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Remote Tricare Rn Jobs in Madison, WI (NOW HIRING)

WPS Health Solutions

Claims Examiner II

Madison, WI · On-site +1

$17.75/hr

Partner with the RN team to ensure appeals requiring medical documentation are reviewed by ... Remote Work Requirements * High speed cable or fiber internet * Minimum of 10 Mbps downstream and ...

WPS

Claims Examiner II

Madison, WI · On-site +1

$17.75/hr

Partner with the RN team to ensure appeals requiring medical documentation are reviewed by ... Remote Work Requirements * High speed cable or fiber internet * Minimum of 10 Mbps downstream and ...

UW Health

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 ...

DataAnnotation

RN

Madison, WI · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Gentiva

Regional Director of Clinical Survey

Madison, WI · Remote

$90.70K - $123.40K/yr

Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...

Gentiva Hospice

Regional Director of Clinical Survey

Madison, WI · Remote

$90.70K - $123.40K/yr

Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...

Gentiva Hospice

Regional Director of Clinical Survey

Madison, WI · On-site +1

$90.70K - $123.40K/yr

Registered Nurse (RN) required * Bachelor's degree in Nursing preferred Experience: * Minimum of ... Standard office and remote communication tools Specialized Knowledge and Skills: * Strong knowledge ...

Corvel

Care Advocate Nurse

Madison, WI · Remote

$61.05K - $98.33K/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 ...

WPS

Manager of Case Management and Intake

Madison, WI · On-site +1

$110K - $130K/yr

Active license as an RN in the State of Wisconsin or a valid multi-state compact license. * 7 or ... Remote Work Requirements * High speed cable or fiber * Minimum of 10 Mbps downstream and at least 1 ...

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Remote Tricare Rn information

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

To thrive as a Remote Tricare RN, you need a current RN license, experience in case management or telehealth, and knowledge of Tricare policies and procedures. Familiarity with electronic medical record (EMR) systems, telehealth platforms, and case management software is typically required. Excellent communication, critical thinking, and self-motivation are essential soft skills for remote coordination with patients and healthcare teams. These competencies ensure effective patient care, compliance with Tricare standards, and high-quality outcomes in a virtual environment.

What are some common challenges faced by Remote Tricare RNs, and how can they be managed effectively?

Remote Tricare RNs often face challenges such as maintaining clear communication with patients and care teams across different time zones, navigating complex Tricare policies, and ensuring patient privacy in a virtual setting. To manage these, it's important to stay updated on Tricare guidelines, utilize secure digital communication tools, and participate in regular virtual meetings with the healthcare team. Developing strong organizational skills and proactively seeking support from colleagues can also help remote RNs deliver high-quality care.

What is a Remote Tricare RN?

A Remote Tricare RN is a registered nurse who provides healthcare services and support to patients covered by Tricare, the health insurance program for military members and their families, while working remotely. These nurses may conduct patient assessments, coordinate care, offer health education, and assist with case management through phone or online platforms. Working remotely allows them to support military families regardless of location, ensuring continuity of care. They must be licensed RNs and often have experience in case management, utilization review, or similar fields.

What is the difference between Remote Tricare Rn vs Remote VA Rn?

AspectRemote Tricare RnRemote VA Rn
CredentialsRegistered Nurse (RN) license, Tricare-specific trainingRegistered Nurse (RN) license, VA healthcare system familiarity
Work EnvironmentRemote healthcare support for Tricare beneficiariesRemote patient care for VA patients
Employer & IndustryMilitary healthcare, Tricare programsVeterans Affairs healthcare system
Common Search IntentRemote Tricare RN vs Remote VA RNRemote VA RN vs Remote Tricare RN

The main difference between Remote Tricare Rn and Remote VA Rn lies in their employer and patient focus. Remote Tricare Rns support military beneficiaries through Tricare programs, while Remote VA Rns serve veterans within the VA healthcare system. Both roles require RN licensure and specialized training, but their work environments and patient populations differ, aligning with their respective organizations.

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

Telehealth RN Case Manager - Archimedes

Navitus Health Solutions

Madison, WI • On-site, Remote

Other

Medical, Dental, Vision, Retirement, PTO

Posted 2 days ago

Job description


Telehealth RN Case Manager - Archimedes
Location
US-
ID
2026-6049
Category
Archimedes
Position Type
Full-Time
Remote
Yes
Company
Archimedes
About Us
Archimedes - Transforming the Specialty Drug Benefit - Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit - alignment, value and transparency - Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention and pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost. .____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at https://employees-navitus.icims.com/ to be considered for internal opportunities.________We are committed to providing equal employment opportunity to all applicants and employees and comply with all applicable nondiscrimination regulations, including those related to protected veterans and individuals with disabilities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or handicap.
Pay Range
USD $0.00 - USD $0.00 /Yr.
STAR Bonus % (At Risk Maximum)
0.00 - Ineligible
Work Schedule Description (e.g. M-F 8am to 5pm)
Monday - Friday 8 - 4:30pm
Remote Work Notification
ATTENTION: Archimedes is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming.
Overview

The RN Case Manager, Telehealth (RN) will focus on improving members' health and wellness via tele-pharmacy. In addition, the RN will assist in the development and execution of additional clinical outreach program(s) to exceed client expectations.
Additional responsibilities will be the provision of telehealth coaching to members in a variety of new program offerings aimed at improving adherence and driving to the lowest net cost formulary options. Remote engagement with members and prescribers will be frequent. The RN will also support department leadership with development of appropriate clinical resources, recommendations regarding targeted medication review selections, and policies and procedures. Other support provided will include clinical oversight of pharmacy technicians, pharmacy interns, and products including reporting and audit support.

This role could be located out of our St Louis MO or Brentwood TN offices. We will consider remote associates as well.

Is this you? Find out more below!

Responsibilities

How do I make an impact on my team?

    Develop appropriate clinical algorithms, pathways and call scripts to support pharmacy staff in delivering services.
  • Review and update all algorithms and call scripts at least yearly and with updated clinical guidelines.
  • Develop documentation standards for all clinical outreach.
  • Collaborate with department staff to develop and maintain a high quality and consistent product.
  • Facilitate communication and education to clients, providers, and internal staff regarding programs and program outcomes.
  • Provide clinical outreach to members, prescribers, and pharmacy providers to enhance care coordination.
  • Stay current with new guidelines, literature, recommendations, and medications, and integrate that information into clinical programs and outreach efforts to ensure services remain up to date.
  • Maintain open lines of communication with other functional areas and departments.
  • Develop a full understanding of clients' member experience and how engagement efforts contribute to improved health and wellness.
  • Adhere to compliance and HIPAA regulations.
  • Participate in, adhere to, and support compliance, people and culture, and learning programs.
  • Perform other duties as assigned.

Qualifications

What our team expects from you?

  • Education: Associate's degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) required; BSN preferred.
  • Certification/Licenses: Current, active Registered Nurse (RN) license in good standing with the applicable State Board of Nursing is required.
  • Experience:
    • 2+ years clinical experience including direct consultation experience.
    • Experience in a clinical call center is preferred.
    • Experience as a member of a multi-disciplinary team is preferred.
    • Professional PBM industry work experience is preferred.
    • Knowledge of applicable data privacy practices and laws is preferred.
    • Knowledge of healthcare industry practices and HIPAA regulations.

What can you expect from Archimedes?

  • Top of the industry benefits for Health, Dental, and Vision insurance
  • 20 days paid time off
  • 4 weeks paid parental leave
  • 9 paid holidays
  • 401K company match of up to 5% - No vesting requirement
  • Adoption Assistance Program
  • Flexible Spending Account
  • Educational Assistance Plan and Professional Membership assistance

Location : Address
Remote
Location : Country
US

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