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Utilization Review Registered Nurse (RN) Part t...

Remote, USA Full-time Posted 2026-06-29

R209427 Department: 11221 reputed company Corporate - WI Administration: Care Management      Status: Part time    Benefits Eligible: Yes    Hours Per Week: 20    Schedule Details/Additional Information: about every 4th weekend and holiday rotation (1 Holiday/year). Day Shift.         Pay Range $34.90 - $52.35    Job Title: Utilization Review RN Location: Remote - Wisconsin Employment Type: Part-Time   Schedule - Day shift M -F (0.5 FTE) schedule is done quarterly (see proposed schedule below) Week 1: Sat, Sun, Mon, Tues, Wed Week 2: Off Week 3: Mon thru Friday Week 4: Off Week 5: Sat, Sun, Mon, Tues, Wed Week 6 Off. Week 7: Mon thru Friday Week 8: Off Week 9: Sat, Sun, Mon, Tues, Wed Week 10: Off Week 11: Mon thru Friday Week 12: Off (1 Holiday/year). Day Shift.   Wisconsin RN licensure required   Position Summary The Utilization Review RN is responsible for performing accurate and timely reputed company and retrospective reviews using established criteria to ensure appropriate utilization of healthcare resources. This role collaborates with physicians, hospital departments, and multidisciplinary teams to expedite care delivery, prevent delays, and maintain compliance with regulatory guidelines.   Major Responsibilities

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