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Remote Utilization Management Nurse Jobs in Racine, WI

Lovely Mom Homecare LLC

Be Seen First

REGISTERED NURSE - $50 PER NURSE VISIT

Milwaukee, WI · Remote

$50/hr

... visits and remote documentation completion. Responsibilities • Complete scheduled 60-day RN ... office management duties • An existing RN is already in place to handle administrative ...

Lovely Mom Homecare LLC

Be Seen First

REGISTERED NURSE - $50 PER NURSE VISIT

Milwaukee, WI · Remote

$50/hr

... visits and remote documentation completion. Responsibilities • Complete scheduled 60-day RN ... office management duties • An existing RN is already in place to handle administrative ...

DataAnnotation

Nurse Care Manager

Milwaukee, WI · Remote

$40 - $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 ...

DataAnnotation

Nurse Care Manager

Kenosha, WI · Remote

$40 - $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 ...

ABB

CUI Program Manager - Motion

New Berlin, WI · Remote

$115K - $115K/yr

Remote #LI-Remote You will be mainly accountable for: * Lead Motion's CUI compliance program ... Project Management Professional (PMP) certification, CMMC Certified Professional (CCP), CMMC ...

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All JobsRemote Utilization Management Nurse JobsRemote Utilization Management Nurse Jobs in Racine, WI

Remote Utilization Management Nurse information

See Racine, WI salary details

$20

$39

$64

How much do remote utilization management nurse jobs pay per hour?

As of Jun 15, 2026, the average hourly pay for remote utilization management nurse in Racine, WI is $39.65, according to ZipRecruiter salary data. Most workers in this role earn between $31.35 and $45.53 per hour, depending on experience, location, and employer.

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

AspectRemote Utilization Management NurseRemote Case Manager
CredentialsRN license, certifications like CCM or ANCCRN license, certifications like CCM or similar
Work EnvironmentHealthcare organizations, insurance companies, telehealthInsurance companies, healthcare providers, telehealth
Job FocusReviewing medical necessity, authorizations, and utilizationCoordinating patient care, discharge planning, resource management

Both roles require RN licensure and similar certifications, often working remotely within healthcare or insurance settings. The main difference lies in focus: Utilization Management Nurses primarily review medical necessity and authorization requests, while Case Managers coordinate patient care and discharge planning. Understanding these distinctions helps job seekers identify the role that best matches their skills and career goals.

What is a Remote Utilization Management Nurse?

A Remote Utilization Management Nurse is a registered nurse who works from a remote location, such as their home, to review patient medical records and determine the necessity, appropriateness, and efficiency of healthcare services. They collaborate with healthcare providers and insurance companies to ensure that patients receive appropriate care while managing costs. Their main responsibilities include reviewing clinical documentation, conducting pre-authorization reviews, and ensuring compliance with healthcare regulations and insurance guidelines.

What Does a Remote Utilization Management Nurse Do?

As a remote utilization management nurse, you work from home to perform a variety of duties and responsibilities, such as corresponding with and interviewing physicians, modifying patient treatment plans, analyzing investigation information, and auditing patient records. As a UM nurse, you may also deal with other clinical tasks, referrals, authorizations, and reviews. You usually work for insurance companies and healthcare providers to help to determine if patients should receive authorization for needed treatments or for those that they already receive. In some cases, you may monitor processes to ensure that hospital patients are getting what they need during their stay.

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

To thrive as a Remote Utilization Management Nurse, you need a valid RN license, clinical experience (often in acute care), and a solid understanding of utilization review and healthcare regulations. Familiarity with case management software, electronic medical records (EMRs), and tools like InterQual or Milliman Care Guidelines is typically required. Strong analytical skills, attention to detail, and effective written and verbal communication are essential soft skills for successful remote collaboration and decision-making. These skills ensure accurate assessments, compliance with standards, and the delivery of cost-effective, quality patient care from a remote setting.

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

Remote Utilization Management Nurses often face challenges such as maintaining effective communication with interdisciplinary teams, staying updated on changing insurance guidelines, and managing a high volume of case reviews. To address these issues, it's helpful to establish regular virtual check-ins with team members, utilize digital tools for efficient documentation, and participate in ongoing training on payer requirements. Developing strong organizational skills and proactively seeking clarification on complex cases can also contribute to success in this role.
More about Remote Utilization Management Nurse jobs
What are popular job titles related to Remote Utilization Management Nurse jobs in Racine, WI? For Remote Utilization Management Nurse jobs in Racine, WI, the most frequently searched job titles are:
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What cities near Racine, WI are hiring for Remote Utilization Management Nurse jobs? Cities near Racine, WI with the most Remote Utilization Management Nurse job openings:
Remote Utilization Management Nurse jobs near you

Sales Team Leader (Remote)

Zuzick & Associates

Racine, WI • Remote

Full-time

Life

Posted 23 days ago

Job description

Sales Team Leader (Remote) – Globe Life American Income Division | Zuzick Organization

Are you a motivated sales professional ready to step into leadership? Globe Life American Income Division: Zuzick Organization is seeking a driven Sales Team Leader to help grow and mentor a high-performing remote sales team while making a meaningful impact in the lives of working families.

For over 70 years, we have partnered with more than 34,000 unions and associations—including teachers, firefighters, veterans, and nurses—to provide supplemental life insurance benefits that help protect their families. As we continue expanding nationwide, we are looking for leaders who are passionate about sales, mentorship, and career growth.

What You’ll Do:

Lead, mentor, and motivate a remote team of sales representatives Work with warm leads from union members requesting information about their benefits Conduct virtual client meetings via Zoom to present insurance options Support your team in closing sales and delivering excellent client service Track performance metrics and help drive team success Assist with applications and underwriting requirements

What We Offer:

100% Remote / Work-from-Home Environment Weekly Pay + Performance Bonuses Residual Income Opportunities Leadership Training & Rapid Advancement Comprehensive Training Program Benefits available after 90 days based on production Annual all-expenses-paid company trips

What We’re Looking For:

Sales experience required; leadership or management experience preferred Willingness to obtain a state life insurance license within 30 days Strong communication and leadership skills Self-motivated, organized, and goal-oriented Reliable computer with camera, internet access, and cell phone If you’re looking for a career with unlimited growth potential, leadership opportunities, and the ability to work from anywhere, we’d love to hear from you.

Apply today and submit your resume. Be sure to highlight any leadership or management experience.

Apply