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Professional Remote Rn Chart Review Jobs in Wisconsin

MDS Solutions

REMOTE MDS Coordinator

Milwaukee, WI · Remote

$33.75 - $43/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Madison, WI · Remote

$34.50 - $44/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Green Bay, WI · On-site +1

$33.25 - $42.50/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Milwaukee, WI · On-site +1

$33.75 - $43/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Madison, WI · On-site +1

$34.50 - $44/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Madison, WI · On-site +1

$34.50 - $44/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Green Bay, WI · On-site +1

$33.25 - $42.50/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Milwaukee, WI · On-site +1

$33.75 - $43/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Green Bay, WI · Remote

$33.25 - $42.50/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

AMN Healthcare, Inc.

Endocrinology

Eau Claire, WI · Remote

$330K/yr

The Model Advanced AI tools assist with chart review, patient history, care gap identification ... fully remote career. Facility Location This west-central Wisconsin city lies on the banks of the ...

Quartz

RN Complex Care Specialist

Madison, WI · Remote

$72K - $90K/yr

Proficiency using Epic systems and remote monitoring programs. * Cultural competence and ... professional culture built upon the foundations of Respect, Responsibility, Relationships ...

Varsity Tutors

NCLEX-RN Tutor

Madison, WI · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Milwaukee, WI · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

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Showing results 21-40

All JobsProfessional Rn Chart Review JobsProfessional Remote Rn Chart Review JobsProfessional Remote Rn Chart Review Jobs in Wisconsin

Professional Remote Rn Chart Review information

What is the difference between Professional Remote Rn Chart Review vs Medical Records Reviewer?

AspectProfessional Remote Rn Chart ReviewMedical Records Reviewer
CredentialsRegistered Nurse (RN) licenseVaries; often includes medical background or certification
Work EnvironmentRemote, healthcare-focusedRemote or onsite, administrative or healthcare settings
Industry UsageHealthcare, insurance, legal casesHealthcare, insurance, legal documentation
Job FocusReviewing patient charts for accuracy, compliance, and medical necessityReviewing medical records for completeness, accuracy, and compliance

The Professional Remote Rn Chart Review primarily involves licensed RNs analyzing patient charts for medical accuracy and compliance, often for insurance or legal purposes. Medical Records Reviewers may have a broader background and focus on verifying the completeness and correctness of medical documentation. While both roles are remote and healthcare-related, the RN chart review emphasizes clinical expertise, whereas medical records reviewers may not require nursing credentials.

How to become a professional remote RN chart reviewer?

To become a professional remote RN chart reviewer, you typically need a valid registered nurse license, experience in clinical settings, and strong knowledge of medical documentation and coding. Familiarity with electronic health record (EHR) systems and attention to detail are essential, and some positions may require certification in medical coding or documentation review. Developing skills in chart analysis and understanding healthcare regulations can improve job prospects in this remote role.

What are the most commonly searched types of Remote Rn Chart Review jobs in Wisconsin?

The most popular types of Remote Rn Chart Review jobs in Wisconsin are:

What cities in Wisconsin are hiring for Professional Remote Rn Chart Review jobs?

Cities in Wisconsin with the most Professional Remote Rn Chart Review job openings:

Professional Remote Rn Chart Review jobs near you

RN Coordinator Utilization Management

Network Health WI

Menasha, WI • On-site, Remote

Full-time

Re-posted 15 days ago

Network Health rating

7.9

Company rating: 7.9 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

186th of 311 rated insurance

Job description

The RN Coordinator Utilization Management to review submitted authorization requests for medical necessity, appropriateness of care and benefit eligibility. This position reviews applicable guidelines regarding payment and coverage, and makes determinations for authorization/payment.
Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required). Travel to the corporate office in Menasha is required occasionally for the position, including on first day. Training is required in person at our Menasha location for the first 6-8 weeks.
Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday
Check out our 2025 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.
Job Responsibilities:
  • Evaluate and process prior authorization requests/referrals submitted from contracted and non-contracted providers
  • Follow Network Health process, policies, and procedures in authorization review of all membership on a pre-service, concurrent and post-service basis. This process includes verifying eligibility and benefits, as well as documenting all utilization management communication
  • Provide education regarding utilization management activities and processes to members, caregivers, providers, and their administrative staff
  • Participate in Utilization Management auditing (i.e. Utilization Management Inter-reviewer reliability and denial files)
  • Refer all members with complex health problems and needs to Network Health Case Management to reduce medical costs while providing a higher quality of life and an ability to take charge of their diseases. This requires an extensive holistic approach to care management assessment
  • Collaborate with other NH departments to develop interdepartmental operational processes
  • Support Utilization Management department programs and goals through active participation
  • Identify and screen candidates for Case Management intervention and determines appropriate level of care from Utilization Management criteria
  • Complete assessments and plans of care including need for medication regime, treatment plans, practitioner follow-up appointments, knowledge of red flags, disease management, Advance Directives, life planning, and self-management of illness to the best of member ability
  • Evaluate cases for cost savings/quality improvement potential
  • Other duties and responsibilities as assigned

Job Requirements:
  • Bachelor of Science in Nursing, preferred
  • Associate Degree in Nursing, required
  • Current registered nurse licensure in Wisconsin required
  • Minimum of four (4) years clinical health care experience as a Registered Nurse (RN) required
  • Experience in insurance, managed care and utilization management preferred

Network Health is an Equal Opportunity Employer
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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