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Utilization Review Jobs in Milwaukee, WI (NOW HIRING)

UHS

Intake Coordinator

West Allis, WI

$17.50 - $24/hr

This position involves extensive contact with the community and interfaces closely with the Director, utilization review staff, Granite Hill Hospital business office staff and clinical staff to ...

DERSE, Inc.

Human Resources Generalist

Milwaukee, WI · On-site

Annually evaluates the cost of Employee Benefits, including health care cost containment, utilization review, and insurance claim costs. * Leads strategy planning and presents the communication for ...

DERSE INC

Human Resources Generalist

Milwaukee, WI · On-site

Annually evaluates the cost of Employee Benefits, including health care cost containment, utilization review, and insurance claim costs. * Leads strategy planning and presents the communication for ...

DERSE INC

Human Resources Generalist

Milwaukee, WI

Annually evaluates the cost of Employee Benefits, including health care cost containment, utilization review, and insurance claim costs. * Leads strategy planning and presents the communication for ...

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All JobsUtilization Review JobsUtilization Review Jobs in Milwaukee, WI

Utilization Review information

See Milwaukee, WI salary details

$21

$41

$67

How much do utilization review jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for utilization review in Milwaukee, WI is $41.66, according to ZipRecruiter salary data. Most workers in this role earn between $32.93 and $47.84 per hour, depending on experience, location, and employer.

What is a utilization review?

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.

What does a utilization review do?

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.

What are the key skills and qualifications needed to thrive in utilization review?

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.

How do I get into a utilization review?

To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.

Is utilization review a stressful job?

Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.

What are the most commonly searched types of Utilization Review jobs in Milwaukee, WI?

The most popular types of Utilization Review jobs in Milwaukee, WI are:

What are popular job titles related to Utilization Review jobs in Milwaukee, WI?

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

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

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

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

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

Utilization Review jobs near you
Infographic showing various Utilization Review job openings in Milwaukee, WI as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, 1% Temporary, and 4% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $86,649 per year, or $41.7 per hour.

Occupational Therapy Assistant Senior Living

Reliant Rehabilitation

Milwaukee, WI • On-site

$28 - $37.50/hr

Per diem

Re-posted 10 days ago

Reliant Rehabilitation rating

6.3

Company rating: 6.3 out of 10

Based on 45 frontline employees who took The Breakroom Quiz

670th of 898 rated healthcare providers

Job description

Overview

#LI-AB1

*This role is based in an Assisted Living, Independent Living, and Memory Care setting.

PRN

Summary: 

Provide Occupational Therapy and related services for patients under the direction of a licensed Occupational Therapist (OT) while maintaining positive levels of interaction with communities  and clients in accordance with the principles and practices of occupational therapy and within Reliant Rehabilitation guidelines.  Provide quality patient care including: ongoing treatment per a plan of care, supervision of Rehab Techs (where required), and case management responsibilities.  Maintain professional conduct that represents Reliant Rehabilitation's commitment to quality and service in all interactions with clients, including positive levels of interaction and rapport with communities  and clients.  Adhere to all state and federal regulations regarding occupational therapy.

Responsibilities

Essential Duties and Responsibilities:

  • Under the direction of the licensed occupational therapist, optimize the functional abilities and skills of patients in communities by:
  • assist in screening and providing input to initial evaluation of all patients as appropriate
  • implement treatment for all assigned patients;
  • comply with state and federal guidelines regarding accurate and timely billing and documentation.
  • establish and maintain effective interactions with patient, interdisciplinary team, and other clientele which reflects patient-centered care.
    • Provide direct supervision to rehab techs in tasks during group and individual treatment in a manner that promotes appropriate utilization of resources and enhances quality of patient in accordance with state practice acts, federal regulations, and Reliant Rehabilitation.
    • Build a strong occupational therapy assistant program by participating in the following activates:
  • actively integrating occupational therapy's role into community and interdisciplinary treatment plan;
  • contributing to community patient care, utilization review, case management, administrative staff / department head, and family conference activities and communications, as directed by the OT;
  • establishing and maintaining a good working relationship with other health care professionals and colleagues in the community;
  • making appropriate referrals to other members of the rehabilitation team;
  • maintaining awareness of changes in patient population, patient conditions, and programs, and keeping the licensed or registered occupational therapist informed directly, and in a timely manner, of patient progress and community issues;
  • adhering to established community policies and procedures related to environmental safety, orderliness, risk management, infection control, and emergency preparedness situations; and
  • adhering to the requirements of the patient's rights and privacy.
    • Enhance clinical expertise, professional and management skills through interaction with managers, therapists and other professional staff, self-study, and other continuing education activities.
    • Maintain valid state license (where appropriate). Maintain awareness of issues related to the profession of occupational therapy and the health care environment.
    • Understands various relevant payment models related to billing and treatment guidelines, as well as clinically appropriate means/modes of delivery. Provide quality care as well as reasonable goals and outcomes within the guidelines.
    • Be compliant with infection control procedures and environmental safety protocol within a community.
    • This position requires patient lifting using appropriate biomechanical techniques frequently throughout the course of a workday/shift. Must be capable of lifting fifty (50) pounds of dead weight alone.
    • Maintain confidentiality of Reliant Rehabilitation, community, and patient information.
    • Must conduct self in an ethical, legal, and responsible manner at all times.
    • Must adhere to the policies, principles, and guidance within the Team Member Handbook and Code of Business Conduct.
    • Must be able to travel between communities during scheduled hours.
    • Must be able to work varying hours and shifts, including weekends and holidays.
    • Attends all mandatory meetings, trainings, and assignments as delegated.
    • Perform other duties and responsibilities as assigned
    Qualifications

    Competency:

    Prior to beginning patient care for Reliant Rehabilitation, a peer OT may complete a Competency Checklist.

    To perform the job successfully, an individual should demonstrate the following competencies:

    • Effective clinical problem-solving skills to include but not limited to: identify and prioritize issues in a responsive manner, develop sound and innovative action plans, execute action plans on a timely basis, and ensure appropriate results
    • Be a strong team player
    • Strong verbal and written communication skills
    • Ability to build strong relationships with a diverse population
    • Ability to read, write, speak, and comprehend in English: instructions, correspondence, charts, memos, and reports
    • Ability to work in a fast-paced, productive work environment

    Education/Experience:

    • Graduate of an ACOTE accredited school of occupational therapy.
    Employment Type: OTHER

    What Reliant Rehabilitation employees say

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    About Reliant Rehabilitation

    Sourced by ZipRecruiter

    Reliant Rehabilitation is a leading provider in the healthcare industry, specifically in the sphere of rehabilitative services. Headquartered in Plano, Texas, US, the company operates across multiple locations around the country. Serving healthcare facilities since its establishment, Reliant Rehabilitation provides physical, occupational and speech therapy services. Their mission is to provide caring, high-quality, cost-effective therapy services across the continuum of care. Upholding core values of integrity, patient-focused, creativity, collaboration, and clinical excellence, they are committed to returning patients to levels of movement, function, and independence they never believed possible.

    Industry

    Health care and social assistance

    Company size

    5,001 - 10,000 Employees

    Headquarters location

    Plano, TX, US

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