546 utilization jobs at 218 companies in Wisconsin
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Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yrRemoteFull Time
TriWest Healthcare Alliance: Manages healthcare programs for veterans and military families.
3+ YOE3+ MgmtCurrent RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, ICD, DSM, CPT, HCPCS, American Dental codes, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet
Medica: Provides health insurance coverage and health plan administration services.
5+ YOE1+ MgmtBachelor's in nursing, active Minnesota RN license, 5+ years clinical experience (2+ in utilization management), 1+ year leadership, Medicare/Medicaid knowledge, strong communication and project management, Microsoft Office proficiency.
Microsoft Word, Microsoft Outlook, Microsoft PowerPoint, Microsoft Excel
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Wellbrook Recovery: Individualized drug and alcohol detoxification and residential rehabilitation services.
2+ YOEExperience reviewing clinical documentation, managing prior authorizations, monitoring continued stay/discharge criteria, strong communication and organizational skills, and behavioral health or social work background preferred.
Sanford Health: Operates an integrated network of hospitals and healthcare facilities.
4+ YOEBachelor's in nursing required, active unencumbered RN licensure, 4+ years clinical nursing experience required, case management and leadership experience preferred, knowledge of CMS/NCQA standards.
Utilization Management Behavioral Health Professional
Virginia or Texas or Tennessee or South Carolina or Pennsylvania or West Virginia or New York or Wisconsin or North Carolina or New Jersey or Massachusetts or Louisiana or Michigan or Kentucky or Maryland or Kansas or Indiana or Illinois or Georgia or Florida or Arkansas or Alabama or Vermont or Rhode Island or Maine or Delaware or Connecticut
$65k-$89k/yrRemoteFull Time
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
1+ YOERequires behavioral health clinical licensure (RN/LCSW/LPC/LMFT/LCP/clinical psychologist), 1+ year post-degree clinical and 1+ year managed care experience, Microsoft Office proficiency, and remote work capabilities.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, HireVue
Utilization Management Nurse Consultant (UM) - Work at Home CST Zone
Kansas or Mississippi or Wisconsin or Arkansas or Texas or Oklahoma or Illinois or Minnesota or Alabama or Iowa or Missouri or Louisiana
$26-$56/hrRemoteFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
2+ YOEActive unrestricted RN license,2+ years acute hospital experience,clinical assessment and decision-making,ability to work independently and telephonically,comfort with computer-based documentation and multitasking.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
Northern Lights Locating and Inspection: Providing underground utility locating and infrastructure inspection services.
2+ YOEMinimum 2 years locating experience preferred; strong knowledge of 811 laws; valid driver’s license; pass drug screen; able to work in all weather, perform equipment/vehicle maintenance, flexible schedule and overtime, effective communicator.
Behavioral Health Utilization Management Clinician/LCSW/LPC/LMFT/RN for Substance Abuse - Flexible Weekend Dayshift - Remote in VA and NC
Norfolk or Alabama or Delaware or Florida or Georgia or Idaho or Indiana or Kansas or Louisiana or Maine or Maryland or Minnesota or Nebraska or Nevada or New Hampshire or North Carolina or North Dakota or Ohio or Oklahoma or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or Washington or West Virginia or Wisconsin or Wyoming
RemoteFull Time
Sentara Health: Operates hospitals and provides health insurance and medical services
2+ YOEMaster's in counseling/social work/MFT (or BSN for RN), valid state license (LCSW/LPC/LMFT/RN), 2 years behavioral health and 1 year case management, ASAM/substance use experience preferred.
Strategy Consultant - Utilization Management and Medical Policy
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$109k-$181k/yrRemoteFull Time
Highmark Health: Provides health insurance and integrated medical care services.
6+ YOEMasters in Business/Healthcare/Economics required (or Bachelor's with experience),6+ years related experience (or 2 years post-grad consulting plus 6 years related),healthcare strategy experience,advanced data modeling and analytics skills.
SQL, Python, R, Power BI, Tableau, Microsoft PowerPoint, Microsoft Excel, EHR, ICD-10
New York City or Milwaukee or Herndon or Dallas or Columbus or Kirkland or Irvine or Cincinnati or Cleveland or Oklahoma City or Austin or Albany or Chicago or Arlington or St. Petersburg or Hartford or Pittsburgh or St. Louis or Miami or Sacramento or Raleigh or Minneapolis or Mountain View or Scottsdale or Morristown or San Francisco or Denver or Boston or Philadelphia or Des Moines or Overland Park or Los Angeles or Charlotte or Walnut Creek or Carmel or Seattle or Houston or Arlington or Atlanta or Redmond or Bentonville or Beaverton or Nashville or Detroit or San Diego
$139k-$434k/yrHybridFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
10+ YOE10+ years in utility GIS solution architecture with full‑lifecycle ArcGIS Utility Network implementations; experience advising utility executives, defining enterprise GIS architecture, and leading large transformation programs; must be eligible to work in the US and willing to travel.
M. J. ElectricNYSE: PWR: Provides electrical construction and maintenance services for utility infrastructure.
5+ YOE5+ years project/construction management experience in utility construction; knowledge of utility practices, project financials, union labor, strong leadership and communication skills; BS/BA preferred.
Microsoft Access, Microsoft Excel, Microsoft Outlook
raSmith: Provides civil engineering, structural engineering, and land surveying services.
1+ YOEHigh school diploma required; 1 year+ utility locating/surveying experience; able to read plans; knowledge of utility systems; proficient with Microsoft Office; GIS/CAD a plus.
JT Engineering: Civil engineering and construction management for Wisconsin infrastructure.
4+ YOEBachelor's in civil engineering (or related), 4+ years utility coordination/civil/transportation experience, ability to read plans, coordinate utility relocations, strong communication and problem-solving skills.
Microsoft Office, GIS, AutoCAD Civil 3D, MicroStation
Utility Construction Inspector - Mi-Tech Services, Inc.
Madison, Wisconsin, United States
FieldFull Time
Michels: Provides global energy, utility, and infrastructure construction services.
Inspect and monitor utility construction to ensure compliance with safety, plans, specifications, and regulations; ability to read plans and use mobile reporting tools; utility construction experience preferred.
Push, Inc.: Provides utility construction and telecommunications infrastructure services.
Field experience operating backhoe, mini excavator, cable plow or track hoe around utilities; ability to excavate near utilities, maintain equipment, pass pre-employment screening, and travel for extended periods.
SYTE Corp: A providing utility locating and damage prevention services to protect infrastructure and public safety.
2+ YOE2+ years utility locating experience preferred; knowledge of APWA marking standards; ability to read utility maps and operate locators/GPR/GPS; valid driver’s license; outdoor work and lifting up to 50 lbs.
Electromagnetic locators, Ground penetrating radar (GPR), GPS, GIS, Signal transmitters, Signal receivers