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Remote Methodist Hospital Rn Jobs in Wisconsin (NOW HIRING)

WPS

Medical Review Nurse Analyst

Madison, WI · On-site +1

$70K - $85K/yr

Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical ... Work Location We are open to remote work in the following approved states: Colorado, Florida ...

State of Wisconsin

Licensed Practical Nurse

Green Bay, WI · On-site +1

$37.83/hr

The LPN is responsible for performing duties assigned by the registered nurse including assisting ... This position is not eligible for remote work. Shifts: (0.75 FTE) Dodge Correctional Institution ...

ThedaCare

Home Health Case Manager (Remote)

Appleton, WI · On-site +1

The Home Health Case Manager (Remote) plays a crucial role in collaborating with health care team ... Licensure - Current Wisconsin RN license * Certifications - American Heart Association Healthcare ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

Harris

$10/hr

Remote Join our mission to help transform healthcare delivery from reactive, episodic care to ... Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no ...

WPS

Medical Review Nurse Analyst

Madison, WI · On-site +1

$68K - $70K/yr

We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois ... Active RN license, applicable to state of practice in good standing. * 1 or more years of clinical ...

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Remote Methodist Hospital Rn information

What is a Remote Methodist Hospital RN job?

A Remote Methodist Hospital RN job typically involves providing virtual nursing care, patient education, and coordination from a remote location. Nurses in this role may assist with telehealth consultations, monitor patient conditions, and support care teams using digital tools. They must have strong communication skills and clinical expertise to ensure high-quality patient care.

What are some common challenges faced by Remote Methodist Hospital RNs, and how are they addressed?

Remote Methodist Hospital RNs often encounter challenges such as limited in-person interaction with patients and care teams, which can impact communication and care coordination. To overcome this, nurses leverage secure telehealth platforms, frequent virtual check-ins, and detailed electronic documentation to ensure continuity of care. They work closely with other remote or on-site healthcare professionals via video calls, messaging, and scheduled case conferences. Organizations typically provide robust IT support and standardized protocols to assist remote nurses in addressing patient needs efficiently and maintaining high standards of care.

What are the key skills and qualifications needed to thrive in the Remote Methodist Hospital Rn position, and why are they important?

To thrive as a Remote Methodist Hospital RN, you need a current RN license, comprehensive clinical nursing knowledge, and experience with acute or post-acute care. Familiarity with secure electronic health record (EHR) platforms, telehealth communication tools, and remote patient monitoring systems is typically required. Strong organizational skills, independent problem-solving abilities, and excellent communication help set you apart in this remote environment. These skills are crucial for delivering high-quality patient care and collaborating effectively with the care team while working off-site.

What are popular job titles related to Remote Methodist Hospital Rn jobs in Wisconsin? For Remote Methodist Hospital Rn jobs in Wisconsin, the most frequently searched job titles are:
What job categories do people searching Remote Methodist Hospital Rn jobs in Wisconsin look for? The top searched job categories for Remote Methodist Hospital Rn jobs in Wisconsin are:
What cities in Wisconsin are hiring for Remote Methodist Hospital Rn jobs? Cities in Wisconsin with the most Remote Methodist Hospital Rn job openings:
Remote Methodist Hospital Rn jobs near you
Medical Review Nurse Analyst

Medical Review Nurse Analyst

WPS

Madison, WI • On-site, Remote

$70K - $85K/yr

Full-time

Medical, Dental, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description

U.S. Citizenship is required for this position due to Department of Defense restrictions.
Our Medical Review Nurse Analyst - Registered Nurse (RN) is responsible for reviewing medical records to determine whether services are payable based on TRICARE policy, reference materials, and evidence-based research. This analyst evaluates clinical documentation across a variety of workloads, including but not limited to authorizations, appeals, and medical review claims. This Medical Review Nurse Analyst collaborates closely with internal teams, providers, and external partners to ensure accurate, timely, and compliant review outcomes.Salary Range $70,000 ~ $85,000The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.
Work LocationWe 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 reviewing authorization requests by evaluating submitted medical records to determine service eligibility and compliance with TRICARE policy and evidence-based guidelines.
  • Have analyzed clinical documentation for disputed appeals, ensuring accurate interpretation of medical information and appropriate application of policy and criteria.
  • Like to review supporting medical documentation for medical review claims, verifying clinical necessity, completeness, and adherence to regulatory requirements.
  • Can gather, assess, and summarize clinical information needed to support second-level appeal reviews, collaborating with internal stakeholders as required.
  • Enjoy reviewing escalated or high-risk cases requiring specialized clinical knowledge or interpretation.

Minimum Qualifications
  • U.S. Citizenship is required for this position due to Department of Defense restrictions.
  • Bachelor's Degree in Nursing (BSN) or equivalent combination of education and experience.
  • Active Registered Nurse (RN) license in state of practice or a compact nursing license.
  • 3 or more years of experience in healthcare, health policy, clinical research, or a related field.
  • Proven experience conducting research, analyzing information, and summarizing findings.
  • Strong critical thinking, ability to work independently applying sound nursing judgement, creative problem solving, and clinical decision-making skills this includes:
    • Strong organizational skills with the ability to meet deadlines, manage competing priorities, and maintain quality standards.
    • Strong written and verbal communication skills with the ability to communicate complex medical information clearly and concisely.
    • Proficiency in Microsoft Office tools (outlook, Word, Excel, One-Note) and shared document environments.

Preferred Qualifications
  • Working knowledge of medical coding (e.g., ICD-10, CPT, HCPCS); Certification in medical coding.
  • Experience navigating in a multilingual setting.

Remote Work Requirements
  • Wired (ethernet cable) internet connection from your router to your computer.
  • High speed cable or fiber
  • 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 options 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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LinkedInFacebookWPS Health BlogThis position supports services under U.S. Department of Defense (DoD) Defense Health Agency (DHA) contract(s). As such, the role is subject to all applicable federal regulations, DoD contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. DoD contractors and their personnel are subject to screening and background investigation 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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