RN, Registered Nurse | Utilization Management Specialist

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Scheduled Weekly Hours

Registered Nurse – Utilization Management (0.8 FTE)

Location: Main Campus | La Crosse, WI

Schedule: Monday–Friday, 8-hour shifts with one day off per week; occasional Saturday coverage

Use your clinical expertise in a dynamic, behind-the-scenes role that supports patient care and hospital operations.

Gundersen Health System is seeking a detail-oriented and collaborative RN to join our Utilization Management team. This is a great opportunity for nurses who enjoy complex work, critical thinking, and being part of a team that makes a real impact.

Why Join Us?

• Collaborative Culture: Work with a supportive team that values flexibility, teamwork, and stepping up for one another.
• Meaningful Impact: Ensure clinical documentation supports medical necessity and payer requirements, contributing to revenue integrity.
• Professional Growth: Access to special assignments and project work opportunities.
• Work-Life Balance: Flexible start/end times (between 7:30 AM – 5:00 PM) after orientation. Hybrid work option available after one year.
• Competitive Pay & Benefits: Starting at $33.50/hour (plus experience-based increases), shift differentials for weekends, top-rated retirement plan, and tuition support.

What You’ll Do

• Conduct first-level clinical reviews to ensure documentation supports medical necessity and payer requirements.
• Collaborate with interdisciplinary teams including attending physicians, social services, and revenue cycle.
• Participate in daily hospital rounds and contribute to decisions on bill holds, avoidable days, downgrades, and upgrades.
• Engage in special projects and team initiatives after one year in the role.

What You’ll Bring

• Education:
• Required: Associate degree in Nursing
• Preferred: Bachelor’s degree in Nursing
• Experience:
• Required: Minimum of 2 years in nursing, case management, or utilization management
• Preferred: 5–7 years of nursing experience, with 1–2 years in acute care hospital
• Licensure:
• Registered Nurse (RN) licensed to practice in the state of Wisconsin
• Ideal Candidate Profile:
• Strong critical thinking and decision-making
• Ability to work independently and collaboratively
• Breadth of clinical knowledge across disease processes
• Comfort with fast-paced, detail-oriented work

Ready to Make a Difference?

If you’re a nurse who enjoys staying busy, learning continuously, and applying your clinical knowledge in a unique and impactful way, we’d love to hear from you.

Emplify Health, a partnership of Bellin Health and Gundersen Health System, is a leading not-for-profit, patient-centered healthcare network based in Green Bay and La Crosse, Wisconsin. With 11 hospitals and over 100 clinics, we serve 67 cities across Wisconsin, Iowa, Minnesota, and Michigan's Upper Peninsula. Join us in making a meaningful difference in the lives of our patients and communities.

Equal Opportunity Employer

If you need assistance with any portion of the application or have questions about the position, please contact ***email_hidden*** or call View phone number on workus.org.

We inspire your best life by relentlessly caring, learning and innovating. This is our purpose. Together with our values — belonging, respect, excellence, accountability, teamwork and humility — our pillars set our foundation and our future.

Equal Opportunity Employer