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Utilization Review Rn Jobs in Milwaukee, WI (NOW HIRING)

Travel RN Case Manager

Racine, WI ยท On-site

$1.8K - $1.9K/wk

  • Medical

  • Dental

  • Vision

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Racine, Wisconsin Start Date: September 13, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay ...

New

RN, Denials Management

Menomonee Falls, WI ยท On-site

$36.38 - $56.39/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Assists the case managers with utilization review issues, and provides recommendations for process ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

Travel RN Case Manager

Racine, WI ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

New

Travel RN Case Manager

Racine, WI ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...

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RN Field Case Manager I

Waukesha, WI ยท On-site

$62K - $93K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a RN Field Case Manager, you will make a meaningful difference in the lives of injured workers ... A cost containment background, such as utilization review or managed care is helpful * Strong ...

RN Field Case Manager I

Waukesha, WI

$62K - $93K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a RN Field Case Manager, you will make a meaningful difference in the lives of injured workers ... A cost containment background, such as utilization review or managed care is helpful * Strong ...

Registered Nurse Clinical Manager

Racine, WI ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Registered Nurse Clinical Manager Responsibilities: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

Registered Nurse Clinical Manager

Milwaukee, WI ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

Registered Nurse Clinical Manager

Pewaukee, WI ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

Registered Nurse Clinical Manager

Racine, WI ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

Registered Nurse Clinical Manager

West Allis, WI ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

Registered Nurse Clinical Manager

Waukesha, WI ยท On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

As a Registered Nurse Clinical Manager , you will: * Oversee clinical operations for the location ... Conduct ongoing staff education based on documentation review, utilization review findings, and ...

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Showing results 1-20

Utilization Review Rn information

See Milwaukee, WI salary details

$21

$41

$67

How much do utilization review rn jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for utilization review rn in Milwaukee, WI is $41.56, according to ZipRecruiter salary data. Most workers in this role earn between $32.84 and $47.74 per hour, depending on experience, location, and employer.

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.

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 knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

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.

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.

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

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

Infographic showing various Utilization Review Rn job openings in Milwaukee, WI as of August 2026, with employment types broken down into 1% As Needed, 87% Full Time, 10% Part Time, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution, with an average salary of $86,449 per year, or $41.6 per hour.

Travel RN Case Manager

GQR Healthcare

Racine, WI โ€ข On-site

$1.8K - $1.9K/wk

Contractor

Medical, Dental, Vision

Posted yesterday

New


Job description

GQR Healthcare is seeking a travel nurse RN Case Management for a travel nursing job in Racine, Wisconsin.

Job Description & Requirements
  • Specialty: Case Management
  • Discipline: RN
  • Start Date: 09/13/2026
  • Duration: 12 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job
Location: Racine, Wisconsin
Start Date: September 13, 2026
Profession: Registered Nurse (RN)
Facility:
Estimated Pay: $1832.23 - $1927.23
Duration:12 weeks
Specialty:Case Management/Utilization Review
Shift: Day
Shift Details: null Day
Job Type: Travel
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:

  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700
About the Company:
Finding the right role is about more than just matching skills to a jobโ€”itโ€™s about aligning with your goals, values, and the way you want to work.
As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), weโ€™re here to help you move forward with confidence.

GQR Job ID #842480. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)

About GQR Healthcare

GQRโ€™s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.

In the competitive healthcare market, we recognize that the industryโ€™s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.

Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.


GQR Healthcare logo

About GQR Healthcare

Sourced by ZipRecruiter

Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Austin, TX, US

Year founded

2019

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