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Remote Rn Field Case Manager Jobs in Madison, WI

Pharmacy Careers

Appeals Pharmacist (Remote)

Madison, WI · On-site +1

$57.75 - $70.25/hr

Collaborate with physicians, nurses, and medical directors during case reviews. * Track, document ... Prior managed care or utilization management experience preferred - retail and hospital pharmacists ...

DataAnnotation

RN - AI Trainer

Madison, WI · Remote

$50 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

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All JobsRemote Rn Field Case Manager JobsRemote Rn Field Case Manager Jobs in Madison, WI

Remote Rn Field Case Manager information

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$64K

$86.7K

$105.8K

How much do remote rn field case manager jobs pay per year?

As of Jun 22, 2026, the average yearly pay for remote rn field case manager in Madison, WI is $86,683.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,100.00 and $95,700.00 per year, depending on experience, location, and employer.

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

AspectRemote Rn Field Case ManagerRemote Rn Utilization Review Nurse
CertificationsRN license, case management certification often preferredRN license, certification in utilization review or case management beneficial
Work EnvironmentField-based, visiting patients and providers remotelyOffice-based, reviewing cases and medical records remotely
Employer & Industry UsageInsurance companies, workers' comp, healthcare providersInsurance companies, managed care organizations, healthcare payers
Common Search & ComparisonRemote Rn Field Case Manager vs Remote Rn Utilization Review Nurse

The Remote Rn Field Case Manager primarily conducts patient visits and manages cases in the field, while the Remote Rn Utilization Review Nurse focuses on reviewing medical necessity and appropriateness of care remotely. Both roles require RN licensure and related certifications, but differ in work environment and daily responsibilities.

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

Appeals Pharmacist (Remote)

Pharmacy Careers

Madison, WI • On-site, Remote

$57.75 - $70.25/hr

Other

Posted 29 days ago

Job description

Appeals Pharmacist - Ensure Fair Medication Access for Patients
A confidential managed care organization is seeking an experienced Appeals Pharmacist to review, evaluate, and process medication coverage appeals. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure fair, evidence-based decisions.
Key Responsibilities

  • Review clinical documentation for medication coverage appeals and grievances.
  • Apply evidence-based guidelines, plan policies, and regulatory requirements to determine outcomes.
  • Prepare written clinical rationales to support appeal determinations.
  • Collaborate with physicians, nurses, and medical directors during case reviews.
  • Track, document, and report appeal outcomes in compliance with state and federal regulations.
  • Support process improvements to enhance timeliness and quality of appeal decisions.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior managed care or utilization management experience preferred - retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply.
  • Skills: Excellent clinical judgment, written communication, and attention to regulatory detail.


Why This Role?

  • Impact: Play a critical role in ensuring patients get fair access to necessary medications.
  • Growth: Gain expertise in appeals, utilization management, and managed care pharmacy.
  • Flexibility: Many roles offer hybrid or fully remote options.
  • Rewards: Competitive salary, comprehensive benefits, and opportunities for advancement.


About Us
We are a confidential healthcare partner working with health plans and managed care organizations nationwide. Our appeals pharmacists safeguard patient access while ensuring compliance with all regulatory standards.
Apply Today
Join our team as an Appeals Pharmacist and help ensure every patient receives a fair review of their medication needs.

Apply