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Remote Rn Utilization Review Nurse Jobs in Madison, WI

NCLEX-RN Tutor

Madison, WI · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

As an RN Complex Care Specialist , you will lead the management and coordination of care for ... Proficiency using Epic systems and remote monitoring programs. * Cultural competence and ...

Home Based Hospital Care-In Home RN

Madison, WI · On-site +1

$40.30 - $60.45/hr

... remote patient monitoring, video visits, and mobile diagnostic services to support safe, high ... Licensed as a Registered Nurse (RN) in the State of WI or holds a license issued by a jurisdiction ...

Work with RN(s) on local coverage determinations - reviewing new procedures that may involve new ... Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your ...

Work with RN(s) on local coverage determinations - reviewing new procedures that may involve new ... Remote Work Requirements * Wired (ethernet cable) internet connection from your router to your ...

Telehealth Nurse Practitioner * Location/Type: Wisconsin Remote (No travel) * Pay: $600$720/day ... Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

Home Infusion Nurse - Accredo - Madison, WI

Madison, WI · Remote

$37.25 - $49.25/hr

Home Infusion Registered Nurse - Accredo Specialty Pharmacy Join Accredo Specialty Pharmacy, part of Evernorth Health Services, and bring your nursing expertise to patients where they feel most ...

Care Advocate Nurse

Madison, WI · Remote

$61K - $98K/yr

... ies), reviews medical data in CareMC, validates and secures medical information, assesses and ... This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ...

Location/Type: Wisconsin Remote (No travel) * Pay: $600-$720/day (1099 contractor, based on ... Review medical history, medications, and preventive needs * Document visits using ICD-10 and CPT II ...

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Remote Rn Utilization Review Nurse information

See Madison, WI salary details

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$42

$69

How much do remote rn utilization review nurse jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for remote rn utilization review nurse in Madison, WI is $42.60, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $48.94 per hour, depending on experience, location, and employer.

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

AspectRemote Rn Utilization Review NurseRemote Rn Case Manager
CertificationsRN license, possibly UR or CCM certificationRN license, CCM or other case management certification
Work EnvironmentReviewing medical records, insurance guidelines, and authorizationsCoordinating patient care, discharge planning, and resource management
Employer & Industry UsageHealth insurance companies, third-party administratorsHospitals, health plans, healthcare providers

Remote Rn Utilization Review Nurses primarily evaluate medical necessity for insurance approvals, focusing on documentation and guidelines. In contrast, Remote Rn Case Managers coordinate patient care, discharge planning, and resource allocation. Both roles require RN licensure and related certifications but differ in daily tasks and work focus.

What is a Remote RN Utilization Review Nurse?

A Remote RN Utilization Review Nurse is a registered nurse who evaluates medical records and healthcare services from a remote location to ensure that patients receive appropriate, necessary, and cost-effective care. They review treatment plans, check for compliance with insurance and healthcare guidelines, and often work with healthcare providers, insurance companies, and patients to coordinate care. This role typically involves assessing the medical necessity of procedures, authorizing services, and helping prevent unnecessary treatments or hospitalizations.

What are the key skills and qualifications needed to thrive as a Remote RN Utilization Review Nurse?

To thrive as a Remote RN Utilization Review Nurse, you need an active RN license, strong clinical knowledge, and experience in case management or utilization review. Proficiency with healthcare review software, electronic health records (EHRs), and familiarity with insurance guidelines or regulatory requirements is vital. Excellent communication, critical thinking, and time management skills distinguish top performers in remote settings. These skills enable nurses to make accurate, timely decisions about patient care while ensuring compliance and efficient resource utilization.

What are some common challenges faced by Remote RN Utilization Review Nurses, and how can they be addressed?

Remote RN Utilization Review Nurses often encounter challenges such as managing large caseloads, maintaining effective communication with interdisciplinary teams, and staying updated with ever-changing insurance guidelines. Balancing productivity expectations while ensuring thorough case reviews can be demanding. To address these challenges, nurses can utilize robust organizational tools, participate in ongoing training sessions, and leverage regular virtual meetings to stay connected with colleagues and supervisors, ensuring both efficiency and high-quality patient care.
What are the most commonly searched types of Rn Utilization Review Nurse jobs in Madison, WI? The most popular types of Rn Utilization Review Nurse jobs in Madison, WI are:
What cities near Madison, WI are hiring for Remote Rn Utilization Review Nurse jobs? Cities near Madison, WI with the most Remote Rn Utilization Review Nurse job openings:
Infographic showing various Remote Rn Utilization Review Nurse job openings in Madison, WI as of August 2026, with employment types broken down into 84% Full Time, 5% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $88,617 per year, or $42.6 per hour.

$18 - $40/hr

Part-time

Re-posted 6 days ago


Varsity Tutors rating

5.7

Company rating: 5.7 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

14th of 23 rated private schools and tutoring


Job description

About the Job
The Varsity Tutors Live Learning Platform has thousands of students looking for online NCLEX-RN tutors nationally. As a tutor on the Varsity Tutors Platform, you'll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students' academic success and understanding. All from the comfort of your home.
Why Join Our Platform?
  • Earn incrementally higher pay for each session with the same student, reaching up to $40/hour.
  • Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice.
  • Set your own hours and tutor as much as you'd like.
  • Tutor remotely using our purpose-built Live Learning Platform. No commuting required.
  • Get matched with students best-suited to your teaching style and expertise.
  • Our AI-powered Tutor Copilot enhances your sessions with real-time instructional support, lesson generation, and engagement features, helping you save prep time and focus on impactful teaching.
  • We handle the logistics—you just invoice for your tutoring sessions, and we take care of payments.

What We Look For In a NCLEX-RN Tutor
  • Advanced Test Mastery: Deep knowledge of NCLEX-RN content areas including management of care, safety and infection control, health promotion, psychosocial integrity, pharmacological and parenteral therapies, reduction of risk potential, and physiological adaptation. Ability to explain clinical judgment measurement model, computerized adaptive testing, and Next Generation item types while preparing registered nursing graduates for licensure.
  • Strategic Test-Taking & Problem-Solving: Skilled at teaching the clinical judgment model including recognizing cues, analyzing cues, prioritizing hypotheses, and evaluating outcomes for NCLEX-RN. Guides students through delegation and supervision questions, medication safety scenarios, interpreting diagnostic results, and prioritizing patient care using evidence-based frameworks. Emphasizes developing systematic approaches to case study and select-all-that-apply item formats.
  • Curriculum Awareness & Adaptive Instruction: Familiar with NCLEX-RN test plan and common challenges such as pharmacology dosage calculations, prioritization and delegation questions, and Next Generation NCLEX case study formats. Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse licensure.
  • Effective Teaching Methods: Ability to identify concepts students commonly struggle with, explain material using multiple approaches, and adapt instruction to meet individual learning needs and styles.
  • Strong communication skills and a friendly, engaging teaching style.
  • Ability to adapt to different learning styles and student needs.

Ways To Connect With Students
  • 1-on-1 Online Tutoring - Provide personalized instruction to individual students.
  • Instant Tutoring - Accept on-demand tutoring requests whenever you're available.

About Varsity Tutors And 1-on-1 Online Tutoring
Our mission is to transform the way people learn by leveraging advanced technology, AI, and the latest in learning science to create personalized learning experiences. Through 1-on-1 Online Tutoring, students receive customized instruction that helps them achieve their learning goals. Our platform is designed to match students with the right tutors, fostering better outcomes and a passion for learning.
Please note: Varsity Tutors does not contract in: Alaska, California, Colorado, Delaware, Hawaii, Maine, New Hampshire, North Dakota, Vermont, West Virginia or Puerto Rico.

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