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

Good Shepherd Service Ltd

MDS Coordinator - RN

Seymour, WI · On-site

$38 - $46/hr

MDS Coordinator - RN Medical Data Set (MDS) Coordinator - Registered Nurse Location: Seymour, WI ... is reviewed and revised as necessary. Incorporates new orders and changes in condition.

Moments Hospice

RN Case Manager

Eau Claire, WI · On-site

$75K - $90K/yr

On The Road #RegisteredNurse #RN #CaseManager #Nurse #RNCaseManager We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing ...

Moments Hospice

RN Case Manager*

Eau Claire, WI · On-site

$75K - $90K/yr

On The Road #RegisteredNurse #RN #CaseManager #Nurse #RNCaseManager We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing ...

Moments Hospice

RN Case Manager

Eau Claire, WI

$75K - $90K/yr

On The Road #RegisteredNurse #RN #CaseManager #Nurse #RNCaseManager We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing ...

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Showing results 41-60

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

Utilization Review Rn information

See Eau Claire, WI salary details

$21

$41

$68

How much do utilization review rn jobs pay per hour?

As of Sep 7, 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, 76% Full Time, 20% Part Time, 2% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $87,116 per year, or $41.9 per hour.

Travel Long Term Care RN - $1,669 per week

Assured Nursing Inc

Menomonie, WI • On-site

$1.6K/wk

Other

Medical, Dental, Vision, Retirement

Posted 3 days ago

New

Job description

Assured Nursing is seeking a travel nurse RN Long Term Care (LTC) Long Term Care for a travel nursing job in Menomonie, Wisconsin.

Job Description & Requirements
  • Specialty: Long Term Care
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 8 weeks
  • 32 hours per week
  • Shift: 8 hours, nights
  • Employment Type: Travel

Looking for a great Travel Long Term Care Nursing Job in Menomonie, Wisconsin? Assured Nursing posted this Travel Nursing Job that offers 32 hours a week for 8 weeks in Menomonie, Wisconsin.

Vivian Health provides transparent Travel Long Term Care Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States, so you can compare travel opportunities matching your desired criteria.

With Vivian, you can chat directly with recruiters and apply to staffing agencies with a Single Reusable Profile to find your ideal job faster and easier than ever.

The details for this Travel Long Term Care Nursing Job are:

  • Specialty: Long Term Care
  • Job Location: Menomonie, Wisconsin
  • Travel Nurse Salary: $1,669/week
  • Start Date: ASAP
  • Assignment Length: 8 weeks
  • Total Hours Per Week: 32 weekly
  • Shift Breakdown: 4x8 hrs
  • Shift: 8 hours, nights

Assured Nursing Job ID #37974309. Pay package is based on 8 hour shifts and 32.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:LTC,22:00:00-06:00:00

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Weekly pay
  • Holiday Pay
  • 401k retirement plan
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
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About Assured Nursing

Sourced by ZipRecruiter

Living Life to the Fullest Begins Right Now with You. A unique end-of-life experience. Hospice care for your family Assured Nursing strives to provide the best service to our clients and employees.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Indianapolis, IN, US

Year founded

2001

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