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

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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 19, 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.

Home Health Director of Nursing

BrightStar Care of Greater Waukesha

Pewaukee, WI • Remote

$89K - $107K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 17 days ago

Job description

Join and lead our BrightStar Care Clinical Team as the Director of Nursing!

At BrightStar Care of Greater Waukesha & Lake Country, we believe that exceptional care starts with exceptional leadership. As our Director of Nursing (DON), you will set the clinical vision and lead a dedicated team of nurses and caregivers committed to delivering a higher standard of care to clients across Waukesha County. You'll oversee every aspect of clinical operations, from quality assurance and compliance to client outcomes and staff development, ensuring our agency continues to uphold its reputation for excellence, integrity, and compassionate service.

Director of Nursing Responsibilities

Clinical Oversight

  • Provides care and leadership as defined within the State of Wisconsin Nurse Practice Act.
  • Conducts and oversees initial assessments, reassessments, and supervisory visits for skilled and non-skilled clients.
  • Prepares and reviews Plans of Care (POCs), clinical notes, and documentation for completeness, accuracy, and compliance.
  • Ensures all assessments and POCs are completed and signed by RNs within required timeframes (e.g., 60-day certification cycle).
  • Supervises, educates, and mentors clinical and caregiving staff, ensuring adherence to BrightStar Care's standards and policies.
  • Conducts competency validations and annual performance evaluations for all clinical team members.

Regulatory & Quality Compliance

  • Maintains Joint Commission accreditation and continuous readiness by conducting audits, ESC submissions, and performance improvement tracking.
  • Leads Quality Assurance and Performance Improvement (QAPI) activities and quarterly quality meetings.
  • Tracks infection control, client satisfaction, and safety outcomes to identify trends and implement improvement plans.
  • Ensures compliance with HIPAA, OSHA, and state/federal healthcare regulations.
  • Collaborates with ownership and operations leadership to ensure the agency remains in "good standing" with all accrediting bodies.

Clinical Data Management & Reporting

  • Regularly reviews Clinical Reports (RN Compliance, Supervisory Visits, Incident Tracking, Task Not Completed, etc.) to monitor quality and regulatory adherence.
  • Reviews incident reports and develops corrective actions and trend analyses for leadership.
  • Maintains organized and accurate clinical records for all clients, ensuring audit readiness.

Skilled and Non-Skilled Care Management

  • Oversees both skilled and non-skilled home care processes from intake to discharge.
  • Verifies practitioner authorization, payer network status, and pre-authorization prior to case acceptance.
  • Ensures timely scheduling of skilled visits (typically within 24–48 hours) and reassessments for ongoing care needs.
  • Monitors supervisory visit frequency: every 60 days for skilled, 90 days for personal care, and 6 months for companion care.

Team Leadership & Collaboration

  • Leads daily and weekly clinical meetings, including participation in office L10 and management meetings.
  • Works closely with the Branch Manager, HR Manager, and Owner on staffing, recruiting, and performance reviews.
  • Attends monthly Franchise Support Center Clinical calls and national Clinical Bootcamp.
  • Supports field staff and care coordinators with clinical guidance, escalation management, and client satisfaction follow-up.

Director of Nursing Requirements

  • Current, unincumbered Registered Nurse (RN) license in the State of Wisconsin (Required)
  • Bachelor's degree in Nursing (BSN) preferred; must have graduated from an accredited program
  • 3 – 5 years of clinical experience, including at least one (1) year in a home health agency or healthcare facility setting
  • Current CPR certification and negative TB test or chest X-ray
  • Valid driver's license and reliable transportation with active auto insurance
  • Experience with Joint Commission compliance and QAPI programs strongly preferred
  • Demonstrated ability to supervise and develop staff and maintain compliance with clinical and regulatory standards
  • Exceptional assessment, organizational, and communication skills
  • Possess exceptional nursing assessment skills
  • Excellent customer service skills and ability to deal tactfully with clients, staff, and community
  • Proven ability to build quality and implement improvements within the operation

Candidate must have demonstrated alignment and experience in successfully living the BrightStar Care Core Values:

  • Be Open and Honest: Approachable, Fun, Unflappable, Kind, Empathetic
  • Serve with Passion: Help First, Confident Yet Humble, For the Greater Good, Make a Real Difference
  • Do the Right Thing: Honest, Ethical, Tell the Truth
  • Do What You Say: On Time, Finish What You Start, Accountable, Take Responsibility
  • Make it Great: Continuous Improvement, Exceed Expectations, Bring Out the Best in Others, Detail Oriented

Equal Opportunity Employer

BrightStar Care is proud to be an Equal Opportunity Employer. All qualified applicants will receive considerations for employment without regard to race, color, religion, sex, age, disability, marital status, familial status, sexual orientation, pregnancy, genetic information, gender identity, gender expression, national origin, ancestry, citizenship status, veteran status, or any other legally protected status under federal, state, or local anti-discrimination laws. BrightStar Care participates in E-Verify.

Accommodation

Applicants requiring accommodations during the application or interview process may email waukesha.recruiting@brightstarcare.com.

Job Type: Full-time

Pay Range:

  • Annual salary range of $89,000 to $107,000 per year

Benefits

  • Weekly pay with direct deposit
  • Daily pay options
  • Medical, Dental, Vision, and Life Insurance
  • 401(k) with 4% Employer Match (Traditional or Roth)
  • Paid Time Off (PTO) & Paid Holidays
  • Formal BrightStar Clinical Training Program
  • Ongoing Professional Development
  • Supportive mission-driven leadership

Experience:

  • Five (5) years of clinical experience (Preferred)
  • Two (2) years of experience in a home health agency (Preferred)

License/Certification:

  • Unincumbered Registered Nurse - RN License (Required)
  • Driver's License (Required)
  • CPR Certification (Required)

Ability to Commute:

  • In office at Pewaukee, WI 53072 (Required)
  • On the road covering Waukesha County, Wisconsin (Required)

Work Location: In person


I understand that as part of the hiring process, the company may require pre-employment screening, including a background check and drug screening, in accordance with federal, state, and local laws. These screenings may involve the collection and review of information related to my criminal history, identity, prior employment, education, and other relevant records, as well as analysis of a drug test sample.