Top 1911 Nursing occupations Jobs in Mequon, Wi

Utilization Management Nurse RN - Per Diem - Remote
Optum —Waukesha, WI
- $29 - $52 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Bachelor of Science
2d
Nursing Assistant
Advocate Aurora Health —Grafton, WI
- $20.80 - $31.20 an hour
- Full-time
- Hospital
- Computer literacy
- Inpatient
4d
Registered Nurse (RN) - Senior Living
Ascension Health —Milwaukee, WI
- Part-time
- Nursing
- RN License
- BLS Certification
- Health savings account
- Disability insurance
Registered Nurse (RN)
Ascension Health —Milwaukee, WI
- Part-time
- Nursing
- RN License
- Hospital
- Health savings account
- Disability insurance
Registered Nurse
Wisconsin Health Fund —Milwaukee, WI
- Overtime
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
Licensed Practical Nurse (LPN)
Samaritan Nursing and Rehab —West Bend, WI
- $30 - $38 an hour
- 8 hour shift
- In person
- Skilled nursing facility
- Mid-level
- LPN
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse (RN)
First Step Community Recovery Center —Milwaukee, WI
- From $50 an hour
- 8 hour shift
- RN License
- Residential
- Rehabilitation center
Quick Apply
PRN CRNA
Nuvia Dental Implant Center —Brookfield, WI
- From $280 an hour
- Part-time
- Nursing
- Dental office
- Surgery
Quick Apply
Registered Nurse (RN) - Waukesha Memorial - Med/Surg Ortho Neuro - .6FTE Weekend Program Nights
ProHealth Care —Waukesha, WI
- Weekends as needed
- Nursing
- Surgery
- RN License
Travel Registered Nurse (RN) - Multiple Departments
Ascension Health (Main indexed) —Wisconsin
- Travel nursing
- Nursing
- RN License
- Hospital
- Disability insurance
- Health insurance
Registered Nurse Team Director (RN)
Moments Hospice —Milwaukee, WI
- $90,000 - $100,000 a year
- Full-time
- Nursing
- RN License
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
1d
Home Health Infusion Nurse
BrightStar Care of Greater Waukesha —Pewaukee, WI
- $40 - $45 an hour
- Part-time
- RN License
- BLS Certification
- Mid-level
- Paid training
- Health insurance
Quick Apply
RN Patient Care Manager - Hospice
Allay Hospice —Brookfield, WI
- Full-time
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Registered Nurse (RN)
Wisconsin Spine and Pain —Mequon, WI
- From $58,000 a year
- Part-time
- CPR Certification
- Nursing
- Surgery
- Health insurance
- Dental insurance
Quick Apply
RN Clinical Nurse/Opthomology/Retina
Retina & Vitreous Consultants of WI, Ltd —Milwaukee, WI
- $37 - $45 an hour
- Full-time
- Nursing
- RN License
- BLS Certification
- Health savings account
- Health insurance
Quick Apply
Registered Nurse (RN)- Ambulatory Surgery Center | Outpatient Vascular Access
Midwest Nephrology Associates —Milwaukee, WI
- From $45 an hour
- Part-time
- Nursing
- Surgery
- RN License
Quick Apply
Registered Nurse (RN)- PM or NOC
LindenGrove Communities LLC —Menomonee Falls, WI
- $39.50 - $44.75 an hour
- Part-time
- Skilled nursing facility
- RN License
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
10d
Registered Nurse (RN) - Full-Time/Part-Time/Casual All Shifts
Heritage Health Services —Port Washington, WI
- Up to $45.50 an hour
- Part-time
- CPR Certification
- Skilled nursing facility
- RN License
- Paid holidays
- Disability insurance
Quick Apply
9d
RN Unit Manager Registered Nurse
Complete Care at Care Age —Brookfield, WI
- Full-time
- Nursing
- RN License
- HIPAA
Quick Apply
Rogers Behavioral Health Hiring Event: Registered Nurses (08/25/2026)
Rogers Memorial Hospital, Inc. —Brown Deer, WI
- Part-time
- In person
- Nursing
- Psychiatry
- RN License
- Wellness program
- Disability insurance
Quick Apply

I want to receive the latest job alert for nursing occupations in mequon, wi

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

nursing occupations jobs near mequon, wi

Utilization Management Nurse RN - Per Diem - Remote

Optum -
Waukesha, WI

Apply Now

Job Details

Full-time
$29 - $52 an hour
2 days ago

Qualifications

Collaborate with healthcare professionals
RN License
Clinical documentation
Documentation reviews

Full Job Description

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.

The Utilization Management Nurse RN is responsible for performing utilization management activities to support appropriate use of healthcare services, compliance with established medical necessity criteria, and timely coordination across the care team and payer partners. The role supports admission reviews, concurrent reviews, continued stay reviews, authorization management, denial prevention, and appeals support when appropriate.

This role is expected to operate with minimal guidance on most responsibilities, manage moderately complex work, assess needs, translate concepts into practice, and serve as a resource for others with less experience.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

Perform utilization review and medical necessity assessments for inpatient admissions and continued stays
Conduct concurrent reviews using established clinical criteria and organizational guidelines
Collaborate with physicians, case managers, social workers, and interdisciplinary partners to support patient care coordination and appropriate resource utilization
Communicate with Medicare, Medicaid, commercial payers, and third-party reviewers regarding authorization and continued stay requirements
Support denial prevention activities and assist with appeals processes when appropriate
Apply InterQual, MCG/Milliman, or other evidence-based criteria to evaluate medical necessity
Maintain compliance with CMS standards and applicable regulatory requirements
Document utilization review activities and payer communications accurately and timely
Independently manage assigned workload, prioritize competing demands, and escalate complex issues when needed
Provide explanations, guidance, and support to team members on utilization management processes and moderately complex issues

Skills and Capabilities:

Demonstrated analytical, critical thinking, and problem-solving skills
Effective verbal and written communication skills
Ability to work independently with minimal guidance on routine and moderately complex responsibilities
Ability to assess customer needs, identify solutions to non-standard requests, and translate concepts into practice
Demonstrated organizational skills and ability to manage multiple priorities in a telecommuter environment

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Current, active, unrestricted Registered Nurse (RN) license in the state of Wisconsin (or Compact to include the state of Wisconsin)
3+ years of professional nursing experience
Experience in utilization management, utilization review, case management, care coordination, medical necessity review, or a closely related clinical review function
Experience evaluating clinical documentation and applying judgment to support appropriate care coordination or resource utilization
Experience communicating with internal clinical stakeholders, payers, or external partners regarding care coordination, authorization, clinical documentation, or review outcomes
Ability to work any of our per diem (as needed) shift schedules during our normal business hours (8am - 4:30pm), including flexibility to work both weekday and weekend shifts

Preferred Qualifications:

Bachelor of Science in Nursing (BSN)
Utilization Management or Utilization Review experience
Experience supporting acute inpatient populations, concurrent review, or continued stay review
Experience using InterQual, MCG/Milliman, or other evidence-based medical necessity criteria
Experience with Medicare, Medicaid, commercial payer, managed care, authorization, or payer follow-up processes
Experience working successfully in a remote or telecommuter role
Denials management, denial prevention, or appeals support experience
Proven ability to serve as a clinical resource to others and provide guidance on moderately complex issues

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $29 - $52 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Apply Now

Refine Your Search

nursing occupations jobs in mequon, wi

Utilization Management Nurse RN - Per Diem - Remote

Nursing Assistant

Registered Nurse (RN) - Senior Living

Registered Nurse (RN)

Registered Nurse

Licensed Practical Nurse (LPN)

Registered Nurse (RN)

PRN CRNA

Registered Nurse (RN) - Waukesha Memorial - Med/Surg Ortho Neuro - .6FTE Weekend Program Nights

Travel Registered Nurse (RN) - Multiple Departments

Registered Nurse Team Director (RN)

Home Health Infusion Nurse

RN Patient Care Manager - Hospice

Registered Nurse (RN)

RN Clinical Nurse/Opthomology/Retina

Registered Nurse (RN)- Ambulatory Surgery Center | Outpatient Vascular Access

Registered Nurse (RN)- PM or NOC

Registered Nurse (RN) - Full-Time/Part-Time/Casual All Shifts

RN Unit Manager Registered Nurse

Rogers Behavioral Health Hiring Event: Registered Nurses (08/25/2026)

I want to receive the latest job alert for nursing occupations in mequon, wi

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected