Utilizing clinical expertise outside of a hospital setting, the full-time salaried Wisconsin Licensed RN Case Manager will review prior authorization requests, coordinate care transitions, and collaborate with healthcare providers to ensure optimal patient care, with options for in-person, hybrid, or remote work. Key responsibilities Perform clinical reviews of prior authorization requests Conduct medical reviews for members requiring inpatient, skilled nursing facility, and home health services Communicate with members, caregivers, and providers regarding medical reviews and care coordination Required qualifications Bachelor's Degree in nursing or an Associate's Degree with relevant experience Unrestricted State of Wisconsin RN license (Compact State License acceptable) 2+ years of RN utilization management experience preferred Insurance or managed care experience preferred Valid State of Wisconsin driver's license required; some travel within service area
Wisconsin Licensed RN Case Manager in workfromhome at Unknown Company
- Typical pay
- $71,760–$109,200
For context, most registered nurses earn between $71,760–$109,200 a year according to Bureau of Labor Statistics wage data. What this particular role pays is set by the employer — check the description above.
This position is listed as full time and able to be worked remotely.