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Medicare Rn Jobs in Racine, WI (NOW HIRING)

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

The RN Case Manager works collaboratively with interdisciplinary teams and team members both ... General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations ...

Outpatient Registered Nurse

Racine, WI · On-site

$67K - $90K/yr

... Medicare, Medicaid and other clinic standards. * Maintain a professional and confidential ... A registered nurse with current certificate of registration under Ch. 441. Preference for a ...

Knowledge of Medicare inpatient only surgical list, Medicare guidelines for admission, working DRG ... Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from ...

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Medicare Rn information

What are the key skills and qualifications needed to thrive as a Medicare RN, and why are they important?

To thrive as a Medicare RN, you need a comprehensive understanding of clinical nursing practices, Medicare regulations, and care coordination, typically supported by an active RN license and experience in case management or utilization review. Familiarity with Medicare documentation requirements, electronic health records (EHRs), and case management software is essential. Strong communication, attention to detail, and critical thinking skills help Medicare RNs effectively advocate for patients and collaborate with healthcare teams. These skills ensure compliance with regulations, optimize patient outcomes, and support efficient healthcare delivery within the Medicare system.

What does a Medicare RN do?

A Medicare RN is a registered nurse who specializes in providing care and managing cases for patients covered under Medicare, the federal health insurance program for people 65 and older or with certain disabilities. Their duties often include patient assessments, developing care plans, coordinating services, ensuring compliance with Medicare regulations, and educating patients and families about their healthcare options. They may work in hospitals, home health agencies, or long-term care facilities, helping to optimize patient outcomes while ensuring proper documentation for Medicare reimbursement.

What is the difference between Medicare Rn vs Home Health Nurse?

AspectMedicare RnHome Health Nurse
CredentialsRegistered Nurse license, Medicare certificationRegistered Nurse license, home health certification
Work EnvironmentHospitals, clinics, Medicare facilitiesPatients' homes, community settings
Employer & IndustryMedicare providers, healthcare agenciesHome health agencies, hospice services
Search & Comparison IntentMedicare Rn vs Home Health NurseMedicare Rn vs Home Health Nurse

Both Medicare Rns and Home Health Nurses are registered nurses working within the Medicare system. While Medicare Rns often work in clinics or hospitals providing Medicare-related care, Home Health Nurses focus on delivering nursing services directly in patients' homes. Both roles require RN licensure, but their work environments and employer types differ, reflecting their specific patient care settings.

What are the typical challenges Medicare RNs face when coordinating patient care across multiple providers?

Medicare RNs often encounter challenges related to coordinating care among various healthcare providers, such as physicians, specialists, and home health agencies. Navigating different documentation systems and ensuring timely communication can be complex, especially when managing patients with multiple chronic conditions. Effective organization, strong communication skills, and a thorough understanding of Medicare guidelines are essential for overcoming these challenges and providing seamless care transitions.
What are popular job titles related to Medicare Rn jobs in Racine, WI? For Medicare Rn jobs in Racine, WI, the most frequently searched job titles are:
What job categories do people searching Medicare Rn jobs in Racine, WI look for? The top searched job categories for Medicare Rn jobs in Racine, WI are:
What cities near Racine, WI are hiring for Medicare Rn jobs? Cities near Racine, WI with the most Medicare Rn job openings:
Infographic showing various Medicare Rn job openings in Racine, WI as of June 2026, with employment types broken down into 1% As Needed, 90% Full Time, 7% Part Time, and 2% Contract. Highlights an 99% Physical, and 1% Remote job distribution.
RN CASE MANAGER

RN CASE MANAGER

Froedtert

Milwaukee, WI • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 22 days ago


Job description

Discover. Achieve. Succeed. #BeHere

Location: US:WI:MILWAUKEE at our FROEDTERT HOSPITAL facility.

This job is ON - SITE.

FTE: 1.000000

Standard Hours: 40.00

Shift: Shift 1

Shift Details: Monday-Friday

Job Summary:

The RN Case Manager coordinates care and services of selected patient populations through the acute care episode and across the continuum to support an effective discharge plan. The RN Case Manager works collaboratively with interdisciplinary teams both internal and external to the organization to improve patient care by assuming a leadership role in driving desired clinical and financial outcomes through effective utilization and monitoring of healthcare resources. The RN Case Manager utilizes standards, guidelines, and protocols for care delivery and incorporates data to continuously improve care and outcomes.

EXPERIENCE DESCRIPTION:

A minimum of 3 years of clinical nursing is required. 5 years clinical nursing and case management experience is preferred. Experience in case management field including transitional planning, outcomes management and assessment preferred.

EDUCATION DESCRIPTION:

Professional knowledge of nursing theory and practice at a level normally acquired through completion of a minimum of two years education at an accredited School of Nursing in order to be eligible for licensure as a Registered Nurse is required. Bachelor's degree is preferred.

TRAINING DESCRIPTION:

Accredited case manager certification (ACM-RN) through the American Case Management Association (ACMA) preferred.

SPECIAL SKILLS DESCRIPTION:

General knowledge of payor industry (Medicare, Medicaid, & Commercial insurance regulations), resource management, and evidenced based clinical practice is essential. Theoretical knowledge of the nursing and case management processes. Analytical skills necessary to assess patient's discharge needs and develop solutions to problems concerning patients' mental status or physical well-being to ensure optimal patient outcomes. Advanced communication and interpersonal skills with all levels of internal and external customers including but not limited to medical staff, patients and families, clinical personnel, support and technical staff, outside agencies, and members of the community. Other skills needed include excellent written/verbal communication skills, critical thinking, creative problem solving, proficient organization and planning. Basic computer skills. Must be self-directed with ability to tolerate frequent interruptions and a demanding workload.

LICENSURE DESCRIPTION:

Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact).

Perks & Benefits at Froedtert Health

Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:

  • Paid time off
  • Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
  • Academic Partnership with the Medical College of Wisconsin
  • Referral bonuses
  • Retirement plan - 403b
  • 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.

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 at 262-439-1961. 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.

Employment Type: FULL_TIME

Froedtert logo

About Froedtert

Sourced by ZipRecruiter

Froedtert is a world-class healthcare organization based in Milwaukee, WI, United States. The company operates within the healthcare and wellness industry, providing a broad spectrum of medical services to the residents of southeastern Wisconsin and beyond. Froedtert was founded in 1980 and is an academic health network, which ripples an integrated affiliation with the Medical College of Wisconsin. The company prides itself on its cutting-edge treatments, sophisticated technology, and groundbreaking research. Froedtert’s mission is to advance health in the communities they serve, with a profound commitment towards patient care, education, research and community outreach.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Milwaukee, WI, US

Year founded

1980