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Remote Utilization Review Rn Jobs in Cottage Grove, WI

WPS

Appeals Claims Processor

Madison, WI · On-site +1

$19.60/hr

The role works closely with the Nursing team to support and discuss medical decision-making ... Please review Remote Worker FAQs for additional information Benefits * Remote work options ...

Varsity Tutors

NCLEX Tutor

Madison, WI · Remote

$40/hr

Adapts instruction using NCLEX review resources, practice question banks, and clinical scenario analysis to support nursing graduates preparing for first-time licensure as registered nurses or ...

SHINE Technologies LLC

Licensing Manager

Janesville, WI · On-site +1

$135K - $189K/yr

Hybrid or remote work arrangement will be considered. While our headquarters is located in ... Interface with regulatory agencies in the planning of regulatory engagements, regulatory reviews ...

SHINE Technologies LLC

Licensing Engineer

Janesville, WI · On-site +1

$73K - $121K/yr

Hybrid or remote work arrangement will be considered. While our headquarters is located in ... Preparation and review of licensing correspondence to regulatory agencies (e.g., regulatory ...

Foth

Brewing Process Engineer

Madison, WI · Remote

Prepare and give technical reviews to clients regarding project-related items * Coordinate with ... Registered Professional Engineer or ability to obtain within 24 months * Experience utilizing 3D ...

Foth

Brewing Process Engineer

Madison, WI · Remote

$90K - $150K/yr

Prepare and give technical reviews to clients regarding project-related items * Coordinate with ... Registered Professional Engineer or ability to obtain within 24 months * Experience utilizing 3D ...

Foth

Brewing Process Engineer

Madison, WI · On-site +1

$90K - $150K/yr

Prepare and give technical reviews to clients regarding project-related items * Coordinate with ... Registered Professional Engineer or ability to obtain within 24 months * Experience utilizing 3D ...

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Remote Utilization Review Rn information

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

As of Jun 11, 2026, the average hourly pay for remote utilization review rn in Cottage Grove, WI is $40.05, according to ZipRecruiter salary data. Most workers in this role earn between $31.63 and $46.01 per hour, depending on experience, location, and employer.

What is the meaning of the word remote?

In the context of a Remote Utilization Review RN job, 'remote' refers to working outside of a traditional office setting, often from home or another location of the employee's choice. This setup typically involves using digital tools and communication platforms to perform job duties without being physically present in an office environment.

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 meaning of remote in one word?

In the context of a Remote Utilization Review RN role, 'remote' means working from a location outside of a traditional office, typically from home, using digital communication tools. It emphasizes flexibility and virtual access to work systems without physical presence at a healthcare facility.

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.

How to make 2000 a week working from home?

A Remote Utilization Review RN can potentially earn $2,000 weekly by working full-time hours, often 40 hours per week, and gaining experience or certifications that allow for higher billing rates. Increasing income may involve taking on additional cases, specializing in high-demand areas, or working for agencies that offer competitive pay for remote utilization review roles.

What is remote job?

A remote Utilization Review RN job is a healthcare position where the nurse reviews patient cases and insurance claims from a location outside of a traditional office, often working from home. It requires strong communication skills, knowledge of medical documentation, and familiarity with electronic health record systems, with flexible schedules common in remote roles.

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 Cottage Grove, WI? For Remote Utilization Review Rn jobs in Cottage Grove, WI, the most frequently searched job titles are:
What cities near Cottage Grove, WI are hiring for Remote Utilization Review Rn jobs? Cities near Cottage Grove, WI with the most Remote Utilization Review Rn job openings:
Remote Utilization Review Rn jobs near you
Clin Apps Spec - PET/CT

Clin Apps Spec - PET/CT

Canon USA & Affiliates

Madison, WI • Remote

Other

Posted 12 days ago

Canon U.S.A. rating

7.6

Company rating: 7.6 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

66th of 139 rated electronics manufacturers

Job description

Clin Apps Spec - PET/CT - req1640

OVERVIEW

This position is for a PET CT / CT Clinical Applications Specialist. After the sales and installation is complete, the Clinical Applications Specialist takes charge of the process, and works with the doctors, nurses, and technologists at each facility to maximize their proficiency and satisfaction with the CMSU products they have purchased. This position plays a critical role in gaining, maintaining, and increasing customer satisfaction with our products and services.

RESPONSIBILITIES

  • This is a dual-modality position that requires the Clinical Applications Specialist to provide on-site applications training on PET CT and diagnostic CT systems across the United States.

  • Develop the training plan and manage the training process and presentation for the doctors, nurses, and technologists at each location to assure their best utilization of CMSU products and services.

  • Consult with physicians and clinicians regarding best clinical practices (e.g., workflow, image acquisition, protocols, image quality, etc.) to maximize each customers satisfaction with CMSU products and services.

  • Determine whether client needs additional training or development and preparing additional training as determined by need.

  • Maintain contact as the key clinical contact person for CMSU at each facility for follow-up and additional training needs.

  • Complete site reports documenting the daily training details.

  • Provide Pre/Post Communications for both internal and external customers.

  • Maintain technical and clinical proficiency.

  • Diagnose and resolve problems affecting system performance and image quality.

  • Escalate any unresolved issues pertaining to system performance and image quality.

  • Work with service engineers as needed.

  • Complete Alerts and PCRs when applicable.

  • Provide mid-week update to Applications Management and local Canon Team.

QUALIFICATIONS

  • Either CNMT or ARRT (N) with PET CT experience, plus ARRT (CT) or CT eligible.

  • Excellent project management skills.

  • Excellent verbal communication skills.

  • Excellent written communications skills.

  • Excellent presentation/platform skills.

  • Previous teaching experience a plus.

  • Must maintain active motor vehicle/driver's license from the state where the specialist resides.

  • 2 Year / associate's degree Radiologic Technologist in the specific modality.

  • 5 years Clinical experience at a hospital or imaging center

  • Ideally want the candidate to live in the Midwest

  • Weekly Travel required 90%

  • Min $80K to Max $129K DOE

#LI-LP1

#LI-Remote

About us!

Canon Medical Systems USA, Inc., a world leader in diagnostic imaging, is in search of qualified candidates to fill our open positions. Canon Medical Systems offers a competitive salary and benefits package, we support a diverse workplace and are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, sexual orientation, gender identity, religion, national origin, protected veteran status, or on the basis of disability. We invite you to join and become part of our Canon family.

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