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RN UTILIZATION REVIEW

Froedtert Health
Full-time
On-site
Milwaukee, Wisconsin, United States
Position: RN Utilization Review, Froedtert Health.

Location: Milwaukee, WI at Froedtert Hospital facility. Remote. FTE 0.875. Standard Hours 35. Shift 1. 7/70 schedule (7 days on, 7 days off). Weekends and holidays as scheduled.

Job Summary
Assumes responsibility for assessing a patient's clinical status on admission and daily to determine the appropriate admission status type and level of care. Refers cases to the physician advisor, PA moonlighter, for a second level review as needed. Facilitates communication with service‑based multidisciplinary team as it relates to the patient and identified treatment plan. Works in accordance with established policies and procedures to ensure optimal patient outcomes. Has the ability to work with variable service lines and with multiple care teams.

Experience
Minimum of 3 years of acute care nursing experience is required; prior utilization management or case management experience is required. A minimum of 5 years of acute care nursing experience is preferred. Utilization of Interqual, MCG CareWeb QI, or Indicia evidence‑based guidelines is strongly preferred.

Education
Professional knowledge of nursing theory and practice at a level normally acquired through completion of a program at an accredited School of Nursing is required. Bachelor’s Degree in Nursing is preferred.

Special Skills
Knowledge of Medicare inpatient surgical list, Medicare guidelines for admission, working DRG, and some familiarity with hospital coding is preferred.

Licensure
Requires current state of Wisconsin Registered Nurse License or a Multi‑state Nursing License from a participating state in the NLC (Nurse Licensure Compact). MCG certification is required within 18 months of hire. Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.

Compensation, Benefits & Perks
Pay is expected to be between: (expressed as hourly) $34.00 - $52.70. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Benefits that may be available to eligible staff include:

Paid time off

Growth opportunity – Career Pathways & Career Tuition Assistance, CEU opportunities

Academic Partnership with the Medical College of Wisconsin

Referral bonuses

Retirement plan – 403(b)

Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics

Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work‑life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin’s only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

Equal Opportunity Statement
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us. We maintain a drug‑free workplace and perform pre‑employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262‑439‑1961. We will attempt to fulfill all reasonable accommodation requests.

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