providers, third-party administrators

The Utilization Review Manager oversees review teams and manages utilization review processes, focusing on policy compliance and efficiency. The Utilization Review Coordinator supports the review process by conducting case assessments and assisting managers. While both roles require similar certifications and work in related environments, the manager holds a supervisory position with broader responsibilities.

How much does a utilization review manager make?

A utilization review manager typically earns between $70,000 and $110,000 annually, depending on experience, location, and the size of the organization. They often require knowledge of healthcare policies, insurance processes, and may hold certifications such as URAC or CCM.

Is utilization review manager a stressful job?

Utilization review managers often work in a fast-paced healthcare environment, which can be stressful due to the need to meet strict deadlines, ensure accurate assessments, and handle complex cases. The role requires strong organizational skills and attention to detail, and some individuals may find the responsibility and workload challenging, especially during high-volume periods.

What are the most commonly searched types of Utilization Review jobs in Madison, WI?

The most popular types of Utilization Review jobs in Madison, WI are:

Infographic showing various Utilization Review Manager job openings in Madison, WI as of June 2026, with employment types broken down into 3% As Needed, 56% Full Time, 38% Part Time, and 3% Temporary. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $91,706 per year, or $44.1 per hour.

Manager, Branch

Daikin

Madison, WI

Full-time

PTO

Re-posted 18 days ago


Daikin rating

7.6

Company rating: 7.6 out of 10

Based on 127 frontline employees who took The Breakroom Quiz

249th of 495 rated machine equipment manufacturers


Job description

Daikin Comfort Technologies Distribution, Inc. is seeking a professional, skilled individual for our HVAC Branch Manager position for our branch operations group located at our Madison, WI branch. The Branch Manager oversees the branch’s operations and staff with accountability for sales (<$5 million), customer service, profitability, productivity, and loss prevention. Leads branch operations team (3-6 people) to achieve strategic goals related to revenue generation, profit attainment, and growth goals including market share through utilization of effective sales management techniques. Communicates and enforces store goals and policies and ensures compliance with security, sales, and safety and recordkeeping practices. Maintains accurate records of purchases, sales, and requisitions and reviews store reports to identify areas of waste.

Why work with us?

  > Benefits are effective on day one for all full-time direct hires.

  > Training programs are available to help guide team members and develop new skills.

  > Growth Opportunities - there are immense opportunities to grow your career.

  > You will be part of a Global Company - our family brands are backed by Daikin Industries, Ltd. 

May include:

  • Manage and oversee the day-to-day operations of the branch including staffing and ensure successful and timely completion of assigned duties of all personnel. Review and approve hours worked and PTO using Kronos.
  • Conduct periodic audits to ensure work is compliant with the established protocols and processes and objectives - meeting customer and branch expectations.
  • Maintain sales – review/edit, credits, negative inventory, damage inventory and cash reconciliations. Communicate regularly with branch customer base to establish and maintain strong relationships. Enter all sales calls in CRM.
  • Responsible for building and maintaining morale in the branch by demonstrating leadership qualities and setting an example for staff, promoting teamwork both within the branch, local team and within the region. Provide knowledge and skill development opportunities for employees with proper training and guidance for them to reach their full potential and have growth opportunities. Ensure employees complete all assigned training in a timely manner.
  • Effectively coach, counsel, and hold employees accountable.  Collaborate with Human Resources regarding disciplinary actions.  
  • Develop plans for increased branch profitability/productivity and drive continuous improvement processes.
  • Process purchase orders, research low stock and receivables and process branch payables, audit cash drawers and truck metrics. Remain current with warranty processing and follow up quickly on rejections.
  • Oversee all aspects of profit center (operations, sales, admin, etc.) working closely with Credit Department at Corporate to determine appropriate credit level and resolve any credit issues.
  • Stay current with cycle counts and keep dead stock at a minimum.
  • Maintain ample levels of inventory to meet delivery and service expectations of all branch customers.
  • Review P hold safety meetings, security reports and maintain facility.
  • Complete all tasks on the Branch Manager's monthly/daily checklist and act as a safety leader. Conduct weekly safety committee meetings. Complete any Flash reports within the required timeline and communicate issues/injuries immediately.
  • Oversee branch and warehouse appearance, housekeeping, maintenance, and repair.
  • Provide Regional Operations Manager (ROM) any requested branch specific information /reports and provide vital information in a timely manner.
  • Maintain a 93%, or higher, audit score
  • Maintain a working knowledge of company’s benefits and employee handbook policies. Ensure employees are following safety protocols including maintaining an organized and clean work environment,
  • Conduct mid-year and annual performance appraisals for all direct reports through the online Performance Engagement platform.
  • May work outside regular working hours in case of emergencies within the branch as required.
  • Participate in additional activities as requested.

Nature and Scope:

  • Ensures work is aligned with the ROM’s expectations, goals, and vision 
  • Accountable for implementation of policies, processes, and procedures for short-term results
  • Decisions and problem-solving are guided by policies, procedures and business plan; receives guidance from Senior Manager/Director
  • Works on difficult to moderately complex issues and projects 
  • Provides guidance and training to subordinates
  • Has authority to hire, recommend pay, establish performance and recommend for termination
  • Level of signing authority established by company policy/guidelines

Knowledge & Skills:

  • Knowledge of warehouse/inventory management and material handling equipment such as forklifts
  • P&L understanding
  • HVAC knowledge strongly preferred; or ability to quickly learn HVAC products/parts
  • Proven customer service experience with high level of customer satisfaction
  • Proven leadership, coaching/mentoring and team-oriented mindset along with effective delegation of duties.
  • Effective verbal and written communication skills and interpersonal skills
  • Strong organizational and time management skills
  • High level of attention to detail and compliance and results driven.
  • Excellent problem-solving skills, with ability to apply sound judgment
  • Ability to build and maintain positive relationships with customers, vendors, and employees
  • Experience leading a team of employees towards a common goal
  • Ability to apply good judgement and decision-making skills including strong work ethics and integrity.
  • Working knowledge of MS Office Suite (Excel, Outlook, Word and PowerPoint)
  • Working knowledge of CRM & Mincron or similar applications is preferred.

Experience:

  • 1 year in a leadership/supervisory role
  • Experience in HVAC wholesale industry strongly preferred

Education:

  • High School diploma or GED equivalent.
  • College degree strongly preferred.

Physical Requirements/Work Environment:

  • Must be able to perform essential responsibilities with or without reasonable accommodations.
Salary Range$61,260.00 to $87,975.00 USDQualified Applicants must be legally authorized for employment in the United States. Qualified applicants will not require employer sponsored work authorization now or in the future for employment in the United States.

The Company provides equal employment opportunity to all employees and applicants regardless of a person’s race, color, religion (including religious dress or grooming practices), creed, national origin (including language use restrictions), citizenship, uniform service member or veteran status, ancestry, disability, physical or mental disability (including HIV/AIDS), medical condition (including cancer and genetic characteristics), genetic information, request for protected leave, marital status, sex, pregnancy, age (over 40), sexual orientation, gender, gender identity or expression, political affiliation, or any other characteristic protected by law. The Company will comply with all federal and state regulations and statutes pertaining to individuals with disabilities.


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