Racine, WI · On-site
$2.2K/wk
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 ...
Racine, WI · On-site
$2.2K/wk
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 ...
Brookfield, WI · On-site +1
This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...
New
Brookfield, WI · On-site +1
This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...
New
Brookfield, WI · On-site +1
This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...
New
Brookfield, WI · On-site +1
This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...
New
Wauwatosa, WI · On-site
Serves on Quality Improvement and Safety Committees that include Patient/Resident Standards of Care, Pharmaceutical Services, Infection Control, Safety and Utilization Review/PPS. * Meets with ...
Quick apply
Wauwatosa, WI · On-site
Serves on Quality Improvement and Safety Committees that include Patient/Resident Standards of Care, Pharmaceutical Services, Infection Control, Safety and Utilization Review/PPS. * Meets with ...
Brookfield, WI · On-site +1
This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...
New
Brookfield, WI · On-site +1
This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. This role ...
New
In coordination with the CMO and Directors of Health Management and QI and Disease Management, share responsibility for the development and continued evaluation of utilization review and quality ...
In coordination with the CMO and Directors of Health Management and QI and Disease Management, share responsibility for the development and continued evaluation of utilization review and quality ...
Brookfield, WI · On-site +1
In coordination with the CMO and Directors of Health Management and QI and Disease Management, share responsibility for the development and continued evaluation of utilization review and quality ...
Brookfield, WI · On-site +1
In coordination with the CMO and Directors of Health Management and QI and Disease Management, share responsibility for the development and continued evaluation of utilization review and quality ...
Brookfield, WI · On-site +1
In coordination with the CMO and Directors of Health Management and QI and Disease Management, share responsibility for the development and continued evaluation of utilization review and quality ...
Brookfield, WI · On-site +1
In coordination with the CMO and Directors of Health Management and QI and Disease Management, share responsibility for the development and continued evaluation of utilization review and quality ...
In coordination with the CMO and Directors of Health Management and QI and Disease Management, share responsibility for the development and continued evaluation of utilization review and quality ...
In coordination with the CMO and Directors of Health Management and QI and Disease Management, share responsibility for the development and continued evaluation of utilization review and quality ...
Milwaukee, WI · On-site
$150K/yr
Monitor the dispatch board daily to ensure proper scheduling, load balancing, and technician utilization. * Review scheduling efficiency, job flow, and capacity planning to minimize downtime and ...
Milwaukee, WI · On-site
$150K/yr
Monitor the dispatch board daily to ensure proper scheduling, load balancing, and technician utilization. * Review scheduling efficiency, job flow, and capacity planning to minimize downtime and ...
Milwaukee, WI · On-site
$120 - $170/hr
Monitor the dispatch board daily to ensure proper scheduling, load balancing, and technician utilization. * Review scheduling efficiency, job flow, and capacity planning to minimize downtime and ...
New
Milwaukee, WI · On-site
$120 - $170/hr
Monitor the dispatch board daily to ensure proper scheduling, load balancing, and technician utilization. * Review scheduling efficiency, job flow, and capacity planning to minimize downtime and ...
New
Milwaukee, WI · On-site
$29.75 - $39.50/hr
Medical record review and abstraction is performed in the client office and at various provider offices in the community, involves paper and electronic medical records, requires capturing and ...
Milwaukee, WI · On-site
$29.75 - $39.50/hr
Medical record review and abstraction is performed in the client office and at various provider offices in the community, involves paper and electronic medical records, requires capturing and ...
Milwaukee, WI · On-site
$50K - $55K/yr
... utilization review or care coordination in a public or private sector. Experience: Minimum 2 years of patient care experience. Behavioral Health, Hospital, Clinic, or school nursing experience is a ...
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Milwaukee, WI · On-site
$50K - $55K/yr
... utilization review or care coordination in a public or private sector. Experience: Minimum 2 years of patient care experience. Behavioral Health, Hospital, Clinic, or school nursing experience is a ...
Milwaukee, WI · On-site
$48 - $52/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
Milwaukee, WI · On-site
$48 - $52/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
Milwaukee, WI · On-site
$48 - $52/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
Milwaukee, WI · On-site
$48 - $52/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
Milwaukee, WI · On-site
$48 - $52/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
Milwaukee, WI · On-site
$48 - $52/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
$48 - $52/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
$48 - $52/hr
... patient care, utilization review, case management, administrative staff/department head, and family conference activities and communications. * establishing and maintaining a good working ...
$272K - $408K/yr
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot ...
$272K - $408K/yr
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot ...
Waukesha, WI · On-site
$272K - $408K/yr
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot ...
Waukesha, WI · On-site
$272K - $408K/yr
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot ...
$33.05 - $49.60/hr
Typically requires 3 years of experience in behavioral health services that includes experiences in assessments, discharge planning and utilization review in a managed care environment. Knowledge ...
$33.05 - $49.60/hr
Typically requires 3 years of experience in behavioral health services that includes experiences in assessments, discharge planning and utilization review in a managed care environment. Knowledge ...
$21.08 - $25.34
2% of jobs
$25.34 - $29.60
9% of jobs
$32.52 is the 25th percentile. Wages below this are outliers.
$29.60 - $33.87
21% of jobs
The median wage is $37.32 / hr.
$33.87 - $38.13
23% of jobs
$38.13 - $42.39
13% of jobs
$45.71 is the 75th percentile. Wages above this are outliers.
$42.39 - $46.66
10% of jobs
$46.66 - $50.92
8% of jobs
$50.92 - $55.18
5% of jobs
$55.18 - $59.45
5% of jobs
$59.45 - $63.71
2% of jobs
$63.71 - $67.97
2% of jobs
$21
$41
$67
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
The most popular types of Utilization Review jobs in Milwaukee, WI are:
For Utilization Review jobs in Milwaukee, WI, the most frequently searched job titles are:
The top searched job categories for Utilization Review jobs in Milwaukee, WI are:
Cities near Milwaukee, WI with the most Utilization Review job openings:
$2.2K/wk
Other
Medical, Dental, Vision, Life, Retirement
Posted 4 days ago
American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Racine, Wisconsin.
Job Description & RequirementsAmerican Traveler is hiring an RN Case Manager for a 12-week hospital assignment requiring care management experience and EPIC proficiency.
DetailsAmerican Traveler Job ID #P-744901. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management
About American TravelerWith over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.
With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.
American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.
With our team behind you, you can relax and enjoy a rewarding travel career.
Sourced by ZipRecruiter
With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.
Recruiting and staffing services
501 - 1,000 Employees
Boca Raton, FL, US
1999
