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Remote Utilization Review Rn Jobs in Wisconsin (NOW HIRING)

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

Ourhrconnect

$309K - $413K/yr

This position is full-time (40-hours/week) Monday-Friday working REMOTE in the United States or ... Knowledge of medical and utilization review techniques. * Required Software: Microsoft Office Suite.

Clark County, WI

Registered Dietitian

WI · On-site +1

$78K - $104K/yr

RLC, WI Job Type: Part-Time Remote Employment: Flexible/Hybrid Job Number: 202500034 Department ... Develop, review and adapt therapeutic and modified diets to meet the nutritional needs of ...

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 ...

86Borders, LLC.

Nurse Practitioner

Wausau, WI · Remote

... remote home office. You will guide a team of nurses, develop and review patient care plans, and handle complex clinical situations under the Director of Care Coordination with a dotted line to the ...

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Showing results 41-60

All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Wisconsin

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 Sep 5, 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 1% As Needed, 82% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $88,769 per year, or $42.7 per hour.

RN, Virtual Care Team

FROEDTERT HEALTH

Menomonee Falls, WI • On-site, Remote

Part-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted just now

Key responsibilities

  • Assess, plan, implement, and evaluate nursing care for an identified group of patients.

  • Provide care to a primarily adult patient population with competency in critical care procedures.

  • Perform on-site nursing duties during scheduled shifts, including weekends and holidays.

Job description

Discover. Achieve. Succeed. #BeHere
Location: US:WI:MENOMONEE FALLS at our CP-NORTH HILLS HEALTH CENTER facility.
This job is ON - SITE.
FTE: 0.600000
Standard Hours: 24.00
Shift: Shift 3
Shift Details: 6:00 PM - 6 AM including weekend and holiday rotations.
Please note, this position is not remote and requires on-site work environment.
Job Summary:
The Staff RN VCT assesses, plans, implements, and evaluates nursing care for an identified group of patients. The individual must demonstrate competency in the delivery of care to a primarily adult population. The job description incorporates the essential functions of the job description, adapted from the ANA Standards of Clinical Nursing Practice and the American Association of Critical-Care Nurses Statement for Supporting High Acuity, Progressive, and Critical Care Patients.
EXPERIENCE DESCRIPTION:
Five years of critical care, or equivalent area of practice experience, is required. Over five years of critical care, or equivalent area of practice experience, is preferred.
EDUCATION DESCRIPTION:
Professional knowledge of nursing theory and clinical practice at a level generally acquired through completing a minimum of two years of education at an accredited School of Nursing. Bachelor's degree is preferred.
TRAINING DESCRIPTION:
Clinical competence and experience in the care and management of target patient populations specific to the area of employment. Including a fundamental understanding of hemodynamics and sepsis and their related interventional treatments. Knowledge of bedside devices includes, but is not limited to, intra-aortic balloon pumps, continuous renal replacement therapy, 12-lead EKG interpretation, NIH Stroke Scale, ventricular assist devices, and extracorporeal membrane oxygenation.
LICENSURE DESCRIPTION:
Requires current, unrestricted, state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact). American Heart Association (AHA) Basic Life Support for the Healthcare Provider (BLS) or an AHA-approved equivalent is required upon hire. American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) is required within 90 days of hire. CCRN, CCRN-E, CSC, CMC, CNRN, CEN, TNCC, TNS is preferred.
Perks & Benefits at Froedtert Health
Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:
  • Paid time off
  • Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
  • Academic Partnership with the Medical College of Wisconsin
  • Referral bonuses
  • Retirement plan - 403b
  • Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
  • Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.
We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.
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About Froedtert

Sourced by ZipRecruiter

Froedtert is a world-class healthcare organization based in Milwaukee, WI, United States. The company operates within the healthcare and wellness industry, providing a broad spectrum of medical services to the residents of southeastern Wisconsin and beyond. Froedtert was founded in 1980 and is an academic health network, which ripples an integrated affiliation with the Medical College of Wisconsin. The company prides itself on its cutting-edge treatments, sophisticated technology, and groundbreaking research. Froedtert’s mission is to advance health in the communities they serve, with a profound commitment towards patient care, education, research and community outreach.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Milwaukee, WI, US

Year founded

1980

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