Top 19 Utilization review nurse Jobs in Waukesha Wi

Registered Nurse (RN) Care Manager - Summit
Advocate Aurora Health —Oconomowoc, WI
- $38.20 - $57.30 an hour
- Full-time
- Nursing
- RN License
- Hospital
1d
Case Manager RN
Optum —Waukesha, WI
- $60,200 - $107,400 a year
- Full-time
- Nursing
- RN License
- Hospital
- AD&D insurance
- Employee stock purchase plan
1d
Integrated Case Manager
Children's Wisconsin —Milwaukee, WI
- Part-time
- Acute care
- Microsoft Word
- Nursing
MDS Coordinator
Lifespace Communities —Mequon, WI
- $78,900 - $108,500 a year
- Full-time
- Hybrid work
- Nursing
- LVN
- RN License
- Flexible schedule
RN Field Case Manager I
CorVel Corporation —Waukesha, WI
- $62,306 - $93,123 a year
- Full-time
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
14d
Registerd Nurse (RN) Care Manager WP
Advocate Aurora Health —Milwaukee, WI
- $38.20 - $57.30 an hour
- 12 hour shift
- Acute care
- Nursing
- RN License
Travel RN - Case Management/Utilization Review - Case Management
American Traveler —West Allis, WI
- $3,142.35 a week
- Urgently hiring
- RN License
- BLS Certification
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
4d
Team Manager Home Care
VITAS Healthcare —Wauwatosa, WI
- Full-time
- RN License
- Mid-level
- Bachelor's degree
- Disability insurance
- Health insurance
Quick Apply
11d
Registered Nurse Clinical Manager
Centerwell —Waukesha, WI
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Director of Nursing (DON)
Sunrise Care Solutions —Washington County, WI
- Full-time
- Skilled nursing facility
- RN License
- Recruiting
Quick Apply
1d

Discover related jobs

Based on your search for utilization review nurse jobs.

Clinical Documentation Specialist
Ascension —Shorewood, WI
Licensed Registered Nurse credentialed from the Wisconsin Board of Nursing or current home state license for multi-state license recognition "Compact State"…
$79,511.52 - $110,834.59 a year
REMOTE MDS Coordinator
MDS Solutions —Milwaukee, WI
Ensure timely submission of all Minimum Data Sets to the state data base and ensures that the necessary follow-up action is taken.
1d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Case Manager (RN) - Full-Time
OhioHealth Rehabilitation Hospital —Columbus, OH
Current Licensure per state guidelines in clinical or related discipline OR a Bachelor's or Master's in a health or human services discipline.
$70,000 - $84,000 a year
11h
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…

Show more jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in waukesha wi

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

Registered Nurse (RN) Care Manager - Summit

Advocate Aurora Health -
Oconomowoc, WI

Apply Now

Job Details

Full-time
$38.20 - $57.30 an hour
1 day ago

Qualifications

RN License
Bachelor's degree
Bachelor's degree in nursing

Full Job Description

Registered Nurse (RN) – RN Case Manager inpatient Summit site 0.8 FTE

Where You Will Work:

Help patients transition safely through their hospital stay. Partner with patients, families, and the care team to assess needs, coordinate services, plan discharges, and support utilization management.

We’re Looking For:

License/Registration/Certification: Registered Nurse License issued by the state in which the Team Member practices.
Level of Education: Bachelor’s Degree in Nursing
Years of Experience: 2 years of clinical nursing experience

What You’ll Do:

Conduct comprehensive assessments and create timely care plans & interventions
Collaborate and negotiate with patients/families and the multidisciplinary team to meet goals and preferences
Provide continuity of care and discharge planning aligned with regulatory standards
Coordinate smooth transfers and handoffs across units and settings
Deliver case management services (healthcare access, finances, housing, family dynamics, illness adjustment) using community resources
Initiate internal/external referrals; document discharge planning and UM activities accurately and on time
Perform concurrent/retrospective reviews using approved criteria
Partner closely with Social Work and support staff to implement safe, effective plans of care
Identify and remove barriers to discharge; expedite care delivery and report care coordination/UM outcomes
Collaborate with managers, physicians, medical directors, and physician advisors on status, progression of care, and regulatory compliance
Complete UM activities (payer updates, data collection, denials coordination, avoidable delay management); deliver CMS notices within required timeframes
Build relationships with community agencies; collaborate with Ambulatory Care Management/Continuing Health
Educate staff on admission status, acute care criteria, UM, care coordination, discharge planning, and regulatory requirements
Provide age-appropriate care per departmental standards

Be the Nurse Who Redefines Care.
At Advocate Health, being a nurse means more than delivering exceptional clinical care—it means leading with purpose, compassion, and boldness. As part of our One Advocate Nurse community, you’ll join a unified team committed to lifting others up, embracing innovation, and creating inclusive spaces where everyone can thrive. You’ll be empowered to think boldly, collaborate with humility, and drive change through fearless curiosity. Whether you're at the bedside, in the community, or advancing care through research and education, you’ll help shape the future of health—because here, we’re redefining care for you, for us, for all.
Your feedback matters. Every nurse’s voice is vital in shaping our culture and improving care. We value your insights and experiences because they help us grow stronger together.

Ready to Take the Next Step:
Apply Now!

Apply Now

Refine Your Search

utilization review nurse jobs in waukesha wi

Registered Nurse (RN) Care Manager - Summit

Case Manager RN

Integrated Case Manager

MDS Coordinator

RN Field Case Manager I

Registerd Nurse (RN) Care Manager WP

Travel RN - Case Management/Utilization Review - Case Management

Team Manager Home Care

Registered Nurse Clinical Manager

Director of Nursing (DON)

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for utilization review nurse in waukesha wi

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected