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Remote Utilization Review Rn Jobs in Madison, WI

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Remote Utilization Review Rn information

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$42

$69

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 Madison, WI is $42.61, according to ZipRecruiter salary data. Most workers in this role earn between $33.65 and $48.94 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 Madison, WI? For Remote Utilization Review Rn jobs in Madison, WI, the most frequently searched job titles are:
What job categories do people searching Remote Utilization Review Rn jobs in Madison, WI look for? The top searched job categories for Remote Utilization Review Rn jobs in Madison, WI are:
What cities near Madison, WI are hiring for Remote Utilization Review Rn jobs? Cities near Madison, 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 Madison, WI as of June 2026, with employment types broken down into 83% Full Time, 6% Part Time, and 11% Contract. Highlights an 100% Remote job distribution, with an average salary of $88,631 per year, or $42.6 per hour.
Telehealth Mental Health Provider (Wisconsin)

Telehealth Mental Health Provider (Wisconsin)

Medvidi

Madison, WI • On-site, Remote

Contractor

Posted 20 days ago

Job description

Description
MEDvidi is seeking experienced Telehealth Mental Health Providers to join our growing team. This is a fully remote, 1099 contractor opportunity offering flexibility, strong patient demand, and a highly supported clinical environment.
At MEDvidi, we provide comprehensive mental health evaluations and treatment for adult patients experiencing conditions such as ADHD, anxiety, depression, insomnia, and mild-to-moderate OCD.
We're reimagining how care is delivered. Here's what sets us apart:
  • Full administrative support - no need to hire or manage staff; dedicated assistants handle scheduling, patient communication, and logistics
  • Streamlined technology - proprietary EMR with integrated PDMP and e-prescribing tools
  • Reduced administrative burden - automated workflows and AI-supported documentation tools
  • No software costs - our platform is fully provided at no cost to you
  • Low no-show rates - consistent patient flow and reliable earnings
  • Flexible scheduling - build your own schedule with the ability to increase volume over time

Compensation:
This is a 1099 contractor role with payment per completed appointment:
  • Physicians (MD/DO):
  • Initial evaluations (30 min): ~$60 per visit
  • Follow-ups (15 min): ~$40 per visit
  • Nurse Practitioners (PMHNPs):
  • Initial evaluations (30 min): ~$45 per visit
  • Follow-ups (15 min): ~$30 per visit

Consistent availability and schedule optimization can significantly increase total earnings.
At MEDvidi, our mission is to make mental health care more accessible, affordable, and stigma-free. We leverage technology, clinical expertise, and operational support to empower providers and improve patient outcomes across the U.S.
Responsibilities
  • Conduct comprehensive psychiatric evaluations via telehealth
  • Review patient medical history, symptoms, medications, and relevant background
  • Diagnose and treat conditions such as ADHD, anxiety, depression, insomnia, and OCD
  • Develop and implement individualized treatment plans
  • Prescribe medications, including controlled substances, in accordance with clinical and regulatory guidelines
  • Provide patient education on treatment plans, medication usage, and follow-up care
  • Maintain timely and accurate clinical documentation in the EMR
  • Ensure completion of chart notes and prescriptions within required timeframes
  • Collaborate with clinical and operations teams to support patient care and continuity

Equal Opportunity Employer Statement
MEDvidi is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees and contractors. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
Requirements
  • Board Certified Physician (MD/DO) or Psychiatric Mental Health Nurse Practitioner (PMHNP)
  • Active and unrestricted medical license (multi-state preferred)
  • Active DEA registration
  • Minimum 2 years of clinical experience in mental health treatment
  • Experience prescribing controlled substances
  • Strong clinical judgment and comfort managing common outpatient psychiatric conditions
  • Ability to work a minimum of ~15 hours per week (preferred for patient continuity)

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