ZipRecruiter

Log In

2

Remote Rn Insurance Jobs in Wauwatosa, WI (NOW HIRING)

MDS Solutions

REMOTE MDS Coordinator

Milwaukee, WI · On-site +1

$33.75 - $43/hr

Comprehensive health and life insurance. * 401K with discretionary match * Mileage and licensure ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

MDS Solutions

REMOTE MDS Coordinator

Milwaukee, WI · Remote

$33.75 - $43/hr

Comprehensive health and life insurance. * 401K with discretionary match * Mileage and licensure ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

MDS Solutions

REMOTE MDS Coordinator

Milwaukee, WI · Remote

$33.75 - $43/hr

Comprehensive health and life insurance. * 401K with discretionary match * Mileage and licensure ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

Humana

FCP RN Care Manager

Milwaukee, WI · On-site +1

... insurance with at least 100/300/100 limits. Mileage reimbursement is provided for work-related ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

New

Humana

FCP RN Care Manager

Milwaukee, WI · On-site +1

... insurance with at least 100/300/100 limits. Mileage reimbursement is provided for work-related ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

New

Humana

FCP RN Care Manager

Milwaukee, WI · On-site +1

... insurance with at least 100/300/100 limits. Mileage reimbursement is provided for work-related ... Travel: While this is a remote position, occasional travel to Humana's offices for training or ...

New

next page

Showing results 1-20

All JobsRn Insurance JobsRemote Rn Insurance JobsRemote Rn Insurance Jobs in Wauwatosa, WI

Remote Rn Insurance information

See Wauwatosa, WI salary details

$7

$41

$70

How much do remote rn insurance jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for remote rn insurance in Wauwatosa, WI is $41.06, according to ZipRecruiter salary data. Most workers in this role earn between $30.62 and $48.61 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote RN Insurance Nurse, and why are they important?

To thrive as a Remote RN Insurance Nurse, you need an active RN license, a strong grasp of clinical practice, and experience in case management or utilization review. Familiarity with claims processing systems, telehealth platforms, and knowledge of medical coding (ICD-10, CPT) are typically required, along with certifications like CCM or URAC being advantageous. Exceptional communication, critical thinking, and time management skills help you collaborate with patients, providers, and insurance teams effectively. These competencies ensure accurate assessments, efficient case handling, and high-quality service in a remote, compliance-driven environment.

What is the difference between Remote Rn Insurance vs Remote Rn Case Manager?

AspectRemote Rn InsuranceRemote Rn Case Manager
CertificationsRN license, insurance knowledgeRN license, case management certification
Work EnvironmentInsurance companies, telehealthHealthcare facilities, telehealth
Employer & IndustryInsurance providers, telehealth companiesHospitals, insurance companies, healthcare agencies

Remote Rn Insurance focuses on assessing insurance claims and policy coverage, while Remote Rn Case Managers coordinate patient care plans. Both roles require RN licensure and involve telehealth work, but their primary responsibilities and employer settings differ.

What is a Remote RN Insurance nurse?

A Remote RN Insurance nurse is a registered nurse who works with insurance companies to review medical claims, assess patient care needs, and help determine the medical necessity of treatments—often from a home office. Their responsibilities may include case management, utilization review, and providing telephonic support to patients or healthcare providers. This role requires strong clinical experience, excellent communication skills, and the ability to analyze medical records and insurance policies. Working remotely, these nurses help ensure patients receive appropriate care while also managing healthcare costs for insurance providers.

What are some common challenges faced by Remote RN Insurance professionals, and how can they be managed effectively?

Remote RN Insurance professionals often encounter challenges such as managing a high volume of case reviews, maintaining clear communication with both patients and insurance teams, and staying updated with changing insurance policies and regulations. To manage these challenges, it’s important to develop strong organizational skills, utilize effective digital communication tools, and participate in ongoing training. Engaging with a supportive team and seeking mentorship within the organization can also help in adapting to the remote environment and ensuring quality outcomes.
What are popular job titles related to Remote Rn Insurance jobs in Wauwatosa, WI? For Remote Rn Insurance jobs in Wauwatosa, WI, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Wauwatosa, WI look for? The top searched job categories for Remote Rn Insurance jobs in Wauwatosa, WI are:
What cities near Wauwatosa, WI are hiring for Remote Rn Insurance jobs? Cities near Wauwatosa, WI with the most Remote Rn Insurance job openings:
Remote Rn Insurance jobs near you
Infographic showing various Remote Rn Insurance job openings in Wauwatosa, WI as of July 2026, with employment types broken down into 1% As Needed, 69% Full Time, 26% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $85,395 per year, or $41.1 per hour.
Registered Nurse (RN) - Virtual - PRN

Registered Nurse (RN) - Virtual - PRN

Rogers Behavioral Health

Oconomowoc, WI • On-site, Remote

Part-time

Posted 5 days ago

New

Rogers Behavioral Health rating

6.0

Company rating: 6.0 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

746th of 886 rated healthcare providers

Job description

Schedule:
PRN - as needed coverage
No set hours or consistent days
The Registered Nurse (RN, RN II, RN III) - Virtual is part of the organization's Telehealth division and virtually performs professional nursing activities in the care of patients so they may achieve or regain, and then maintain, maximum physical, emotional or social functions. Role functions are governed by the Nurse Practice Act, the Administrative Code (in the state of employment), as well as the professional standards for nursing practice, and the corresponding policies and procedures of Rogers Memorial Hospital (Rogers). The registered nurse seeks consultation with other members of the health team as the patient's condition and treatment goals warrant. He/She, in conjunction with the Patient Accounts department, provides patient information to ensure compliance with federal and state statutes.
This position is fully remote, however the selected candidate must reside in a state that Rogers currently operates in (WI, MN, IL, PA, TN, FL, GA, CO, CA, WA, CO) and must hold licensure in Wisconsin and able to obtain in MN and IL.
Job Duties & Responsibilities:
Virtual Rapport Building: Utilize video conferencing to establish and maintain a therapeutic relationship, using active listening and visual cues to compensate for the lack of physical presence.
Remote Crisis Intervention: Guide patients through virtual de-escalation techniques and provide support during crises, coordinating with local emergency services as needed.
Home Environment Assessment: Coach patients on how to create a safe and private space for their virtual sessions.
Technology Troubleshooting: Assist patients with basic technical issues related to their virtual sessions (e.g., poor audio/video quality, connection problems).
Peripheral Device Management: Guide patients on the use of remote monitoring devices like blood pressure cuffs or pulse oximeters.
Complete initial assessments and documents virtually as required.
  • Collect, record and analyze, within prescribed timeframe, pertinent data for admission assessment according to Hospital policy, including:
    • Patient strengths and limitations that can be addressed in reaching health goals;
    • Cultural, spiritual, and ethnic factors that may impact on patient's course of treatment;
    • Patient needs that are to be addressed at discharge;
    • Medical/physical status;
    • History of medication compliance, reactions and current schedule; and
    • Age-specific data regarding the patient's individual needs.
  • Involve patients' support systems (family, friends) in assessment and documentation.
    • Observe and document the patient's interaction with family and friends as it is pertinent to the patient's treatment.
    • Obtain assessment data from support systems, when appropriate, regarding the patient's history and individual needs.
  • Act as an advocate for patients.
    • Explain patient's rights so they can understand and obtain appropriate signatures.
    • Provide the patient with information and obtain their signature on the necessary consents.
    • Act as a patient advocate, use knowledge of patient rights and responsibilities, and protect patient's privacy and confidentiality.
  • Assist in patient orientation process.

Initiate and update treatment plan and documentation as required.
  • Participate in planning and modifying the patient's plan of care.
    • Evaluate data obtained by others by reviewing patient's treatment plan and multi-disciplinary assessment for assigned patients.
    • Participate in care conferences (staffing's, supervision) and represent the nursing care component of the treatment plan to others at the staffing.
    • Develop and interpret plan of care with the patient/family, updating it as indicated.
    • Write clear, concise and obtainable treatment goals on the treatment plan for each problem.
    • Review the treatment plan as goals are achieved, changed or updated.
  • On an ongoing basis, identify, interpret and document information collected in nursing interview, observation, physical assessment and diagnostic data, and confer with other health care professionals, as appropriate.
    • Review current lab data and follow-up with doctor.
    • Identify potential for self-abuse, suicidality and/or assaultive behavior.
    • Develop age-appropriate interventions for the patient's plan of care.
    • Assess changes in patient status and document interventions accordingly.

Implement patient care.
  • Demonstrate safe and correct medication administration by:
    • Maintaining current knowledge of the medication's purpose and effects for each patient, as demonstrated by correct documentation of medication, as well as observations about responses to medication.
    • Accurately transcribing and implementing physician medication orders.
    • Maintaining a continual awareness of monitoring the expected and unexpected medication efforts including adverse drug reactions, drug/drug or drug/food interactions, or other unexpected consequences of the medication.
    • Regularly conducting and documenting patient education about medications.
    • Maintaining current knowledge about new pharmacologic products, including new medications or medications with new uses/therapeutic action.
  • Identify potential patient care problems, abrupt changes or impending instability in the patient's condition, and exercise leadership to intervene appropriately and prevent adverse patient outcomes.
    • Use appropriate de-escalation techniques.
    • Re-evaluate safety level.
    • Identify alcohol withdrawal syndrome.
    • Identify extra pyramidal side-effects/neuroleptic malignant syndrome signs.
    • Identify significant cardiac and/or respiratory symptoms requiring immediate medical intervention.
  • Identify health education needs of the patient/family that will be addressed before discharge.
    • Implement age-appropriate teaching interventions to meet these educational needs.
    • Document in the patient record and treatment plan.
  • Organize patient care activities and interventions according to patient priorities and preferences, and time constraints.
  • Implement patient care based on established care plans, Hospital policies and procedures, and incorporating the patient's age-specific and cultural needs, as appropriate.

As requested, and contingent on qualified medical professional (QMP) designation, assure that all admissions, transfers, and other related patient care activities are delivered in accordance with associated regulatory requirements.
Adhere to the Nursing department and Hospital's standards of nursing practice and standards of patient care.
  • Participate in continuing education and inservice programs to increase clinical competence and to meet professional needs and goals.
  • Attend 100% of required inservices, as scheduled.

Participate in the Performance Improvement program on an ongoing basis.
  • Assist in the development and implementation of standards of care, such as:
    • safety level of patient.
    • standard care plans.
  • Identify problems with systems, communication patterns, and resources that impact on patient care and suggest possible solutions to Clinical Services manager.

Carry out leadership function in patient care, staff operations, and department organization.
  • Contribute to Nursing functions through active participation on committees and attendance at designated meetings.
  • Take initiative in evaluating and upgrading standards of care.
    • facilitate the admission process;
    • communicate pertinent information regarding status and projected needs;
    • Use sound clinical judgment and decision-making skills;
    • plan patient care assignments that facilitate continuity of care within the guidelines and are based on patient needs, and nursing staff qualifications.
  • Serve as a role model for peers and others in effective use of communication, teaching and leadership skills.
  • Provide complete acuity monitors to the Patient Accounts department, to assist in accurate billing.
  • Maintain a primary caseload, according to standards, and provide direction for patient care.

Participate in projects, tasks and continuing education opportunities to improve professional skills and department systems.
  • Develop goals and objectives for professional growth and discuss ways to achieve them with Clinical Services manager.
  • Take initiative to develop professional skills through continuing education.
  • Discuss, on a regular basis, progress toward work improvement goals with Clinical Services manager.
  • Seek out projects and/or extra tasks to complete, based upon the needs of the patients and department.

Promote department goals and the mission of the Hospital.
  • Communicate goals to fellow staff members.
  • Demonstrate measurable goal achievement.
  • Maintain department policies and procedures.
  • Include requirements and guidelines from external agencies (i.e., Joint Commission, state).
  • Maintain and/or communicate to appropriate party function backlog at a set time.
  • Educate new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed.
  • Demonstrate acceptance and training of student interns in the department, as directed.

Demonstrate understanding of Joint Commission and other regulatory agency compliance regulations.
  • Involve self in the learning and application of standards relevant to Nursing.
  • Participate in in-services/seminars and other meetings to increase involvement and awareness of regulations.
  • Involve self in the education of other disciplines regarding Nursing department regulations.

Participate in Hospital committees, performance improvement team meetings and team projects, as directed.
  • Demonstrate punctuality and preparedness.
  • Demonstrate effective communication and organizational skills.
  • Contribute in a positive, solution-focused manner.

Participate in the Performance Improvement program.
  • Gain understanding of the performance improvement process.
  • Apply the PI model to your department's activities.
  • Participate and/or create PI teams that lead to improvement in other Hospital areas.
  • Educate and involve self in the Hospital and Nursing department's performance improvement plans.

Conduct self in a professional manner.
  • Demonstrate organizational skills that promote timely response to all inquiries and to task completion.
  • Communicate with all individuals in a positive and professional manner.
  • Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solution.
  • Communicate concerns and provide solutions for same.
  • Attend seminars to promote professional growth.
  • Demonstrate a positive and professional attitude toward parties (patient families, visitors, vendors, etc.).
  • Comply with the Hospital's policies and procedures, including Human Resources, Infection Control, and Employee Health policies and programs.
  • Use courteous, cooperative, and respectful behavior when working with patients, families, physicians, visitors, and Hospital employees.
  • Demonstrate a working knowledge of Hospital/department policies and procedures.
  • Demonstrate consistent acceptance of professional accountability for own practice shown by follow-through on patient and organizational concerns.
  • Support changes in staffing/scheduling when patient care needs require.
    • Accept reassignment in a positive manner.
    • Demonstrate willingness to adjust work schedule, when able, to meet patient's needs.
  • Recognize need for support, seek appropriate assistance when needed, and offer assistance to peers.
  • Project a professional image by wearing appropriate, professional attire.

Additional Job Description:
Education/Training Requirements:
  • Bachelor's degree in nursing (BSN) preferred.
  • Registered nurse licenses in multiple states issued by State Board of Nursing. Licenses must be in good standing with the State Board of Nursing in the states licensed in. Licensure across multiple states must be maintained and will be based on business needs.
  • American Health Association Healthcare Provider CPR certification or is required within thirty (30) days of date-of-hire. Bi-annual re-certification is required.
  • Telehealth Compliance: Ensure all virtual care delivery adheres to state and federal telehealth regulations, including patient privacy laws (e.g., HIPAA).
  • Digital Health Literacy: Educate patients and their families on how to navigate the virtual care platform and access digital health resources.
  • Formal training in management of the aggressive patient is required within sixty (60) days of date-of-hire. Annual re-certification is required.
  • Previous psychiatric experience with children, adolescents and adults is preferred.
  • Employees at the Child/Adolescent Day Treatment programs licensed under HFS §40 are required to have either training in psychiatric nursing, including training in work with children with mental health disorders, or one (1) year of experience working in a clinical setting with these children.

Registered Nurse Board Certified - Cert, Re

What Rogers Behavioral Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply