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Work From Home Stop Loss Rn Jobs in Appleton, WI

Bellin

RN | Virtual Nursing (Onsite)

Green Bay, WI · On-site +1

The Virtual Registered Nurse (VRN) will manage and deliver remote patient care in an acute setting ... work and at home. ➡ Additional perks include: * Top-notch benefits: 401(k) with matching, paid ...

Network Health, Inc

RN Care Manager

Menasha, WI · Remote

This position is eligible to work at your home office (reliable internet is required). Travel to ... Review results from medical or behavioral tests and procedures and updates care plan to reflect ...

Network Health

RN Care Manager

Menasha, WI · Remote

This position is eligible to work at your home office (reliable internet is required). Travel to ... Review results from medical or behavioral tests and procedures and updates care plan to reflect ...

Network Health WI

RN Care Manager

Menasha, WI · On-site +1

This position is eligible to work at your home office (reliable internet is required). Travel to ... Review results from medical or behavioral tests and procedures and updates care plan to reflect ...

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Showing results 21-40

All JobsStop Loss Rn JobsWork From Home Stop Loss Rn JobsWork From Home Stop Loss Rn Jobs in Appleton, WI

Work From Home Stop Loss Rn information

See Appleton, WI salary details

$66.3K

$111.6K

$201K

How much do work from home stop loss rn jobs pay per year?

As of Aug 12, 2026, the average yearly pay for work from home stop loss rn in Appleton, WI is $111,598.00, according to ZipRecruiter salary data. Most workers in this role earn between $96,100.00 and $123,400.00 per year, depending on experience, location, and employer.

What is the difference between Work From Home Stop Loss Rn vs Work From Home Case Manager?

AspectWork From Home Stop Loss RnWork From Home Case Manager
CredentialsRN license, certifications in insurance or risk managementRN license, case management certification
Work EnvironmentHome-based, insurance and healthcare settingsHome-based, healthcare and insurance industries
Industry UsageInsurance companies, healthcare providersInsurance companies, healthcare organizations
Job FocusManaging stop loss insurance claims and riskCoordinating patient care and insurance processes

While both roles require RN licensure and healthcare knowledge, the Work From Home Stop Loss Rn focuses on managing insurance claims related to stop loss coverage, emphasizing risk assessment. In contrast, the Work From Home Case Manager concentrates on coordinating patient care and insurance processes. Both roles are home-based and serve the healthcare and insurance industries, but their primary responsibilities differ significantly.

What is a Work From Home Stop Loss RN?

A Work From Home Stop Loss RN is a registered nurse who works remotely, typically for insurance companies or third-party administrators, to review medical claims associated with stop loss insurance policies. Their main responsibility is to assess the medical necessity and appropriateness of claims that exceed certain thresholds, helping employers and insurers manage high-cost healthcare claims. These nurses use their clinical expertise to analyze medical records, communicate with providers, and ensure that claims are processed accurately and efficiently. Working from home allows them to perform these tasks virtually, often using secure digital platforms.

What are some common challenges faced by Work From Home Stop Loss RNs, and how can they be addressed?

Work From Home Stop Loss RNs often face challenges related to remote communication, maintaining up-to-date clinical knowledge, and managing a high volume of case reviews. Since collaboration is primarily virtual, it's important to develop strong written and verbal communication skills to effectively coordinate with physicians, case managers, and insurance teams. Staying current with clinical guidelines and leveraging digital tools for documentation and workflow management can help streamline responsibilities and ensure accurate decision-making. Building a structured daily routine and proactively seeking support from team leads or mentors can also help address feelings of isolation and ensure ongoing professional growth.

What are the key skills and qualifications needed to thrive as a Work From Home Stop Loss RN?

To thrive as a Work From Home Stop Loss RN, you need a current RN license, strong clinical assessment skills, and experience in utilization review or case management. Familiarity with health insurance systems, stop loss claims processes, and electronic medical record (EMR) platforms is typically required. Excellent attention to detail, critical thinking, and effective written communication are crucial soft skills for remote collaboration and accurate documentation. These abilities ensure accurate claim evaluations, regulatory compliance, and efficient coordination with insurers and healthcare providers.
What are popular job titles related to Work From Home Stop Loss Rn jobs in Appleton, WI? For Work From Home Stop Loss Rn jobs in Appleton, WI, the most frequently searched job titles are:
What job categories do people searching Work From Home Stop Loss Rn jobs in Appleton, WI look for? The top searched job categories for Work From Home Stop Loss Rn jobs in Appleton, WI are:
What cities near Appleton, WI are hiring for Work From Home Stop Loss Rn jobs? Cities near Appleton, WI with the most Work From Home Stop Loss Rn job openings:
Work From Home Stop Loss Rn jobs near you
Infographic showing various Work From Home Stop Loss Rn job openings in Appleton, WI as of August 2026, with employment types broken down into 65% Full Time, 25% Part Time, and 10% Contract. Highlights an 3% In-person, and 97% Remote job distribution, with an average salary of $111,598 per year, or $53.7 per hour.

Work From Home - Break Free of the 9-5

Global Elite Empire Consultants

De Pere, WI • Remote

Full-time

Re-posted 12 days ago

Job description

If you're tired of:

  • Requesting time off
  • Sitting in traffic
  • Having your income capped

This might be what you've been looking for.

Seeking individuals who are ready to take control of their schedule and income by helping clients who have already requested information about their benefit options.

No cold calling. No micromanagement. Just a system that works if you do.

What You'll Do

  • Speak with interested clients
  • Walk them through simple options
  • Help them get set up

What You Get

  • Remote work
  • Flexible hours
  • Performance-based income (no cap)
  • Training and mentorship

Ideal Fit
Someone who is done trading time for money and ready to bet on themselves.

*All interviews will be conducted via Zoom video conferencing

(Global Elite Empire Consultants is a third-party recruiter, not an insurance agency)

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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