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Blue Cross Nurse Jobs (NOW HIRING)

Sunnycrest Manor

Registered Nurse

Dubuque, IA · On-site

$29.84 - $35.30/hr

Performs professional work in providing nursing care onan assigned shift to the elderly, medically ... Family Blue Cross Blue Shield Health insurance for 175.22 Per Month *Single Blue Cross Blue Shield ...

Sunnycrest Manor

Registered Nurse

Dubuque, IA · On-site

$29.84 - $35.30/hr

Performs professional work in providing nursing care onan assigned shift to the elderly, medically ... Family Blue Cross Blue Shield Health insurance for 175.22 Per Month *Single Blue Cross Blue Shield ...

Dubuque County, IA

Registered Nurse

Dubuque, IA · On-site

$29.84 - $35.30/hr

Performs professional work in providing nursing care onan assigned shift to the elderly, medically ... Family Blue Cross Blue Shield Health insurance for 175.22 Per Month *Single Blue Cross Blue Shield ...

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Blue Cross Nurse information

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$38

$65

How much do blue cross nurse jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for blue cross nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is the difference between Blue Cross Nurse vs Licensed Practical Nurse?

AspectBlue Cross NurseLicensed Practical Nurse
CredentialsRegistered Nurse license, possibly additional certificationsLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, insurance companies, telehealthLong-term care facilities, clinics, hospitals
Employer & IndustryHealth insurance providers, healthcare facilitiesHealthcare facilities, nursing homes

Blue Cross Nurses and Licensed Practical Nurses both work in healthcare settings, but Blue Cross Nurses typically hold RN licenses and may work in insurance-related roles or clinical settings, while LPNs have practical nurse licenses and often work in direct patient care in long-term or outpatient facilities. The roles overlap in patient interaction but differ in scope, responsibilities, and work environments.

What are the key skills and qualifications needed to thrive as a Blue Cross nurse, and why are they important?

To thrive as a Blue Cross Nurse, you need a current RN license, clinical experience in care management or utilization review, and strong knowledge of medical protocols and insurance procedures. Familiarity with case management software, electronic health records (EHRs), and relevant healthcare certifications (such as CCM or URAC) is often required. Exceptional communication, critical thinking, and problem-solving abilities help nurses advocate for patients and coordinate effectively with providers and insurers. These skills ensure quality patient outcomes, efficient resource utilization, and compliance with healthcare regulations in an insurance-driven environment.

What is a Blue Cross nurse?

Blue Cross Nurses are registered nurses who work for Blue Cross Blue Shield (BCBS) health insurance companies. They typically provide care management, case management, health education, and telehealth support to BCBS members. Their role can include helping patients manage chronic conditions, coordinating care with providers, answering health questions, and guiding members through the healthcare system. Blue Cross Nurses often work remotely or in call centers, assisting members by phone or online. Their main goal is to improve patient outcomes and ensure members receive appropriate, cost-effective care.

How does a Blue Cross nurse typically collaborate with other healthcare professionals within the insurance provider's network?

As a Blue Cross Nurse, collaboration with physicians, case managers, and other allied health professionals is a key aspect of the role. Nurses regularly participate in interdisciplinary team meetings to discuss patient care plans, coordinate services, and ensure members receive appropriate, cost-effective care. Communication with providers and patients is essential for successful care management, and nurses often act as a liaison to facilitate information sharing and address any barriers to care. This collaborative environment supports both improved patient outcomes and efficient use of healthcare resources.
More about Blue Cross Nurse jobs
What cities are hiring for Blue Cross Nurse jobs? Cities with the most Blue Cross Nurse job openings:
What states have the most Blue Cross Nurse jobs? States with the most job openings for Blue Cross Nurse jobs include:
What job categories do people searching Blue Cross Nurse jobs look for? The top searched job categories for Blue Cross Nurse jobs are:
Blue Cross Nurse jobs near you
Infographic showing various Blue Cross Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 85% Full Time, 10% Part Time, and 4% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Clinical Review Registered Nurse

Blue Cross and Blue Shield of Vermont

Montpelier, VT • On-site

$73K - $82K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

Clinical Review Registered Nurse

Blue Cross and Blue Shield of Vermont is looking for a Clinical Review Registered Nurse to join our Utilization Management team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

COMPENSATION: The base salary range for this position is $73,000 - $82,000. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that the range listed above is our good faith estimate of the hiring range for this role. If you are hired at Blue Cross and Blue Shield of Vermont, your final base salary compensation will be determined based on factors such as skills, competencies, education, experience, and internal equity across the current team. We also offer a robust benefits package with significant value (see below).

LOCATION: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. We are only hiring Vermonters for this role. Standard work hours are 8:00-4:30.

The Clinical Review Registered Nurse will be responsible for facilitating members' healthcare needs, authorizing medically necessary services including behavioral health at the right level of care to promote optimal health.

Clinical Review Registered Nurse Responsibilities:

  • Conduct clinical reviews for preservice, concurrent, and retrospective authorizations that promote efficient and medically appropriate use of members benefits to provide cost effective and high-quality care.
  • Self-directed, working independently and collaboratively with the team to facilitate care using clinical skills, principles of managed care, nationally recognized medical necessity criteria, and company medical policies.
  • Emphasis on utilization management, discharge planning, clinical outcomes and the ability to assess, analyze, draw conclusions, and construct effective solutions, identify questionable cases and refer to superior or medical director for review.
  • Proficient with multiple IT systems.
  • Strong written and spoken communication skills
  • Able to follow regulatory requirements with audit feedback incorporated into future work.

Clinical Review Registered Nurse Qualifications:

  • RN with Vermont License required, BSN desired.
  • 3-5 years of relevant experience in a variety of appropriate clinical health care settings (inpatient, outpatient, or differing levels of care)
  • 1- 3 years of insurance related experience desired.
  • Must be willing to participate in on-going CEU training.
  • Must be willing to participate in after hours on call rotation

Clinical Review Registered Nurse Benefits:

  • Health insurance (including vision)
  • Dental coverage (free to employees)
  • Wellness Program
  • 401(k) with employer match + automatic employer contribution
  • Life Insurance
  • Disability Insurance
  • Combined time off (CTO) – 20 days per year + 10 paid holidays
  • Tuition Reimbursement
  • Student Loan Repayment
  • Dependent Caregiver Benefits

Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch.

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