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

Aria Healthcare

Registered Nurse (RN)

West Allis, WI · On-site

$37 - $45/hr

Registered Nurse (RN) Job Benefits * Competitive Pay * Health Insurance including Dental and Vision ... Review medication orders for completeness of information and accuracy. * Be willing to learn ...

APEX Anesthesia Review

CRNA-Mayfair

Wauwatosa, WI · On-site

$136.38 - $220.42/hr

Participates in quality, safety and peer review initiatives/performance activities, organizational ... Active RN, and APRN/APRN-FPA/APNP or other APRN license(s) in state(s) of practice, AND Active ...

New

OVATION COMMUNITIES

Registered Nurse

Milwaukee, WI

Registered Nurse Shift: AM Location: Ovation Communities -- Jewish Home & Care Center Ovation ... Oversees, directs, reviews and evaluates work performance of nursing staff and participates in ...

Aria of Waukesha

Registered Nurse (RN) PRN

Waukesha, WI · On-site

$38 - $45/hr

Registered Nurse (RN) Job Benefits: * Competitive Pay * Health Insurance including Dental and ... Review medication orders for completeness of information and accuracy. * Transcribe physician ...

Aria of Waukesha

Registered Nurse (RN) PRN

Waukesha, WI · On-site

$38 - $45/hr

Registered Nurse (RN) Job Benefits: * Competitive Pay * Health Insurance including Dental and ... Review medication orders for completeness of information and accuracy. * Transcribe physician ...

New Perspective

Registered Nurse RN

Brown Deer, WI · On-site

$75K - $85K/yr

Position Summary & Qualifications As a Registered Nurse at New Perspective, you'll find supportive ... For further information, please review the Know Your Rights notice from the Department of Labor.

New Perspective

Registered Nurse RN

West Bend, WI · On-site

$75K - $85K/yr

Position Summary & Qualifications As a Registered Nurse at New Perspective, you'll find supportive ... For further information, please review the Know Your Rights notice from the Department of Labor.

New Perspective

Registered Nurse RN

West Bend, WI · On-site

$75K - $85K/yr

Position Summary & Qualifications As a Registered Nurse at New Perspective, you'll find supportive ... For further information, please review the Know Your Rights notice from the Department of Labor.

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All JobsUtilization Review Rn JobsUtilization Review Rn Jobs in Wauwatosa, WI

Utilization Review Rn information

See Wauwatosa, WI salary details

$20

$41

$67

How much do utilization review rn jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for utilization review rn in Wauwatosa, WI is $41.09, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $47.21 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 are popular job titles related to Utilization Review Rn jobs in Wauwatosa, WI?

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

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

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

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

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

Utilization Review Rn jobs near you
Infographic showing various Utilization Review Rn job openings in Wauwatosa, WI as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $85,471 per year, or $41.1 per hour.

Registered Nurse (RN)

Aria Health Care Inc

Milwaukee, WI • On-site

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago

Job description

Do you see you see yourself wanting to empower patients to be partners in the care they receive?
Do you find yourself wanting to see patients receive their greatest degree of independence?
Are you committed to providing a safe haven for healing for patients and families?
Do you strive in an environment where teamwork makes the dream work?
If you answered yes to these questions, then Aria Healthcare is the place for you.
At Aria Healthcare, our interdisciplinary team of health professionals is committed to seeing the person before the illness and providing our residents with the gold standard of care.
Registered Nurse (RN) Job Benefits
  • Competitive Pay
  • Health Insurance including Dental and Vision
  • Paid Time Off for Sick and Vacation Days
  • Employer Matched 401k
  • Daily Pay
  • Employee Perks Website
Registered Nurse (RN) Job Qualifications
  • Current Registered Nurse license active in the state of Wisconsin.
Registered Nurse (RN) Job Overview
The Primary Purpose of the Registered Nurse (RN) is to provide quality nursing care to the residents and to supervise the day-to-day nursing functions performed by the Nursing Assistants and coordinate all aspects of a resident's care with other disciplines in the center. Job duties are in accordance with the current Federal and State Regulations that govern the center.
Registered Nurse (RN) Job Duties
  • Assist in the Admission/Discharge process.
  • Complete accident/incident reports, follow up investigation process.
  • Transcribe Physician orders, document all resident information as necessary, notifying physician and family as needed.
  • Review medication orders for completeness of information and accuracy.
  • Be willing to learn Electronic Medical Record system and be flexible to change as needed.
  • Prepare and administer medication as ordered by the physician.
  • Be familiar with the Care Planning Process and participate in Care conferences, updating as needed.
  • Develop and maintain a good working rapport with all disciplines to ensure that all aspects of resident needs can be adequately maintained.
  • Be willing to participate in continuing education programs.
  • Should be able to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.

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