RN, Registered Nurse | Utilization Management Specialist

Scheduled Weekly Hours:

Registered Nurse Utilization Management (0.8 FTE)

Location:Main Campus La Crosse WI
Schedule:MondayFriday 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 Youll 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 Youll Bring

• Education:

  • Required:Associate degree in Nursing

  • Preferred:Bachelors degree in Nursing

• Experience:

  • Required:Minimum of 2 years in nursing case management or utilization management

  • Preferred:57 years of nursing experience with 12 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 youre a nurse who enjoys staying busy learning continuously and applying your clinical knowledge in a unique and impactful way wed 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 Michigans 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 or call .

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