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Internship Remote Utilization Review Jobs in Wisconsin

WPS

Medical Review Nurse Analyst

Madison, WI · On-site +1

$68K - $70K/yr

Experience with medical record review or utilization review. Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your computer * High speed cable or fiber ...

The Tease

Editorial Internship - Spring 2025

Madison, WI · On-site +1

$13/hr

This Internship Application listing is open as of 08.17.24 Resumes will be Reviewed in October of ... Remote work * Industry connections & introductions * Flexible scheduling and hours * Pay: $13/hr ...

WPS Health Solutions

Medical Director

Madison, WI · On-site +1

Three (3) or more years of experience in the health insurance industry, a utilization review firm ... Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work ...

WPS

Medical Director

Madison, WI · On-site +1

Three (3) or more years of experience in the health insurance industry, a utilization review firm ... Please review Remote Worker FAQs for additional information. Benefits * Remote and hybrid work ...

Presence

Wisconsin (remote) - School psychologist

Ripon, WI · On-site +1

$46 - $49/hr

... internship/practicum year) * Experience participating in IEP meetings, acting as case manager, and ... An extensive virtual library of peer-reviewed studies and online assessments, including online ...

CSAA

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

CSAA

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

CSAA

Lead operational governance activities across assigned Clubs, including creative review oversight ... Track and monitor Club marketing funding utilization to ensure compliance with Producer Agreements

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All JobsUtilization Review JobsInternship Remote Utilization Review JobsInternship Remote Utilization Review Jobs in Wisconsin

Internship Remote Utilization Review information

What are the main challenges interns face when working remotely in Utilization Review, and how can they overcome them?

Remote Utilization Review interns often encounter challenges in balancing independent work with effective communication, especially when collaborating with clinical teams or supervisors. Staying organized and proactively reaching out for guidance can help bridge gaps caused by remote settings. Utilizing available digital tools, attending virtual meetings, and participating in team chats fosters connection and learning. Setting a structured daily schedule and seeking regular feedback ensures that interns stay aligned with team goals and develop their review skills efficiently.

What is a Remote Utilization Review Internship?

A Remote Utilization Review Internship is a temporary position, often for students or recent graduates, that allows individuals to work remotely while learning about utilization review processes in healthcare. Interns assist in evaluating medical records, ensuring that healthcare services provided to patients are medically necessary and meet established guidelines. They work under the supervision of licensed professionals, gaining experience in medical documentation, insurance policies, and healthcare regulations. This role is ideal for those interested in healthcare administration, nursing, or case management.

What is the difference between Internship Remote Utilization Review vs Utilization Review Specialist?

AspectInternship Remote Utilization ReviewUtilization Review Specialist
CredentialsTypically pursuing or holding relevant certifications (e.g., CCM, RN)Requires active certification and experience in utilization review
Work EnvironmentRemote, internship setting, often part-time or supervisedFull-time, remote or onsite, with more independent responsibilities
Industry UsageEntry-level, training phase within healthcare and insurance sectorsProfessional role with established responsibilities in healthcare management

In summary, an Internship Remote Utilization Review is a training position for individuals gaining experience in utilization review, often with supervision and limited responsibilities. A Utilization Review Specialist is a fully qualified professional responsible for evaluating healthcare services, requiring certifications and more independence in their role.

What are the key skills and qualifications needed to thrive as a Remote Utilization Review Intern, and why are they important?

To thrive as a Remote Utilization Review Intern, you need a foundational understanding of healthcare processes, medical terminology, and insurance guidelines, often supported by a relevant degree or coursework in nursing, health administration, or a related field. Familiarity with electronic medical record (EMR) systems, utilization review software, and HIPAA compliance is typically required. Strong attention to detail, analytical thinking, and effective written communication are standout soft skills in this role. These abilities are crucial for accurately reviewing patient cases, ensuring regulatory compliance, and supporting efficient healthcare delivery from a remote setting.
What are the most commonly searched types of Remote Utilization Review jobs in Wisconsin? The most popular types of Remote Utilization Review jobs in Wisconsin are:
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What cities in Wisconsin are hiring for Internship Remote Utilization Review jobs? Cities in Wisconsin with the most Internship Remote Utilization Review job openings:
Internship Remote Utilization Review jobs near you

Utilization Review Specialist-Remote

Wellbrook Recovery

Brookfield, WI • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 23 days ago

Job description

Utilization Review Specialist – Behavioral Health Facility

We are seeking a confident, detail-oriented Utilization Review Specialist to join our behavioral health team. This role involves reviewing clinical documentation, ensuring medical necessity, managing insurance authorizations, and collaborating with providers to support appropriate and timely care for our clients.

Responsibilities:

  • Conduct utilization reviews and obtain prior authorizations from insurance companies

  • Monitor continued stay and discharge criteria for clients

  • Communicate effectively with clinical and administrative teams

  • Maintain accurate and up-to-date documentation

  • Ensure all documentation meets insurance and regulatory compliance standards and is completed accurately and on time.

Qualifications:

  • Background or experience in social work, counseling, or behavioral health is preferred

  • Experience in utilization review or case management for behavioral health is preferred

  • Strong communication and organization skills

  • Ability to work efficiently in a fast-paced environment

  • Confident, proactive, and dedicated work ethic

Benefits: Competitive salary Opportunities for professional development and career advancement Supportive and collaborative work environment Fulfilling work helping individuals with mental health or substance abuse issues

Benefits:

  • 401(k)

  • Dental insurance

  • Flexible schedule

  • Health insurance

  • Life insurance

  • Paid time off

  • Vision insurance