RN, Registered Nurse | Utilization Management Specialist

Love + medicine is who we are, it's what we do, it's why people want to work here. If you’re looking for a job to love, apply today. Scheduled Weekly Hours: 32 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 View email address on click.appcast.io or call View phone number on click.appcast.io. 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 Around here, loving your job is part of the job. Join our mission in changing healthcare while finding a career you'll love! Gundersen Health System offers a proud, local history spanning more than 100 years. Our personalized patient care model is only the beginning of what you will experience as we foster population health transformation and innovation to serve our communities and you. We've made it a priority to enrich the lives of our employees as they find a career they love. Using each employee’s unique talents and passions, Gundersen is committed to delivering exceptional patient and family-centered care to the communities we serve. You can be part of an exciting, highly adaptable and mission-driven organization with a work environment that supports you personally and professionally and a work culture where you are valued and appreciated offering an employee-first culture, work-life balance, and career advancement & growth opportunities. This culture allows our organization to attract elite talent, like yourself! What You Can Expect: Empowerment to shape your work environment, encouragement to improve processes and create efficiencies, and support when seeking opportunities for growth Culture that encourages self-care and provides you with opportunities to be your best self at work and at home Competitive compensation and comprehensive benefits packages, as applicable, ensuring your comfort and well-being as a valuable team member Support for your career growth through Professional Development Opportunities, our Tuition Investment Program, Career Development Center, and online continuing education courses Inside our walls and our neighborhoods, we deliver world-class medical care and the right amount of love. We call it LOVE + MEDICINE and it’s more than our practice. It is who we are. Gundersen Health System, based in La Crosse, WI, is the leading provider of primary and specialized care in western Wisconsin, southeast Minnesota, and northeast Iowa; serving more than 500,000 residents throughout 22 counties. Our physician-led, not-for-profit healthcare system includes a 325-bed teaching hospital, tertiary referral center, and Level II Trauma Center; community clinics; 6 affiliate critical access hospitals; nursing homes; behavioral health services; vision centers; pharmacies; and air and ground ambulance services. Together, we inspire your best life by relentlessly caring, learning, and innovating. We deliver Love + Medicine every day to change lives in our communities and enrich the lives of our employees. Select Remote/Hybrid Eligible under More search to see our remote-eligible openings. A rewarding career and an excellent quality of life awaits you. Learn more about our excellence in patient care, education, research, culture, and something we call Love + Medicine at