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Remote 8Am 5Pm Jobs in Appleton, WI (NOW HIRING)

Network Health

Data Warehouse Engineer I

Menasha, WI · On-site +1

Hours: 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday, may be required to work later hours when system changes are being implemented or problems arise Check out our 2025 Community Report ...

Network Health

SQL/ETL Developer I - Encounter

Menasha, WI · On-site +1

$52.25 - $68.25/hr

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 ...

Network Health, Inc

SQL/ETL Developer I - Encounter

Menasha, WI · On-site +1

$52.25 - $68.25/hr

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 ...

Network Health

Technical Systems Analyst

Menasha, WI · On-site +1

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 ...

Network Health WI

Data Warehouse Engineer I

Menasha, WI · On-site +1

Hours: 1.0 FTE, 40 hours per week, 8am-5pm Monday through Friday, may be required to work later hours when system changes are being implemented or problems arise Check out our 2025 Community Report ...

Network Health

Database Administrator

Menasha, WI · On-site +1

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 ...

Network Health WI

Technical Systems Analyst

Menasha, WI · On-site +1

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 ...

Network Health, Inc

RN Care Manager

Menasha, WI · Remote

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 ...

Network Health

RN Care Manager

Menasha, WI · Remote

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 ...

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All Jobs8Am 5Pm JobsRemote 8Am 5Pm JobsRemote 8Am 5Pm Jobs in Appleton, WI

Remote 8Am 5Pm information

What is the difference between Remote 8Am 5Pm vs Remote Customer Service Representative?

AspectRemote 8Am 5PmRemote Customer Service Representative
Work Hours8AM to 5PM, Monday to FridayVaries, often includes shifts outside standard hours
Required SkillsBasic communication, time managementCustomer communication, problem-solving
CertificationsNone typically requiredNone typically required, but customer service experience preferred
Work EnvironmentHome office or remote setupHome office or remote setup

Remote 8Am 5Pm jobs usually refer to standard office hours for various roles, including customer service. Remote Customer Service Representatives often work flexible or shift-based hours, which may include evenings or weekends. The main difference lies in the fixed schedule of Remote 8Am 5Pm positions versus the potentially variable hours of customer service roles.

What are popular job titles related to Remote 8Am 5Pm jobs in Appleton, WI?

For Remote 8Am 5Pm jobs in Appleton, WI, the most frequently searched job titles are:

What job categories do people searching Remote 8Am 5Pm jobs in Appleton, WI look for?

The top searched job categories for Remote 8Am 5Pm jobs in Appleton, WI are:

What cities near Appleton, WI are hiring for Remote 8Am 5Pm jobs?

Cities near Appleton, WI with the most Remote 8Am 5Pm job openings:

Remote 8Am 5Pm jobs near you
Infographic showing various Remote 8Am 5Pm job openings in Appleton, WI as of August 2026, with employment types broken down into 1% Locum Tenens, 1% As Needed, 72% Full Time, 22% Part Time, and 4% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution.

Weekend RN Coordinator Utilization Management (1.0 FTE)

Network Health WI

Menasha, WI • On-site, Remote

Full-time

Re-posted 14 days ago

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, Monday through Friday 8am - 5pm.
Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Saturday and Sunday core hours, weekdays available to make up remaining 40 hours. August - September 2026 start date.
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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