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Utilization Review Rn Jobs in Eau Claire, WI (NOW HIRING)

Grace River Pines

Registered Nurse

Altoona, WI · On-site

$35 - $42.50/hr

Come be a part of Grace Lutheran Communities! We're looking for a dedicated Registered Nurse (RN) ... Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ...

Grace River Pines

Registered Nurse

Altoona, WI · On-site

$35 - $42.50/hr

Come be a part of Grace Lutheran Communities! We're looking for a dedicated Registered Nurse (RN) ... Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ...

American Lutheran Communities

Registered Nurse

Mondovi, WI · On-site

$35 - $42.50/hr

Come be a part of American Lutheran Homes! We're looking for dedicated Registered Nurses (RN) to ... Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ...

American Lutheran Homes

Registered Nurse

Mondovi, WI · On-site

$35 - $42.50/hr

Come be a part of American Lutheran Homes! We're looking for dedicated Registered Nurses (RN) to ... Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ...

American Lutheran Homes

Registered Nurse

Mondovi, WI · On-site

$35 - $42.50/hr

Come be a part of American Lutheran Homes! We're looking for dedicated Registered Nurses (RN) to ... Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ...

US Navy

Registered Nurse

Mondovi, WI

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Menomonie, WI

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Knapp, WI

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

US Navy

Registered Nurse

Augusta, WI

... will be reviewed with you by a recruiter. Additional qualifications for this job may include ... registered nurse license or the ability to obtain one within established timelines for new ...

American Lutheran Homes Menomonie

RN/LPN

Menomonie, WI · On-site

$35 - $42.50/hr

Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ... Request RN assessment/consultation for resident who show a change of condition * Use equipment and ...

Grace River Pines

RN/LPN

Altoona, WI · On-site

$35 - $42.50/hr

Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ... Request RN assessment/consultation for resident who show a change of condition * Use equipment and ...

American Lutheran Homes

RN/LPN

Mondovi, WI · On-site

$35 - $42.50/hr

Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ... Request RN assessment/consultation for resident who show a change of condition * Use equipment and ...

American Lutheran Homes

RN/LPN

Mondovi, WI

$35 - $42.50/hr

Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ... Request RN assessment/consultation for resident who show a change of condition * Use equipment and ...

American Lutheran Homes Menomonie

RN/LPN

Menomonie, WI · On-site

$35 - $42.50/hr

Transcribe physicians orders * Assist, develop, revise, and review resident care plans * Evaluate ... Request RN assessment/consultation for resident who show a change of condition * Use equipment and ...

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Showing results 21-40

All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Eau Claire, WI

Utilization Review Rn information

See Eau Claire, WI salary details

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$41

$68

How much do utilization review rn jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for utilization review rn in Eau Claire, WI is $41.88, according to ZipRecruiter salary data. Most workers in this role earn between $33.08 and $48.08 per hour, depending on experience, location, and employer.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

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

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

What is the difference between Utilization Review Rn vs Case Manager?

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or case management certification can enhance job prospects, and familiarity with electronic health records (EHR) systems is often required.

What are popular job titles related to Utilization Review Rn jobs in Eau Claire, WI?

For Utilization Review Rn jobs in Eau Claire, WI, the most frequently searched job titles are:

What job categories do people searching Utilization Review Rn jobs in Eau Claire, WI look for?

The top searched job categories for Utilization Review Rn jobs in Eau Claire, WI are:

What cities near Eau Claire, WI are hiring for Utilization Review Rn jobs?

Cities near Eau Claire, WI with the most Utilization Review Rn job openings:

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Eau Claire, WI as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 3% Contract, and 1% Nights. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,116 per year, or $41.9 per hour.

Inpatient Registered Nurse RN

OakLeaf Surgical Hospital

Altoona, WI • On-site

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Job description

Application Deadline: 08/23/2026
Job Summary:
The Registered Nurse (RN) - Inpatient Unit delivers patient-centered nursing care to post-surgical and medical-surgical patient. Responsibilities include assessing, planning, and coordinating care, promoting recovery, ensuring safety, and collaborating with the healthcare team to achieve optimal outcomes. The RN also educates patients and families on post-operative care, coordinates discharge planning, and contributes to quality improvement initiatives within the unit.
Schedule:
-.9 FTE - 72 hours per week
- 12 Hour NOC Shifts
Essential Functions:
  • Advocate for patients' rights, preferences, and needs, ensuring that they receive high-quality, compassionate care that is tailored to their individual circumstances
  • Project a professional demeanor and appearance while maintaining the confidentiality of the patient, coworkers, and the organization, as appropriate
  • Assess patient health problems and needs to develop, implement, and evaluate care in collaboration with healthcare team
  • Provide direct patient care, including administering medications and treatments as prescribed
  • Educate patients and their families on health conditions, medications, treatment care, and post surgical care, including discharge instructions
  • Operate and monitor medical equipment relevant to patient care
  • Ensure infection control protocols and safety standards are followed in all aspects of patient care
  • Promptly record all care information concisely, accurately, and completely
  • Respond to emergency situations using appropriate interventions
  • Promptly report and document any occurrences of unusual events, safety concerns, or incidents in accordance with organization policies and procedures
  • Participate in the department's on-call rotation and respond promptly to call-ins to ensure continuous patient care as needed
  • Collaborate with other disciplines as needed to determine plan of care and to create a discharge plan
  • Performs and documents point-of-care testing in accordance with established protocols, ensuring accuracy, quality control compliance, and timely communication of results to the care team
  • Ensure compliance with Universal Protocol by initiating a pre-procedural 'Time Out' to prevent wrong-site, wrong-procedure, and wrong-patient errors
  • Performs procedures accurately, completely and safely according to established policy and procedure and physician orders
  • Conduct thorough and accurate patient hand-offs, providing complete and timely information to ensure continuity and safety of care between shifts and care provider
  • Participate in RN professional development which may include education, preceptor, and charge responsibilities
  • Respond promptly to departmental call-ins and operational needs to maintain continuous coverage and support
  • May be cross-trained and assigned to other nursing departments within the hospital, with responsibility for carrying out the essential functions of the assigned role
  • Use the organization's secure messaging platform in accordance with departmental protocols, including timely receipt and responses to communications
  • Perform other duties as assigned

Knowledge, Skills & Abilities
  • Medical terminology
  • Electronic Medical Records (EMR) systems
  • Quality assurance and accreditation standards
  • Understanding of HIPAA regulations, patient confidentiality laws and patient rights
  • Effective English communication in verbal and written form
  • Quality work including attention to detail and accuracy
  • Basic computer proficiency
  • Carry out customer service standards
  • Capacity to work independently and as part of a multidisciplinary team
  • Prioritize tasks effectively through managing workload based on urgency and importance
  • Continuously learn and improve through staying up to date on job specific trends, policies, and new technologies
  • Successfully demonstrate organization-wide performance review competencies

Qualifications:
  • Demonstrates eligibility for employment in the U.S.
  • Associate Degree in Nursing (ADN) from an accredited nursing program required
  • Current RN licensure in the State of Wisconsin
  • BLS certification is required upon hire
  • Must obtain ACLS and PALS certification within six months of hire
  • Minimum of 2 years experience in a hospital medical/surgical setting preferred
  • Previous experience in recovery room, ambulatory care, critical care or general nursing experience preferred
  • Must possess a cell phone that interfaces with the organization's secure messaging system

Benefits:
  • Comprehensive health, dental, and vision insurance
  • Health Savings Account with an employer contribution
  • Company paid life insurance
  • Free scrubs with laundry service
  • Free meals
  • PTO
  • 401(k) retirement plan with 4% company match
  • Tuition reimbursement
  • Wellness reimbursement

Equal Employment Opportunity & Work Force Diversity
Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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