Remote with travel throughout assigned service area Reports To: Care Coordination Supervisor ... The Case Manager RN plays a vital role in coordinating care for patients across the healthcare ...
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Remote with travel throughout assigned service area Reports To: Care Coordination Supervisor ... The Case Manager RN plays a vital role in coordinating care for patients across the healthcare ...
Remote Rn Auditor information
See La Crosse, WI salary details
$19.35 - $21.75
6% of jobs
$21.75 - $24.16
6% of jobs
$24.16 - $26.56
3% of jobs
$28.10 is the 25th percentile. Wages below this are outliers.
$26.56 - $28.96
15% of jobs
$28.96 - $31.36
17% of jobs
The median wage is $31.69 / hr.
$31.36 - $33.77
23% of jobs
$34.63 is the 75th percentile. Wages above this are outliers.
$33.77 - $36.17
15% of jobs
$36.17 - $38.57
8% of jobs
$38.57 - $40.98
0% of jobs
$40.98 - $43.38
0% of jobs
$43.38 - $45.78
7% of jobs
$19
$32
$45
How much do remote rn auditor jobs pay per hour?
As of Aug 22, 2026, the average hourly pay for remote rn auditor in La Crosse, WI is $32.39, according to ZipRecruiter salary data. Most workers in this role earn between $28.32 and $35.38 per hour, depending on experience, location, and employer.
What is a Remote RN Auditor?
A Remote RN Auditor is a registered nurse who reviews medical records, clinical documentation, and billing information to ensure compliance with healthcare regulations and standards—all while working remotely. Their primary focus is to verify accuracy in coding, billing, and adherence to clinical guidelines, often for insurance companies, hospitals, or healthcare organizations. They play a crucial role in identifying errors, preventing fraud, and improving the quality of patient care. This job typically requires an active RN license, strong attention to detail, and experience with healthcare compliance and auditing.
What does a Remote RN Auditor do?
As a remote RN auditor, your job is to review claims and audit financial statements to ensure validity and accuracy. In this role, you may examine documentation from the patient or clinic, evaluate the effectiveness of care, or ensure that claims comply with government regulations. RN auditors often provide advice for cutting costs and contact both healthcare providers and clients to negotiate specific claims or resolve billing issues. Remote RN auditors often work with daily or weekly batches of work as assigned, but in rare cases, you may be asked to prioritize auditing certain material when time is of the essence.
What are the key skills and qualifications needed to thrive as a Remote RN Auditor?
To thrive as a Remote RN Auditor, you need a strong background in nursing, clinical documentation, and auditing practices, typically with an active RN license and experience in medical record review. Familiarity with electronic health record (EHR) systems, coding standards (such as ICD-10 and CPT), and auditing software is essential. Attention to detail, strong analytical thinking, and effective written communication are standout soft skills in this role. These capabilities ensure accurate audits, regulatory compliance, and clear reporting in a remote healthcare environment.
What are some common challenges faced by Remote RN Auditors, and how can they be effectively managed?
Remote RN Auditors often encounter challenges such as navigating complex electronic health record systems, ensuring data accuracy while working independently, and staying updated on frequently changing compliance regulations. To manage these, successful auditors develop strong organizational skills, maintain regular communication with team members, and participate in ongoing training. Proactively seeking clarification on ambiguous cases and leveraging available resources from their organization can also help maintain high-quality audit outcomes and job satisfaction.
What is the difference between Remote Rn Auditor vs Remote Rn Reviewer?
| Aspect | Remote Rn Auditor | Remote Rn Reviewer |
|---|---|---|
| Certifications | RN license, auditing certifications (e.g., CHAP, RAC) | RN license, clinical review certifications |
| Work Environment | Healthcare organizations, insurance companies, auditing firms | Healthcare providers, insurance companies, utilization review |
| Primary Responsibilities | Auditing medical records for compliance, coding accuracy, and billing | Reviewing medical records for appropriateness and medical necessity |
Remote Rn Auditors focus on compliance and coding accuracy through audits, while Remote Rn Reviewers primarily assess medical necessity and appropriateness of care. Both roles require RN licensure and related certifications, often working within healthcare or insurance settings. The key difference lies in their core functions: auditing versus clinical review, though both contribute to quality and compliance in healthcare reimbursement.
How do I become a remote RN auditor?
To become a remote RN auditor, you typically need a valid registered nurse license, relevant experience in healthcare or medical record review, and knowledge of coding and compliance standards such as HIPAA. Many employers also prefer candidates with certifications like Certified Professional Medical Auditor (CPMA) or Certified Coding Specialist (CCS). Strong attention to detail and proficiency with electronic health record systems are essential for success in this role.
More about Remote Rn Auditor jobs
What job categories do people searching Remote Rn Auditor jobs in La Crosse, WI look for?
The top searched job categories for Remote Rn Auditor jobs in La Crosse, WI are:
What cities near La Crosse, WI are hiring for Remote Rn Auditor jobs?
Cities near La Crosse, WI with the most Remote Rn Auditor job openings:
Full-time
Medical, PTO
Re-posted 23 days ago
Job description
Case Manager Registered Nurse (RN)
Registered Nurse (RN) – Case Manager
Hybrid | La Crosse & Onalaska, WI
Local travel between patient locations is required.
Department: Care Coordination
Location: Remote with travel throughout assigned service area
Reports To: Care Coordination Supervisor
Position Summary
Sequoia Integrative Medical Services is seeking a compassionate, organized, and patient-focused Registered Nurse (RN) to join our Care Coordination team. The Case Manager RN plays a vital role in coordinating care for patients across the healthcare continuum, ensuring they receive the resources, education, and support needed to achieve optimal health outcomes.
This position works collaboratively with providers, facilities, patients, families, and community partners to improve continuity of care, reduce hospitalizations, and promote patient independence. The ideal candidate is an experienced nurse with strong critical thinking skills, exceptional communication abilities, and a passion for improving the lives of geriatric and medically complex patients.
Essential Responsibilities
Care Coordination & Case Management
- Conduct comprehensive patient assessments, including medical history, psychosocial needs, functional status, and barriers to care.
- Develop individualized, patient-centered care plans in collaboration with providers, patients, caregivers, and interdisciplinary team members.
- Coordinate services including home health, rehabilitation, specialty referrals, durable medical equipment (DME), hospice, and community resources.
- Facilitate smooth transitions of care following hospitalizations, emergency department visits, skilled nursing stays, or rehabilitation admissions.
- Monitor patients with chronic and complex medical conditions to promote improved health outcomes and prevent avoidable hospitalizations.
Patient Advocacy
- Serve as a patient advocate by identifying and addressing barriers to care, including transportation, financial concerns, medication access, and social determinants of health.
- Connect patients and families with appropriate community resources and support services.
- Assist patients in navigating the healthcare system and coordinating follow-up appointments.
Monitoring & Follow-Up
- Complete timely follow-up calls after hospital discharge and significant healthcare events.
- Monitor patient progress toward established goals and adjust care plans as clinical needs change.
- Collaborate with providers regarding changes in patient condition and recommend appropriate interventions.
Interdisciplinary Collaboration
- Partner with physicians, nurse practitioners, nurses, therapists, social workers, facility staff, and other healthcare professionals to coordinate comprehensive patient care.
- Participate in interdisciplinary case conferences and quality improvement initiatives.
- Communicate effectively with patients, caregivers, healthcare facilities, and community organizations.
Patient & Family Education
- Educate patients and caregivers regarding diagnoses, medications, treatment plans, disease management, and preventive care.
- Encourage self-management strategies that improve quality of life and support long-term health goals.
- Provide education regarding available healthcare and community resources.
Documentation & Compliance
- Maintain accurate, timely, and complete documentation within the Electronic Health Record (EHR).
- Ensure compliance with HIPAA, Medicare regulations, organizational policies, and applicable state and federal requirements.
- Assist with quality initiatives and performance improvement projects.
Professional Development
- Maintain current nursing licensure and required certifications.
- Participate in continuing education and ongoing professional development.
- Stay current with evidence-based practices in case management and care coordination.
Qualifications
Education
- Associate or bachelor's degree in nursing (BSN preferred)
- Current unrestricted Wisconsin Registered Nurse (RN) license
- Case Management Certification (CCM, ACM, or equivalent) preferred but not required
Experience
- Minimum one year of Registered Nurse experience required
- Previous experience in case management, care coordination, discharge planning, home health, hospice, primary care, geriatrics, or chronic disease management preferred
- Experience utilizing Electronic Health Record (EHR) systems
- Knowledge of Medicare, managed care, and community resources preferred
Knowledge, Skills & Abilities
- Strong clinical assessment and critical thinking skills
- Excellent organizational and time management abilities
- Ability to prioritize multiple patients and changing clinical needs
- Exceptional communication and interpersonal skills
- Ability to work independently while collaborating effectively within a multidisciplinary team
- Strong patient education and motivational interviewing skills
- Proficiency with Microsoft Office and Electronic Health Records
- Commitment to compassionate, patient-centered care
Working Conditions
- Remote position with routine travel throughout assigned service area
- Regular travel to hospitals, skilled nursing facilities, assisted living communities, and patient care locations
- Valid driver's license, reliable transportation, and proof of automobile insurance required
- Occasional lifting of up to 25 pounds
- Ability to sit, stand, walk, and travel throughout the workday
Benefits
Sequoia Integrative Medical Services offers a competitive compensation and benefits package, which may include:
- Competitive salary
- Paid Time Off (PTO)
- Health Insurance Stipend
- Mileage reimbursement
- Continuing education opportunities
- Supportive and collaborative team environment
- Opportunities for professional growth and advancement
Key Performance Indicators (KPIs)
Success in this role will be measured by:
- Reduction in avoidable emergency department visits and hospital readmissions
- Timely completion of patient assessments and follow-up activities
- Achievement of patient care plan goals
- Patient and family satisfaction
- Quality and accuracy of clinical documentation
- Compliance with organizational, state, and federal standards
- Effective collaboration with providers, facilities, and interdisciplinary teams