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

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

ABB

EL Services Application Engineer

Minneapolis, MN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

... utilization and automation equipment and systems. In this role you will identify and propose value ... The work model for the role is: remote (#Li-Remote) supporting the North Region central district ...

Archgroup

AVP, Construction

Saint Paul, MN · On-site +1

$150K - $190K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

micro1 AI

Clinical Pharmacy Technicians

Saint Paul, MN · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Clinical Pharmacy Technicians

Minneapolis, MN · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Pharmacovigilance Expert

Minneapolis, MN · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

micro1 AI

Pharmacovigilance Expert

Saint Paul, MN · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... Author and review evaluation tasks based on DSURs, PSURs/PBRERs, and associated safety data and ...

3M

Associate Director, Insurance & Risk Management

Maplewood, MN · On-site +1

$221K - $270K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Conducting contract reviews and risk and insurance guidance to internal stakeholders. * Managing ... Remote - This position has the possibility for remote work for candidates located more than 50 ...

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 ...

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 ...

Cisco

Account Executive - Splunk (Remote)

Minneapolis, MN · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...

Cisco

Account Executive - Splunk (Remote)

Saint Paul, MN · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Reviews, prioritizes, and aligns customer needs and Splunk portfolio strategy to drive significant ... utilization. * Partners with other account executive resources to provide insights to Rev Ops ...

ABB

Utility Sales Support

Minneapolis, MN · Remote

$17.75 - $23.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

While this is a remote position, candidates must be located in the United States. You will be ... Must have knowledge and skill in utilization of computer databases; empower experience preferred

Guardian Pharmacy

Collection's Specialist

Minneapolis, MN · Remote

$24 - $26/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote options available after 30-days of training on-site Starting Pay Range: $24-$26 Schedule ... Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to ...

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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 Aug 16, 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 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 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 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, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $90,927 per year, or $43.7 per hour.

Coding Specialist III, Hospital Billing IP Coding

Hennepin Healthcare

Minneapolis, MN • Remote

$19.50 - $25/hr

Full-time

Re-posted 29 days ago

Hennepin Healthcare rating

7.6

Company rating: 7.6 out of 10

Based on 42 frontline employees who took The Breakroom Quiz

190th of 887 rated healthcare providers

Job description

JOB DETAILS
Department: Hospital Billing IP Coding
FTE: 1.00 (80 hours per pay period)
Workdays: Monday - Friday
Shift(s): Days
Shift Length: 8 hours
Location: Remote*

*Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.

Purpose of this position: Under general supervision, performs all functions associated with the appropriate assignment of ICD codes. Performs coding for inpatient hospital billing.

RESPONSIBILITIES

  • Assigns the appropriate ICD codes to diagnoses and procedures on inpatient cases
  • Assigns the correct DRG based on the coded diagnostic and procedural information on inpatient cases
  • Assigns the correct POA to corresponding diagnoses
  • Abstracts demographic and clinical data (including quality assurance) from the patient's medical record
  • Effectively interacts with providers for clarification of coding/documentation issues
  • Initiates, reviews, and/or edits physician queries where appropriate
  • Maintains or exceeds established accuracy and productivity standards
  • Maintains statistics, records, and logs in relation to assigned work area
  • Assists with the training and in-services of students and new employees in specific areas of assignment as directed by management
  • Keeps educated about current coding updates per management's direction - including ICD coding guidelines and DRG methodologies
  • Keeps management informed of coding problems/issues
  • Represents coding on teams, committees, and task forces as assigned by management
  • Actively participates in other duties as assigned, but only after appropriate training

QUALIFICATIONS
Minimum Qualifications:

  • Must have completed an American Health Information Management Association (AHIMA) approved program for Certified Coding Specialist, -OR- Health Information Technician (2 year degree), -OR- Health Information Administrator (4 year degree)
  • Five years of coding experience
  • Certification Required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) by an AHIMA recognized program

Knowledge/ Skills/ Abilities:

  • Ability to communicate effectively both orally and in writing
  • Ability to work independently with minimal direction

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