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Remote Utilization Review Rn Jobs in Hudson, WI (NOW HIRING)

Varsity Tutors

NCLEX-RN Tutor

Minneapolis, MN · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

Varsity Tutors

NCLEX-RN Tutor

Saint Paul, MN · Remote

$18 - $40/hr

Adapts instruction using UWorld, Kaplan, or ATI practice question banks, content review materials, and test-taking strategy workshops to support BSN and ADN graduates preparing for registered nurse ...

MDS Solutions

REMOTE MDS Coordinator

Minneapolis, MN · On-site +1

$35.75 - $45.75/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Minneapolis, MN · On-site +1

$35.75 - $45.75/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

MDS Solutions

REMOTE MDS Coordinator

Minneapolis, MN · Remote

$35.75 - $45.75/hr

This role requires a RN license, LPN will not meet the minimum qualifications. What do we offer you ... Review and verify MDS documentation and charting requirements to support the clinical services ...

Resmed

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... Graduate of accredited school of professional nursing and BSN preferred. * 2 years of home health ...

ResMed

Review Specialist, OASIS & 485

Bloomington, MN · Remote

$62K - $80K/yr

OASIS Review Coding Specialist This is a remote position that provides flexibility and control over ... Graduate of accredited school of professional nursing and BSN preferred. * 2 years of home health ...

Scribe-X

Remote Medical Scribe

Saint Paul, MN · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Scribe-X

Remote Medical Scribe

Minneapolis, MN · Remote

$14 - $17/hr

Anyone looking to begin a career in medicine (MD, DO, PA, NP, or RN) should consider becoming a ... Review completed charts with the provider between patients or at the completion of shift * Update ...

Allianz

Counsel | Remote

Minneapolis, MN · On-site +1

Responsibilities includes preparation, review and negotiation of prospective reinsurance term ... Utilization of artificial intelligence tools and resources (e.g. generative Al). What you bring:

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All JobsUtilization Review Rn JobsRemote Utilization Review Rn JobsRemote Utilization Review Rn Jobs in Hudson, WI

Remote Utilization Review Rn information

See Hudson, WI salary details

$22

$43

$71

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 Hudson, WI is $43.71, according to ZipRecruiter salary data. Most workers in this role earn between $34.57 and $50.19 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 popular job titles related to Remote Utilization Review Rn jobs in Hudson, WI?

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

What cities near Hudson, WI are hiring for Remote Utilization Review Rn jobs?

Cities near Hudson, WI 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 Hudson, WI as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 3% Contract, and 1% Nights. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $90,927 per year, or $43.7 per hour.

Medical Review Nurse

ST CROIX HOSPICE LLC

Mendota Heights, MN • On-site, Remote

Full-time

Posted 15 days ago

St. Croix Hospice rating

8.5

Company rating: 8.5 out of 10

Based on 33 frontline employees who took The Breakroom Quiz

4th of 47 rated hospices

Job description

Work Where You Matter!
At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient's quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter.
Medical Review Nurse
Position Overview
The Medical Review Nurse is an experienced nurse responsible for the monitoring, implementation and evaluation of processes and programs to ensure they meet regulatory, accreditation and standards of practice.
Essential Functions and Skills
  • Responsible for the implementation and monitoring of the organization's quality assessment performance improvement (QAPI) program.
    • Monitors and measures activities related to QAPI as assigned.
    • Implements quality improvement activities utilizing continuous quality improvement principles and methodologies.
    • Implements established schedule for clinical record review and data collection.
    • Compiles, trends, and reports quality data in the following areas: patient care, safety, risk management, infection control, outcomes, and customer satisfaction.
    • Works collaboratively with nursing department to assure documentation is complete and consistent with care and reflects regulatory/legal requirements.
  • Responsible for implementing processes to monitor and evaluate safety, risk management and infection control programs.
    • Implements monitoring activities for safety, risk management, and infection control.
    • Assists with mandatory in-service programs on OSHA regulations for safety and infection control as requested.
    • Acts as resource to staff in identifying safety and risk management issues for patients and staff.
    • Reviews all incident reports for completeness, risk, standard of care determination and appropriate follow-up. Trends data and makes recommendations related to trends identified.
    • Maintains current knowledge related to home care safety and infection control standards.
  • Monitor organization compliance with regulatory and accreditation standards.
    • Maintains current knowledge related to Medicare Conditions of Participation and the Community Health Accreditation Program's (CHAP) standards to ensure that the organization is compliant with state, federal and accreditation guidelines.
    • Participates in review of policies and procedures and makes recommendations for policy changes to the Director of Quality Assurance.
    • Acts as a resource to the clinical team regarding standards, policies, and regulations.
  • Acts as a clinical resource to staff.
    • Maintains updated nursing knowledge and skills.
    • Assists with patient visits as needed.
  • Promote self-growth and collegial relationships with others in the home care industry.
    • Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal and professional networks and participating in professional organizations or societies.
  • Reviews Medical Records to ensure standards and compliance are being met across the organization.
  • Reviews live discharges to ensure appropriateness and compliance.
  • Completes audits as required by survey or self- identified to ensure compliance in medical records.
  • Performs other duties as assigned.

Requirements/Qualifications
  • Must have a current Registered Nurse (RN) license in state(s) of practice.
  • 2+ years of Nursing experience.
  • Nurses holding a multistate license can practice in other states without obtaining additional licenses while maintaining their Registered Nurse (RN) license in their primary state of residence (PSOR). Minnesota, Michigan, and Illinois are not in the Nursing Licensure Compact.
  • Graduate of an accredited school of professional nursing.
  • If Driving: Valid State Driver's License, access to an automobile in good working order, automobile insurance in accordance with state and organizational requirements, and an acceptable driving record required.
  • Ability to pass DHS background study

Physical Requirements
The physical requirements described are representative of those that must be met to successfully perform the essential responsibilities of this position. Reasonable accommodation may be made.
  • Pushing/Pulling and Lifting/carrying up to 30 pounds. Occasionally up to 50 pounds.
  • Prolonged periods sitting at a desk and working on a computer.
  • Ability to adapt to a variety of work conditions to ensure the highest quality of patient care in a home setting.
  • May be exposed to infections and contagious diseases. Contact with patients under wide variety of circumstances. May be exposed to/occasionally exposed to patient elements. Subject to varying and unpredictable situations. Travel required. OSHA exposure category: Category I - Position includes tasks that involve exposure to blood, body fluids, tissues. Category II - Position includes tasks that involve no exposure to blood, body fluids, tissues, but employment may require unplanned Category I tasks. Category III - Position includes tasks that involve no exposure to blood, body fluids, tissues; would not be required to perform Category I tasks.

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