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Remote Humana Rn Jobs in Madison, WI (NOW HIRING)

UW Health

Home Based Hospital Care-In Home RN

Madison, WI · On-site +1

$40.30 - $60.45/hr

... remote patient monitoring, video visits, and mobile diagnostic services to support safe, high ... Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction ...

DataAnnotation

RN

Madison, WI · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Gentiva

Regional Director of Clinical Survey

Madison, WI · Remote

$90.70K - $123.40K/yr

Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...

Gentiva Hospice

Regional Director of Clinical Survey

Madison, WI · Remote

$90.70K - $123.40K/yr

Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...

Gentiva Hospice

Regional Director of Clinical Survey

Madison, WI · On-site +1

$90.70K - $123.40K/yr

Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61.05K - $98.33K/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 ...

WPS

Manager of Case Management and Intake

Madison, WI · On-site +1

$110K - $130K/yr

Active license as an RN in the State of Wisconsin or a valid multi-state compact license. * 7 or ... Remote Work Requirements * High speed cable or fiber * Minimum of 10 Mbps downstream and at least 1 ...

WPS Health Solutions

Claims Examiner II

Madison, WI · On-site +1

$17.75/hr

Partner with the RN team to ensure appeals requiring medical documentation are reviewed by ... Remote Work Requirements * High speed cable or fiber internet * Minimum of 10 Mbps downstream and ...

WPS

Claims Examiner II

Madison, WI · On-site +1

$17.75/hr

Partner with the RN team to ensure appeals requiring medical documentation are reviewed by ... Remote Work Requirements * High speed cable or fiber internet * Minimum of 10 Mbps downstream and ...

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All JobsRemote Humana Rn JobsRemote Humana Rn Jobs in Madison, WI

Remote Humana Rn information

What is the difference between Remote Humana Rn vs Remote UnitedHealthcare Rn?

AspectRemote Humana RnRemote UnitedHealthcare Rn
CredentialsRN license, applicable certificationsRN license, applicable certifications
Work EnvironmentRemote, telehealth settingsRemote, telehealth settings
Employer & IndustryHumana, health insurance industryUnitedHealthcare, health insurance industry
Common Search IntentComparison of remote nursing roles in Humana and similar companiesComparison of remote nursing roles in UnitedHealthcare and similar companies

Both Remote Humana Rn and Remote UnitedHealthcare Rn roles involve providing patient care remotely within the health insurance industry. They require similar credentials, such as an active RN license and relevant certifications. The primary difference lies in the employer and specific company policies, but the work environment and job responsibilities are largely comparable, focusing on telehealth services for members of their respective health plans.

What are the most commonly searched types of Humana Rn jobs in Madison, WI? The most popular types of Humana Rn jobs in Madison, WI are:
What are popular job titles related to Remote Humana Rn jobs in Madison, WI? For Remote Humana Rn jobs in Madison, WI, the most frequently searched job titles are:
What job categories do people searching Remote Humana Rn jobs in Madison, WI look for? The top searched job categories for Remote Humana Rn jobs in Madison, WI are:
What cities near Madison, WI are hiring for Remote Humana Rn jobs? Cities near Madison, WI with the most Remote Humana Rn job openings:
Remote Humana Rn jobs near you
Telehealth RN Case Manager - Archimedes

Telehealth RN Case Manager - Archimedes

Navitus Health Solutions

Madison, WI • On-site, Remote

Other

Medical, Dental, Vision, Retirement, PTO

Posted yesterday

Job description


Telehealth RN Case Manager - Archimedes
Location
US-
ID
2026-6049
Category
Archimedes
Position Type
Full-Time
Remote
Yes
Company
Archimedes
About Us
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $0.00 - USD $0.00 /Yr.
STAR Bonus % (At Risk Maximum)
0.00 - Ineligible
Work Schedule Description (e.g. M-F 8am to 5pm)
Monday - Friday 8 - 4:30pm
Remote Work Notification
ATTENTION: Archimedes is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
Overview

The RN Case Manager, Telehealth (RN) will focus on improving members' health and wellness via tele-pharmacy. In addition, the RN will assist in the development and execution of additional clinical outreach program(s) to exceed client expectations.
Additional responsibilities will be the provision of telehealth coaching to members in a variety of new program offerings aimed at improving adherence and driving to the lowest net cost formulary options. Remote engagement with members and prescribers will be frequent. The RN will also support department leadership with development of appropriate clinical resources, recommendations regarding targeted medication review selections, and policies and procedures. Other support provided will include clinical oversight of pharmacy technicians, pharmacy interns, and products including reporting and audit support.

This role could be located out of our St Louis MO or Brentwood TN offices. We will consider remote associates as well.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

    Develop appropriate clinical algorithms, pathways and call scripts to support pharmacy staff in delivering services.
  • Review and update all algorithms and call scripts at least yearly and with updated clinical guidelines.
  • Develop documentation standards for all clinical outreach.
  • Collaborate with department staff to develop and maintain a high quality and consistent product.
  • Facilitate communication and education to clients, providers, and internal staff regarding programs and program outcomes.
  • Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination.
  • Stay current with new guidelines, literature, recommendations, and medications, and integrate that information into clinical programs and outreach efforts to ensure services remain up to date.
  • Maintain open lines of communication with other functional areas and departments.
  • Develop a full understanding of clients' member experience and how engagement efforts contribute to improved health and wellness.
  • Adhere to compliance and HIPAA regulations.
  • Participate in, adhere to, and support compliance, people and culture, and learning programs.
  • Perform other duties as assigned.

Qualifications

What our team expects from you?

  • Education: Associate's degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred.
  • Certification/Licenses: Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing is required.
  • Experience:
    • 2+ years clinical experience including direct consultation experience.
    • Experience in a clinical call center is preferred.
    • Experience as a member of a multi-disciplinary team is preferred.
    • Professional PBM industry work experience is preferred.
    • Knowledge of applicable data privacy practices and laws is preferred.
    • Knowledge of healthcare industry practices and HIPAA regulations.

What can you expect from Archimedes?

  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance

Location : Address
Remote
Location : Country
US

Apply