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Remote Home Health Rn Jobs in Sun Prairie, WI (NOW HIRING)

WPS

Medical Review Nurse Analyst

Madison, WI · On-site +1

Work Location We are open to remote work in the following approved states: Colorado, Florida ... Active RN license, applicable to state of practice in good standing. * One (1) or more years of ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...

UWHealth

Health Information Access Specialist

Madison, WI · Remote

$97K - $98K/yr

This is a remote position. Be part of something remarkable Join the #1 hospital in Wisconsin! We ... A place where nursing excellence is recognized and celebrated in our inpatient and outpatient ...

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Remote Home Health Rn information

See Sun Prairie, WI salary details

$935

$1.9K

$2.9K

How much do remote home health rn jobs pay per week?

As of Jul 18, 2026, the average weekly pay for remote home health rn in Sun Prairie, WI is $1,903.15, according to ZipRecruiter salary data. Most workers in this role earn between $1,486.54 and $2,226.92 per week, depending on experience, location, and employer.

What are some common challenges faced by Remote Home Health RNs, and how can they be managed?

Remote Home Health RNs often face challenges such as coordinating care across multiple patients and providers, managing documentation efficiently, and ensuring clear communication with both patients and the healthcare team. Working remotely can also make it more difficult to assess patients' environments and needs without in-person visits. To address these challenges, RNs leverage telehealth technology, maintain organized digital records, and establish regular check-ins with both patients and colleagues. Strong self-discipline and proactive communication skills are essential for success in this role.

What is a Remote Home Health RN?

A Remote Home Health RN is a registered nurse who provides patient care, support, and health assessments to individuals in their homes through telehealth or virtual platforms, rather than in-person visits. They coordinate care plans, monitor patient progress, educate patients and families, and communicate with other healthcare professionals using technology. This role allows nurses to deliver high-quality healthcare while working remotely, helping patients manage chronic conditions, recover from illness, or navigate post-hospitalization care.

What is the difference between Remote Home Health Rn vs Home Care Nurse?

AspectRemote Home Health RnHome Care Nurse
CredentialsRegistered Nurse (RN) license, certifications in home healthRegistered Nurse (RN) license, certifications in home health
Work EnvironmentPrimarily remote, telehealth, or telephonic patient monitoringIn-home patient visits, direct care
Employer & IndustryHome health agencies, telehealth companiesHome health agencies, private families

Remote Home Health Rns typically provide patient assessments, care planning, and education remotely, often via telehealth platforms. In contrast, Home Care Nurses perform in-person visits to deliver direct patient care at home. Both roles require RN licensure and focus on home-based healthcare, but Remote Home Health Rns emphasize remote monitoring and consultation, while Home Care Nurses focus on hands-on care.

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

To thrive as a Remote Home Health RN, you need a valid RN license, a solid background in clinical assessment, case management, and experience with home health protocols. Familiarity with telehealth platforms, electronic health records (EHRs), and remote patient monitoring systems is essential. Outstanding communication, self-motivation, and organizational skills are crucial for effectively supporting patients and coordinating care at a distance. These abilities ensure safe, high-quality patient outcomes and efficient remote collaboration in the evolving landscape of home health care.
What are the most commonly searched types of Home Health Rn jobs in Sun Prairie, WI? The most popular types of Home Health Rn jobs in Sun Prairie, WI are:
What are popular job titles related to Remote Home Health Rn jobs in Sun Prairie, WI? For Remote Home Health Rn jobs in Sun Prairie, WI, the most frequently searched job titles are:
What job categories do people searching Remote Home Health Rn jobs in Sun Prairie, WI look for? The top searched job categories for Remote Home Health Rn jobs in Sun Prairie, WI are:
What cities near Sun Prairie, WI are hiring for Remote Home Health Rn jobs? Cities near Sun Prairie, WI with the most Remote Home Health Rn job openings:
Remote Home Health Rn jobs near you
Medical Review Nurse Analyst

Medical Review Nurse Analyst

WPS

Madison, WI • On-site, Remote

Full-time

Medical, Dental, Retirement, PTO

Posted 20 hours ago

Job description

Role Snapshot
The Medical Review Nurse Analyst is responsible for conducting clinical reviews of medical records to ensure compliance with regulatory and payer guidelines. This role ensures that providers are billing and being paid appropriately for services provided based on Medicare guidelines. The Medical Review Nurse Analyst reviews claims and delivers provider education on current billing and documentation requirements.
Salary Range
68,000-72,000
The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.
Work Location
We are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin
How do I know this opportunity is right for me? If you enjoy the following:
  • Perform detailed reviews of medical records and documentation to determine the medical necessity of services.

  • Review submitted claims to ensure that billed services are medically necessary and correctly coded based on Medicare guidelines. Ensure Medicare providers are correctly reimbursed when documentation supports services rendered.

  • Prepare written clinical summaries and determinations with clear rationale for approvals, denials, or modifications.

  • Educate providers in accordance with the Targeted Probe and Educate (TPE) program.

  • Monitor the progress of assigned providers and educate on current billing and documentation requirements.

  • Ensure compliance with federal and state regulations, CMS guidelines, and company policies.

  • Stay current on clinical guidelines, medical policy updates, and industry best practices.

Minimum Qualifications
  • Associate's (ASN) or Bachelor's Degree in Nursing (BSN).

  • Active RN license, applicable to state of practice in good standing.

  • One (1) or more years of clinical experience in a healthcare setting (hospital, homecare, skilled nursing, etc.).

  • Excellent written and verbal communication skills, with the ability to communicate complex medical information clearly and concisely.

  • Strong attention to detail and organizational skills to manage multiple cases simultaneously.

  • Basic knowledge and understanding of medical/clinical review processes.

  • Solid computer skills with experience working in multiple on-line systems including MS Outlook, Teams, OneNote, Word, and Excel.

Preferred Qualifications
  • Experience working for a Medicare Administrative Contractor (MAC) preferred.

  • Basic Medicare knowledge and/or experience preferred.

Remote Work Requirements
  • Wired (ethernet cable) internet connection from your router to your computer.

  • High speed cable or fiber internet.

  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).

  • Please review Remote Worker FAQs for additional information.

Benefits
  • Remote work option available

  • Performance bonus and/or merit increase opportunities

  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)

  • Competitive paid time off

  • Health insurance, dental insurance, and telehealth services start DAY 1

  • Professional and Leadership Development Programs

  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.
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Medicare (GHA)
This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation including fingerprinting prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
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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