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Utilization Review Physician Assistant Jobs in Appleton, WI

gpac

Dermatologist Physician Assistant

Appleton, WI · On-site

$200K - $250K/yr

Responsibilities: - Conduct thorough patient examinations, including medical history review and ... Physician Assistant, please contact jessica.rehder@gogpac.com or 605-705-4855 . We look forward to ...

DOCS Health

PRN-Physician Assistant

Green Bay, WI · On-site

$97K - $131K/yr

Attention all Physician Assistants, we are calling you to partner with us as independent ... Review health history, service member medical records, and medical questionnaires. * Interview ...

DOCS Health

PRN-Physician Assistant

Green Bay, WI · On-site

$97K - $131K/yr

Description Attention all Physician Assistants, we are calling you to partner with us as ... Review health history, service member medical records, and medical questionnaires. * Interview ...

DOCS Health

PRN-Physician Assistant

Green Bay, WI · On-site

$97K - $131K/yr

Attention all Physician Assistants, we are calling you to partner with us as independent ... Review health history, service member medical records, and medical questionnaires. * Interview ...

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Utilization Review Physician Assistant information

See Appleton, WI salary details

$41K

$136.5K

$182.9K

How much do utilization review physician assistant jobs pay per year?

As of Aug 31, 2026, the average yearly pay for utilization review physician assistant in Appleton, WI is $136,491.00, according to ZipRecruiter salary data. Most workers in this role earn between $118,600.00 and $153,200.00 per year, depending on experience, location, and employer.

What is a utilization review physician assistant?

A Utilization Review Physician Assistant (PA) is a healthcare professional who evaluates medical records and treatment plans to ensure that patient care is medically necessary, appropriate, and cost-effective. They review cases to determine if the care provided meets established guidelines and insurance requirements. Utilization Review PAs collaborate with physicians, nurses, insurance companies, and other healthcare providers to promote quality care while managing healthcare resources efficiently. Their work typically involves less direct patient care and more administrative responsibilities compared to traditional clinical PA roles.

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

To thrive as a Utilization Review Physician Assistant, you need a strong clinical background, current PA licensure, and in-depth knowledge of medical guidelines and insurance protocols. Familiarity with electronic medical records (EMRs), utilization management software, and relevant certification such as the Certified Professional in Utilization Review (CPUR) is often beneficial. Strong analytical thinking, attention to detail, and effective communication are crucial soft skills for evaluating cases and interacting with healthcare providers and payers. These competencies are essential to ensure appropriate care delivery, compliance with regulations, and cost-effective use of medical resources.

What are some of the main challenges utilization review physician assistants face when transitioning from direct patient care to a review-focused role?

One of the main challenges Utilization Review Physician Assistants encounter is adapting to a predominantly administrative and analytical environment, as opposed to the hands-on patient care they may be accustomed to. The role requires interpreting clinical documentation, applying payer criteria, and making objective determinations about medical necessity, often with limited patient interaction. Additionally, there can be pressure to meet productivity targets and deadlines while maintaining accuracy and fairness in reviews. Collaboration with physicians, case managers, and insurance representatives is frequent, requiring strong communication and negotiation skills.

What is the difference between Utilization Review Physician Assistant vs Utilization Review Nurse Practitioner?

AspectUtilization Review Physician AssistantUtilization Review Nurse Practitioner
CredentialsMaster's degree, Physician Assistant (PA) license, certification (e.g., NCCPA)Master's or higher degree, Nurse Practitioner (NP) license, certification (e.g., ANCC, AANP)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, clinics, insurance companies
Employer & Industry UsageCommonly employed in healthcare and insurance sectors for review rolesSimilar usage, often in outpatient and insurance settings

Both roles involve reviewing medical necessity and appropriateness of care, but the Physician Assistant typically has a medical model training background, while the Nurse Practitioner has a nursing model. Both are vital in utilization review, with overlapping responsibilities and work environments.

Can physician assistants do utilization review?

Yes, physician assistants can perform utilization review tasks, which involve evaluating the necessity, appropriateness, and efficiency of healthcare services. They often work in collaboration with physicians and may require certification or training in utilization review processes, depending on the healthcare setting and state regulations.

What are popular job titles related to Utilization Review Physician Assistant jobs in Appleton, WI?

For Utilization Review Physician Assistant jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Utilization Review Physician Assistant jobs in Appleton, WI look for?

The top searched job categories for Utilization Review Physician Assistant jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Utilization Review Physician Assistant jobs?

Cities near Appleton, WI with the most Utilization Review Physician Assistant job openings:

Utilization Review Physician Assistant jobs near you
Infographic showing various Utilization Review Physician Assistant job openings in Appleton, WI as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 89% Physical, 4% Hybrid, and 7% Remote job distribution, with an average salary of $136,491 per year, or $65.6 per hour.

Dermatologist Physician Assistant

gpac

Appleton, WI • On-site

$200K - $250K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Job description

Job Description
Dermatology Physician Assistant gpac, a renowned recruitment company with over 30 years of experience, is proud to partner with a well-established clinic in the field of Dermatology.
This is an amazing opportunity for candidates who are seeking a rewarding career in dermatology. As a Dermatology Physician Assistant, you will have the chance to work in a supportive and collaborative environment, utilizing top-of-the-line equipment and providing exceptional care to patients. You will enjoy a great work/life balance and have access to the latest advancements in dermatological treatments.
Responsibilities:
- Conduct thorough patient examinations, including medical history review and skin evaluations
- Diagnose and treat various dermatological conditions, such as acne, eczema, psoriasis, and skin cancers
- Perform minor surgical procedures, including biopsies, excisions, and cryosurgery
- Provide education and counseling to patients regarding their conditions and treatment options
- Collaborate with the dermatologist and other healthcare professionals to develop comprehensive treatment plans
Essential Job Functions:
- Document patient encounters accurately and efficiently in electronic medical record systems
- Order and interpret diagnostic tests, such as skin biopsies and laboratory work- Prescribe medications and other treatments for dermatological conditions
- Provide follow-up care and monitor the progress of patients during treatment
- Stay updated with current dermatological research and advancements through continuing education activities
Skills:
- Must have a minimum of 2 plus years of dermatology experience under a Board Certified Dermatologist
- Strong knowledge of common dermatological conditions, treatments, and procedures
- Excellent communication and interpersonal skills to effectively interact with patients and colleagues
- Proficiency in electronic medical record systems and other relevant software applications
- Attention to detail and ability to multitask in a fast-paced clinical setting
Benefits:
- Competitive salary ranging from $200,000 to $250,000
- Comprehensive health, vision, and dental coverage
- Generous paid time off (PTO) to maintain a healthy work-life balance
- Continuing education opportunities to further enhance professional development
- Other benefits offered, such as retirement plans, malpractice insurance, and more
To learn more about this exciting opportunity and to be considered for the position of Dermatology Physician Assistant, please contact jessica.rehder@gogpac.com or 605-705-4855 . We look forward to hearing from you!
All qualified applicants will receive consideration without regard to race, age, color, sex (including pregnancy), religion, national origin, disability, sexual orientation, gender identity, marital status, military status, genetic information, or any other status protected by applicable laws or regulations. GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused and realize that our value is in our ability to deliver the right solutions at the right time.
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About GPAC

Sourced by ZipRecruiter

GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused and realize that our value is in our ability to deliver the right solutions at the right time.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Sioux Falls, SD, US

Year founded

1990

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