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Remote Utilization Review Rn Jobs in Brookfield, WI

NCLEX-PN Tutor

Milwaukee, WI · Remote

$18 - $40/hr

... RN scope questions, pharmacology calculations, and managing anxiety with the adaptive testing format. Adapts instruction using NCLEX-PN specific practice question banks, content review focused on ...

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Remote Utilization Review Rn information

See Brookfield, WI salary details

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$65

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

As of Jul 6, 2026, the average hourly pay for remote utilization review rn in Brookfield, WI is $40.03, according to ZipRecruiter salary data. Most workers in this role earn between $31.63 and $45.96 per hour, depending on experience, location, and employer.

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

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 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 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 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 are popular job titles related to Remote Utilization Review Rn jobs in Brookfield, WI? For Remote Utilization Review Rn jobs in Brookfield, WI, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Brookfield, WI look for? The top searched job categories for Remote Utilization Review Rn jobs in Brookfield, WI are:
What cities near Brookfield, WI are hiring for Remote Utilization Review Rn jobs? Cities near Brookfield, WI with the most Remote Utilization Review Rn job openings:
Infographic showing various Remote Utilization Review Rn job openings in Brookfield, WI as of July 2026, with employment types broken down into 85% Full Time, 11% Part Time, 1% Temporary, and 3% Contract. Highlights an 40% Physical, 2% Hybrid, and 58% Remote job distribution, with an average salary of $83,257 per year, or $40 per hour.
Certified Medical Assistant

Certified Medical Assistant

Nystrom & Associates

Greenfield, WI • Remote

$21 - $24/hr

Other

Medical, Dental, Vision, Life, Retirement

Posted 19 days ago


Nystrom & Associates rating

7.4

Company rating: 7.4 out of 10

Based on 22 frontline employees who took The Breakroom Quiz


Job description

Job Title:Certified Medical Assistant

Location: Remote within the State of Wisconsin

Working Model: Remote

Employee Type: Full Time

Schedule: 8am-5pm Monday to Friday

At Sagent Behavioral Health, we believe profound change is possible. As one of the largest behavioral health organizations in the Midwest-with 2,000+ team members across 80+ locations in five states-we offer the stability and resources to help you thrive.

Backed by more than 100 years of combined behavioral health experience, Sagent brings together the trusted legacies of Ellie Mental Health, LifeWorks, Nystrom & Associates, Psychiatric Associates, Sandhill Counseling & Consultation, and Vantage Point.

Here, you'll find a supportive, inclusive culture where you can hone your skills, collaborate with a fantastic team, and build a rewarding career focused on what matters most: helping others find hope. Guided by our HOPE values-Humility, Optimism, People-Centered, and Ethical Practice-we provide manageable caseloads, flexible schedules, and compensation options that work for you-from salary to production-based models.

As aCertified Medical Assistant at Sagent Behavioral Health, you will play an important role in providing high-quality patient care to our Psychiatry patients. You will work alongside our Psychiatry providers, returning phone calls to patients regarding the side effects of medication; refilling medication to area pharmacies; calling insurance companies for verification on medications, and completing necessary authorizations for medications. There is little to no physical contact with patients in this role as such there are no weekends, evenings, holidays, or on-call hours!

Full Time Benefits:

  • Medical, Dental, Vision
  • 401k, Long Term Disability, Short Term Disability and Life Insurance
  • Reasonable caseload expectations and flexible scheduling
  • Comfortable offices and clinic environment
  • Free attendance for internal CEUs

Responsibilities:

  • Triaging calls from patients.
  • Taking calls for lab results.
  • Triages incoming lab results, medical reports, refill requests, etc. to MD/APRN/PAs in a timely fashion.
  • Maintains legible and organized patient records.

Requirements:

  • Certificate in Medical Assisting in State of Wisconsin.
  • Comfortable with little to no physical patient contact on a day-to-day basis.
  • Experience with mental health care preferred, Knowledgeable about psychotropic medications.
  • Computer and tech-savvy; experience with Electronic Medical Records.

Compensation:

This is a non-exempt position. Total earnings for this position will range from $21.00 - $24.00 hourly.

*Actual compensation may be determined by various factors such as licensure, experience, skillset, internal equity, schedule and/or location. Estimates are factored on a 1.0 FTE.

* Employees in these positions are W2.

Sagent Behavioral Health is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.


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