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Remote Rn Case Review Jobs in Appleton, WI (NOW HIRING)

Network Health WI

RN Care Manager

Menasha, WI · On-site +1

The Registered Nurse Care Manager provides case management services that are member-centric and ... Review results from medical or behavioral tests and procedures and updates care plan to reflect ...

Network Health

RN Care Manager

Menasha, WI · Remote

The Registered Nurse Care Manager provides case management services that are member-centric and ... Review results from medical or behavioral tests and procedures and updates care plan to reflect ...

Network Health, Inc

RN Care Manager

Menasha, WI · Remote

The Registered Nurse Care Manager provides case management services that are member-centric and ... Review results from medical or behavioral tests and procedures and updates care plan to reflect ...

ATULO HEALTH INC

PRN Home Infusion RN

Appleton, WI · Remote

Home Infusion RN Per Diem Company: Atulo Health About Atulo Health: Atulo Health is a multi-state provider of home infusion services. We deliver high-quality, patient-centered care using smart ...

DataAnnotation

RN

Green Bay, 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 ...

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 ...

State of Wisconsin

Nurse Clinician 3 - 80%

Oshkosh, WI · On-site +1

$46.11 - $56.10/hr

The rate offered within this range will relate to years of licensure/credentialing as a registered ... Job Details This position is not eligible for remote work and will work on site. This position is ...

Outagamie County

Child Support Specialist

Appleton, WI · On-site +1

$24.21 - $25.69/hr

Application for some remote work to be considered after 6 months in the position, however, this ... Enforces and monitors a case load for compliance of the child support and health insurance orders ...

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$18

$46

$78

How much do remote rn case review jobs pay per hour?

As of Jun 4, 2026, the average hourly pay for remote rn case review in Appleton, WI is $46.38, according to ZipRecruiter salary data. Most workers in this role earn between $34.47 and $56.06 per hour, depending on experience, location, and employer.

What is the difference between Remote Rn Case Review vs Remote Rn Utilization Review?

AspectRemote Rn Case ReviewRemote Rn Utilization Review
CredentialsRegistered Nurse (RN), licensure, case review certificationsRegistered Nurse (RN), licensure, utilization review certifications
Work EnvironmentRemote, healthcare settings, insurance companiesRemote, healthcare settings, insurance companies
Employer & IndustryHospitals, insurance firms, healthcare providersInsurance companies, healthcare management organizations

Remote Rn Case Review and Remote Rn Utilization Review roles both involve remote nursing work within the healthcare and insurance industries. While they share similar credentials and work environments, case review focuses on evaluating individual patient cases, whereas utilization review assesses the necessity and appropriateness of healthcare services. Understanding these distinctions helps job seekers identify the right role based on their skills and career goals.

What are popular job titles related to Remote Rn Case Review jobs in Appleton, WI? For Remote Rn Case Review jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Remote Rn Case Review jobs in Appleton, WI look for? The top searched job categories for Remote Rn Case Review jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Remote Rn Case Review jobs? Cities near Appleton, WI with the most Remote Rn Case Review job openings:
Remote Rn Case Review jobs near you

RN Care Manager

Network Health WI

Menasha, WI • On-site, Remote

Full-time

Posted 28 days ago

Job description

The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager advocates for options and services to meet an individual's and family's comprehensive health needs through communication and coordination of available resources to promote quality, cost-effective outcomes.
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.
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 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:
  • Screen candidates for case management and when appropriate completes assessments, care plans with prioritized goals, interventions, and timeframes for re-assessment using evidence-based clinical guidelines. Evaluate and determine member needs based on clinical or behavioral information such as diagnosis, disease progression, procedures and other related therapies
  • Review results from medical or behavioral tests and procedures and updates care plan to reflect progress towards goals; close cases when expected goals/outcomes are achieved
  • Provide information and outreach regarding case or condition management activities to members, caregivers, providers and their administrative staff
  • Evaluate and process member referrals from physicians to other specialty providers
  • Assess, plan, facilitate and advocate for individuals to identify quality, cost effective interventions services and resources to ensure health needs are met
  • Works with members and families on self-management approaches using coaching techniques such as motivational interviewing
  • Educate the individual, his/her family and caretakers about case and condition management, the individual's health condition(s), medications, provider and community resources and insurance benefits to support quality, cost effective health outcomes.
  • Facilitate the coordination, communication and collaboration of the individual's care among his/her providers including tertiary, non-plan providers and community resources with the goal of controlling costs and improving quality.
  • Schedule visits with the individual and participates in facility-based care conferences as appropriate to ensure quality care, appropriate use of services, and transition planning.
  • Stay abreast of current best practices and new developments
  • Other duties as assigned

Job Requirements:
  • Graduation from accredited school of nursing
  • Bachelor's degree in Nursing preferred
  • RN licensure in the State of Wisconsin
  • Case Management certification preferred
  • Four years of clinical health care experience as a RN required
  • Previous experience in case management, utilization management, insurance, or managed care preferred
  • Experience with Medicare, Medicaid 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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