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

Optomec Inc

Support Manager

Saint Paul, MN · Remote

... utilization, CSAT). * Lead post-incident reviews for P1/P2 incidents and implement corrective ... Excellent remote customer-facing communication skills; experience managing escalations virtually.

Allianz

Underwriter Senior - Actuary | Remote

Minneapolis, MN · On-site +1

$102K - $121K/yr

... • Review contract terms to ensure risks are appropriately controlled • Conduct transaction ... Utilization of artificial intelligence tools and resources (e.g. generative AI). What you bring ...

Varsity Tutors

NCLEX-PN Tutor

Saint Paul, MN · 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 ...

Varsity Tutors

NCLEX-PN Tutor

Minneapolis, MN · 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 ...

Gradient Financial Group

Tax Manager

Arden Hills, MN · On-site +1

$85K - $100K/yr

Review and oversee business returns, including Forms 1065 and 1120-S. * Lead tax planning ... There is no timesheet culture or utilization target, work is distributed throughout the year, and ...

Varsity Tutors

NCLEX Tutor

Saint Paul, MN · Remote

$25 - $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 ...

Varsity Tutors

NCLEX Tutor

Minneapolis, MN · Remote

$25 - $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 ...

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

The team is open to discussing hybrid or remote options in Minneapolis, Chicago, and St. Louis ... Solicits and reviews new and renewal account information required to evaluate a risk. * Identifies ...

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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.

Strategic Clinical Quality Manager - Minneapolis/St.Paul and surrounding areas - Minnesota Region

Fresenius Medical Care

Minneapolis, MN • On-site, Remote

$85K - $142K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Fresenius Medical Care rating

6.7

Company rating: 6.7 out of 10

Based on 1,335 frontline employees who took The Breakroom Quiz

534th of 898 rated healthcare providers

Job description

Position location: You will be able to work remotely, from your home location, in the United States
This is a remote opportunity within the Minneapolis/St.Paul and surrounding operational areas! The individual selected must reside in the Minnesota Region. Travel required!
• Monday-Friday schedule with no night or weekend shifts.
• 80% Travel Required - multiple area assignments
• Eligible for an annual bonus based on both company and individual performance.
• Position covers all 3 modalities (incenter, inpatient, home therapies).
• Chance to serve as a quality improvement subject matter expert.
• Ability to have a significant influence in supporting clinics, patients, and care teams.
• Career growth and advancement opportunities within the organization.
PURPOSE AND SCOPE:
The Clinical Quality Manager is responsible for developing, implementing, and monitoring quality assurance and performance improvement (QAPI) programs to ensure the highest standards of patient care and regulatory compliance. This role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. The scope of the clinical quality oversight of the position covers assigned treatment modalities (e.g. in-center, home modalities, or home hemodialysis and home peritoneal dialysis)
PRINCIPAL DUTIES AND RESPONSIBILITIES:
  • Lead or participate in the clinic's Quality Assessment and Performance Improvement (QAPI) program in alignment with CMS, state, and organizational standards.
  • Develop and implement action plans to address deficiencies and improve care delivery.
  • Conduct regular audits and quality reviews to ensure compliance with clinical policies & procedures.
  • Facilitate staff education and training related to quality improvement, patient safety, and best practices.
  • Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.
  • Prepare and present quality reports to clinic leadership and governing bodies.
  • Ensure accurate documentation, data collection, and reporting for internal and external stakeholders.
  • Promote a culture of accountability, safety, and continuous improvement within the clinic.
  • Manages the execution and achievement of Quality key performance indicators (assigned by Quality leadership team) and other clinical initiatives, interventions and standardized education materials with clinic teams within the assigned area(s).
  • Performs other related duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:
  • The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
    • Day-to-day work includes desk and personal computer work and interaction with facility staff and physicians.
  • The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
  • Field: The position requires travel between assigned facilities and various locations within the community, approx. 60%-80%.

• Travel to Regional, Division and Corporate meetings may be required.
  • Remote: The position could require travel up to 10-15%

SUPERVISION:
  • None

EDUCATION AND REQUIRED CREDENTIALS:
  • Registered Nurse required
  • BSN or bachelor's degree in healthcare-related field preferred (or equivalent experience).
  • Certification in Nephrology Nursing or quality preferred

EXPERIENCE AND SKILLS:
  • 3+ years of dialysis experience required.
  • 2+ years' experience in a leadership role.
  • Strong organizational, critical thinking and customer service skills.
  • Demonstrated leadership competencies and adaptability to changes in priorities
    • Ability to work collaboratively with other members of the team, gain support and input while participating in quality improvement activities.
  • Strong verbal and written communications skills.
  • Ability to analyze and propose alternate solutions, assist in resolving sensitive to complex issues

The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.
Annual Rate: $85,000.00 - $142,000.00 for Waltham, MA location
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave and potential for performance-based bonuses depending on company and individual performance.
If your location allows for pay/benefit transparency, please click the link below to request further information on this position.
Pay Transparency Request Form
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

What Fresenius Medical Care employees say

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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

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