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Remote Utilization Review Rn Jobs in Wisconsin (NOW HIRING)

Manulife

$73K - $122K/yr

The Specialist serves as a trusted resource to registered representatives, field agents, and ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

Manulife

$73K - $122K/yr

The Specialist serves as a trusted resource to registered representatives, field agents, and ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

Manulife

$73K - $122K/yr

The Specialist serves as a trusted resource to registered representatives, field agents, and ... Referenced Salary Location USA, Massachusetts - Full Time Remote Working Arrangement Remote Salary ...

Corvel

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 ...

Expert Institute

Legal Nurse Consultant

Milwaukee, WI · On-site +1

Perform real-time chart reviews with a focus on standard of care and physician documentation for ... * RN or NP * Strong clinical knowledge * Excellent communication skills, both written and verbal

New

Urrly

Telehealth Nurse Practitioner

Madison, WI · On-site +1

$600 - $720/day

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 ...

ChenMed

$114K - $144K/yr

... systems through the utilization of data demonstrating program effectiveness and success ... record review by the respective delegating physician. * If supporting patients in Tennessee ...

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Remote Utilization Review Rn information

See Wisconsin salary details

$21

$42

$69

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

As of Aug 16, 2026, the average hourly pay for remote utilization review rn in Wisconsin is $42.68, according to ZipRecruiter salary data. Most workers in this role earn between $33.75 and $48.99 per hour, depending on experience, location, and employer.

What is a remote utilization review RN?

A Remote Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services provided to patients, typically working from a remote location. They review medical records, apply clinical guidelines, and collaborate with healthcare providers to ensure patients receive the right care at the right time. Their work helps manage healthcare costs and improves patient outcomes by preventing unnecessary treatments or hospital stays. Remote Utilization Review RNs often work for insurance companies, hospitals, or healthcare organizations, and use secure digital platforms to conduct their reviews.

What are the key skills and qualifications needed to thrive as a remote utilization review RN?

To excel as a Remote Utilization Review RN, you need a valid RN license, strong clinical judgment, and knowledge of utilization management principles. Familiarity with electronic medical records (EMR), utilization management software, and guidelines such as InterQual or MCG is typically required. Outstanding attention to detail, critical thinking, and effective communication skills help you collaborate with healthcare teams and advocate for appropriate patient care. These competencies are crucial for ensuring medical necessity, regulatory compliance, and optimal resource use in a remote setting.

What are some common challenges remote utilization review RNs face when working from home, and how can they be addressed?

Remote Utilization Review RNs often encounter challenges such as maintaining clear communication with interdisciplinary teams, managing time efficiently, and staying updated on changing payer guidelines. To address these challenges, it's important to establish consistent check-ins with team members via video or chat platforms, use digital tools to organize and prioritize caseloads, and participate in ongoing training sessions provided by employers. Adhering to a structured daily routine and leveraging available technology can help ensure productivity and high-quality reviews while working remotely.

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

AspectRemote Utilization Review RnRemote Case Manager Rn
CertificationsRN license, Utilization Review certification (e.g., URAC)RN license, Case Management certification (e.g., CCM)
Work EnvironmentReviewing medical records, insurance policies, telehealth platformsCoordinating patient care, discharge planning, telehealth
Employer & IndustryInsurance companies, healthcare organizationsHospitals, insurance providers, healthcare agencies

Remote Utilization Review Rns primarily focus on evaluating medical necessity for insurance coverage, while Remote Case Manager Rns coordinate patient care and discharge planning. Both roles require RN licensure and involve telehealth work, but they serve different functions within healthcare and insurance industries.

What are the most commonly searched types of Utilization Review Rn jobs in Wisconsin?

The most popular types of Utilization Review Rn jobs in Wisconsin are:

What are popular job titles related to Remote Utilization Review Rn jobs in Wisconsin?

For Remote Utilization Review Rn jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Remote Utilization Review Rn jobs in Wisconsin look for?

The top searched job categories for Remote Utilization Review Rn jobs in Wisconsin are:

What cities in Wisconsin are hiring for Remote Utilization Review Rn jobs?

Cities in Wisconsin with the most Remote Utilization Review Rn job openings:

Remote Utilization Review Rn jobs near you
Infographic showing various Remote Utilization Review Rn job openings in Wisconsin as of August 2026, with employment types broken down into 79% Full Time, 7% Part Time, 7% Temporary, and 7% Contract. Highlights an 100% Remote job distribution, with an average salary of $88,769 per year, or $42.7 per hour.

Suitability Review Specialist

Manulife

Remote

$73K - $122K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 11 days ago

Job description

The Suitability Review Specialist is responsible for reviewing new business submissions and replacement transactions involving annuity and life insurance products to ensure compliance with regulatory requirements, suitability standards, and company policies. This role contributes to our mission by helping protect clients, supporting ethical business practices, and maintaining a strong culture of compliance and risk awareness. The Specialist serves as a trusted resource to registered representatives, field agents, and business partners, providing guidance on suitability-related matters and regulatory obligations. This opportunity offers exposure to cross-functional partnerships, regulatory initiatives, and process improvement efforts that support business effectiveness and client outcomes.

Position Responsibilities:

  • Review new business and replacement applications to ensure transactions meet suitability standards, regulatory requirements, and company guidelines.
  • Conduct reviews, monitoring activities, and audits to identify unusual, suspicious, or potentially non-compliant activity; investigate findings and escalate concerns as appropriate.
  • Provide guidance and support to registered representatives, field supervision, and business partners regarding suitability requirements, regulatory expectations, and best practices.
  • Partner with Compliance, Operations, Supervision, and Technology teams to develop and implement process improvements, surveillance enhancements, and regulatory change management initiatives.
  • Maintain accurate documentation and records of suitability reviews, determinations, escalations, and related communications in accordance with company policies and regulatory requirements.

Required Qualifications:

  • Experience in suitability review, compliance, risk management, or a related financial services function.
  • Strong understanding of annuity and life insurance products, including their features, benefits, risks, and suitability considerations.
  • Knowledge of financial planning concepts, retirement planning strategies, and client investment objectives.
  • Familiarity with applicable regulatory requirements and industry standards related to suitability reviews and insurance products.

Preferred Qualifications:

  • Experience partnering with Compliance, Operations, Supervision, and Technology teams on process improvement initiatives.
  • Experience supporting regulatory change management, monitoring programs, or surveillance activities.
  • Experience conducting audits, investigations, and escalation of compliance concerns.
  • Strong documentation and record-keeping skills within a regulated environment.
  • Ability to provide consultation and guidance to business partners on suitability and regulatory matters.

When you join our team:

  • We'll empower you to learn and grow the career you want.
  • We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
  • As part of our global team, we'll support you in shaping the future you want to see.

The role being advertised is an existing vacancy.

About Manulife and John Hancock

Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit https://www.manulife.com/en/about/our-story.html.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact hr@manulife.com.

Referenced Salary Location

USA, Massachusetts - Full Time Remote

Working Arrangement

Remote

Salary range is expected to be between

$73,350.00 USD - $122,250.00 USD

Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. The actual salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. If you are applying for this role outside of the primary location, please contact hr@manulife.com for the salary range for your location.

Manulife/John Hancock offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in the U.S. includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law) each year, and we offer the full range of statutory leaves of absence.

We use data and analytics technologies, such as artificial intelligence (AI), and automated processing tools, to analyze and process the information you provide to us or third parties in the application process. For more information, please refer to our personal information collection statement.

Know Your Rights I Family & Medical Leave I Employee Polygraph Protection I Right to Work I E-Verify

Company: John Hancock Life Insurance Company (U.S.A.)

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