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Remote Rn Jobs in Verona, WI (NOW HIRING)

Utilization Management RN

Madison, WI ยท On-site +1

$75K - $100K/yr

Work Location We are open to remote work in the following approved states: Colorado, Florida ... Registered Nurse (RN) with current licensure in the state of Wisconsin. * 4 or more years of ...

New

Utilization Management RN

Madison, WI ยท On-site +1

$75K - $100K/yr

Work Location We are open to remote work in the following approved states: Colorado, Florida ... Registered Nurse (RN) with current licensure in the state of Wisconsin. * 4 or more years of ...

New

Home Based Hospital Care-In Home RN

Madison, WI ยท 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 ...

REMOTE MDS Coordinator

Madison, WI ยท On-site +1

$34.50 - $44/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

REMOTE MDS Coordinator

Madison, WI ยท Remote

$34.50 - $44/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

REMOTE MDS Coordinator

Madison, WI ยท Remote

$34.50 - $44/hr

The role of the Remote MDS Coordinator is to work with our contract partners to plan, organize, and ... Nursing Experience in MDS Assessment: 3+ year * RN required * RAC-CT preferred * Thorough ...

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 ...

Home Infusion Nurse - Accredo - Madison, WI

Madison, WI ยท 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 ยท Remote

$61K - $98K/yr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Initiates and receives telephonic ... Current unencumbered RN Licensure in state of residency and practicing state(s) must be maintained ...

RN - AI Trainer

Madison, WI ยท 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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Remote Rn information

What are some common challenges remote RNs face and how can they overcome them?

Remote RNs often encounter challenges such as limited direct patient interaction, reliance on digital communication, and the need to manage their time independently. To overcome these, it's important to develop strong telehealth communication skills, stay organized with digital tools, and maintain regular check-ins with both patients and colleagues. Building a supportive network within the healthcare team and seeking ongoing training in remote care best practices can also help remote RNs stay connected and effective in their roles.

What is the difference between Remote Rn vs Remote Lpn?

AspectRemote RnRemote Lpn
Required CredentialsRegistered Nurse (RN) license, BSN often preferredLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, telehealth platformsLong-term care, home health, telehealth
Employer & Industry UsageHospitals, healthcare providers, telehealth companiesLong-term care facilities, home health agencies

Remote Rns typically hold a registered nurse license and work in hospitals or telehealth settings, providing comprehensive patient care. Remote Lpns, with a practical nurse license, often work in long-term care or home health. While both roles involve remote patient interaction, Rns usually handle more complex cases, whereas Lpns focus on basic patient care tasks.

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

To thrive as a Remote RN, you need a valid RN license, strong clinical judgment, and experience in patient assessment and care coordination. Familiarity with telehealth platforms, electronic health records (EHRs), and secure communication tools is essential. Outstanding communication, self-motivation, and adaptability are crucial soft skills for effective remote patient interaction and teamwork. These capabilities ensure high-quality, patient-centered care while maintaining compliance and efficiency in a virtual healthcare environment.

What is the best remote job for a nurse?

A remote RN typically works as a telehealth nurse, providing patient consultations, care coordination, and health education via phone or video. These roles often require nursing licensure, strong communication skills, and familiarity with electronic health records (EHR) systems. They offer flexible schedules and the ability to work from home while delivering clinical support.

How can I make 2000 a week working from home?

Remote RNs can earn $2,000 or more weekly by working multiple shifts, specializing in high-demand areas, or taking on per diem and overtime assignments. Building a strong skill set, obtaining relevant certifications, and working for agencies that offer higher pay rates can also increase earnings in a remote nursing role.

How to Become a Remote RN

To become a remote nurse, you need the same training, education, and qualifications that non-remote nurses possess, namely nursing licensure in your state. Some virtual RN roles may also require some period of on-site training to learn procedures. Since your duties include performing patient triage via telephone, webcam, or chat apps, you also need strong technical skills and a high-speed internet connection. Fluency in more than one language is a big plus, as is a strong track record of success in self-directed roles. Additionally, a variety of telehealth certifications are available, and these increase your appeal with potential employers.

How to make 300,000 as a nurse online?

Remote registered nurses can increase earnings by specializing in high-demand areas such as case management or telehealth, obtaining advanced certifications, and gaining experience. Building a strong online presence, offering consulting services, or working for multiple agencies can also help reach higher income levels, but earning $300,000 annually typically requires advanced skills, a flexible schedule, and a strategic approach to multiple income streams.

What are Remote RNs?

Remote RNs, or Remote Registered Nurses, are licensed nurses who provide patient care, support, and education from a distance using telehealth technology. They may work for hospitals, clinics, insurance companies, or telemedicine providers and can perform tasks like triage, patient assessments, care coordination, and health coaching via phone or video calls. Remote RNs help expand access to healthcare, especially for patients in rural or underserved areas, while maintaining the high standards of nursing practice.

How to make an extra $2000 a month as a nurse?

Remote RNs can increase their income by taking on additional shifts, working per diem or overtime, or offering telehealth services outside regular hours. Developing specialized skills or certifications in high-demand areas like case management or telehealth can also command higher pay rates. Building a flexible schedule and leveraging multiple platforms can help reach the extra income goal.
What are the most commonly searched types of Rn jobs in Verona, WI? The most popular types of Rn jobs in Verona, WI are:
What are popular job titles related to Remote Rn jobs in Verona, WI? For Remote Rn jobs in Verona, WI, the most frequently searched job titles are:
What job categories do people searching Remote Rn jobs in Verona, WI look for? The top searched job categories for Remote Rn jobs in Verona, WI are:
What cities near Verona, WI are hiring for Remote Rn jobs? Cities near Verona, WI with the most Remote Rn job openings:
Utilization Management RN

Utilization Management RN

WPS

Madison, WI โ€ข On-site, Remote

$75K - $100K/yr

Full-time

Medical, Dental, Retirement, PTO

Posted 4 days ago

New


Job description

Our Utilization Management RN (Registered Nurse) evaluates efficiency, appropriateness, and medical necessity for medical services, and procedures for our Health Plan. This role uses clinical knowledge to provide judgment to review medical services with evidence-based criteria, authorize requested services as appropriate. Our Utilization Management RN will be responsible for referring questionable cases to medical directors to prevent unnecessary procedures, treatments, or prolonged hospital stays.
Salary Range$75,000 ~ $100,000The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.
Work LocationWe are open to remote work in the following approved states:
Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, WisconsinHow do I know this opportunity is right for me? If you:
  • Enjoy working with healthcare professionals to facilitate appropriate and quality services in a cost-effective manner to positively impact medical loss ratio.
  • Can work closely with Medical Directors to facilitate decision-making process for the Health Services department.
  • Have experience reviewing medical and behavioral health prior authorization requests for medical necessity and appropriateness of requested treatment according to medical policies and evidence-based criteria.
  • Have experience working closely with members of Health Services, and key contacts in Sales, Member Services, Claims, Provider Contracting, and Billing & Enrollment.
  • Can document case summaries and refer cases to Medical Director that do not meet internal or external guidelines, policies, or medical criteria.
  • Like to be accountable to monitor and maintain inventory in the Utilization Management queue to meet productivity standards.
  • Enjoy evaluating, analyzing, and reporting trends in utilization changes in all healthcare delivery areas.
  • Can make recommendations and implement changes consistent with Health Services objectives of quality care and reasonable cost.
  • Would enjoy identifying opportunities and provide recommendations to improve department processes.
  • Have Identified legal or liability issues and refer potential ethical or risk management issues to the appropriate department for resolution.
  • Have participated in training new nursing staff on department workflows, policies, and procedures.
  • Can work cross functionally to support other departmental efforts to ensure overall efficiency, quality, productivity, and compliance with all departmental, regulatory and URAC standards.

Minimum Qualifications
  • Registered Nurse (RN) with current licensure in the state of Wisconsin.
  • 4 or more years of experience as a Registered Nurse in varied clinical settings (i.e., hospital, clinic, home care, skilled nursing facility, etc.).
  • 2 or more years of experience in Managed Care (i.e., Prior Authorization, Utilization Review).
  • Demonstrated experience managing and coordinating care effectively for case managed members.
  • Strong knowledge of current medical practices, medical coding, trends and patterns of care.
  • Familiarity with health plan operations, payer/provider relationships, and insurance benefits.
  • Strong diverse experience and expertise that includes:
    • The ability to work independently, manage a case load, and prioritization.
    • Excellent analytical, critical thinking, problem-solving skills and decision-making skills.
    • Excellent communication and interpersonal skills to work with members, providers, and teams
    • Proficiency in Microsoft Office and healthcare software and systems.

Preferred Qualifications
  • Bachelor's degree in nursing (BSN).
  • Health insurance background in Point of Service (POS), Preferred Provider Organization (PPO), or Medicare Supplement) plans.
  • Knowledge of Utilization Review Accreditation Commission (URAC).
  • Certified Managed Care Nurse (CMCN).
  • Technical experience with word processing, spreadsheets, and proficiency with electronic medical record (EMR) systems and/or other managed care software.

Remote Work Requirements
  • High speed cable or fiber internet
  • Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net)
  • Please review Remote Worker FAQs for additional information

Benefits
  • Remote and hybrid work options available
  • Performance bonus and/or merit increase opportunities
  • 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
  • Competitive paid time off
  • Health insurance, dental insurance, and telehealth services start DAY 1
  • Professional and Leadership Development Programs
  • Review additional benefits: (https://www.wpshealthsolutions.com/careers/)

Who We Are
WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready.
Culture Drives Our Success
WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.
We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.
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