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Blue Cross Rn Remote Jobs in Arizona (NOW HIRING)

Bannerhealth

RN, Case Manager

Tucson, AZ · Remote

The RN, Case Manager will be onsite for training at Banner Corporate Mesa or Banner Corporate ... After completing training, it is a remote position with a work schedule of Monday - Friday 8am ...

Banner Health

RN, Case Manager

Phoenix, AZ · Remote

The RN, Case Manager will be onsite for training at Banner Corporate Mesa or Banner Corporate ... After completing training, it is a remote position with a work schedule of Monday - Friday 8am ...

The Hartford

Nurse Case Manager

Scottsdale, AZ · On-site +1

$69K - $104K/yr

Nurse Case Manager This fully remote or hybrid role provides telephonic case management for injured ... Partner with supervisors and cross-functional teams to address barriers, resolve issues, and ...

Arizona Department of Administration

$98K/yr

REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical Professional Level, Healthcare/Medical ... Pre-Employment Requirements: • Current unencumbered license/certification as a Registered Nurse ...

Upward Health

Nurse Care Manager

Phoenix, AZ · Remote

The Nurse Care Manager is a remote role responsible for reviewing electronic health records to ... Active unrestricted RN license in the state of California * Minimum of 3 years of clinical ...

New

Arizona Department of Administration

$78K/yr

REMOTE OPTIONS, PHOENIX Categories: Healthcare/Medical Professional Level, Healthcare/Medical ... Pre-Employment Requirements: • A current, unencumbered license as a Registered Nurse through the ...

JDA

Director of Security Compliance

Scottsdale, AZ · Remote

... TX / Remote (US) Synonymous Business Title (s): Security & Compliance Director About Blue Yonder ... Rationalize the control environmentby building and maintaining a shared, cross-framework control ...

Lincare

Medical Nutrition Spc - Remote

Phoenix, AZ · Remote

$29.25 - $39.25/hr

Collaborates remotely with physicians, nurses, case managers, and other healthcare professionals ... Registered Dietitian/Registered DietitianNutritionist (RD or RDN),Required * Licensed Dietitian for ...

Priority OnDemand

Nurse Practitioner

Phoenix, AZ · On-site +1

This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... Registered with AHCCCS preferred • Experience with chronic conditions and care management ...

PRIORITY ONDEMAND

Nurse Practitioner

Phoenix, AZ · Remote

This fully remote role supports readmission avoidance, care continuity, and patient stabilization ... Registered with AHCCCS preferred • Experience with chronic conditions and care management ...

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Blue Cross Rn Remote information

What is a Blue Cross RN remote?

A Blue Cross RN Remote is a registered nurse who works remotely for Blue Cross Blue Shield, typically supporting members through telehealth, case management, care coordination, and health coaching. These nurses use phone, video calls, and digital platforms to assess patient needs, develop care plans, and provide education and support. Their role helps ensure that members receive high-quality care and guidance without needing in-person visits, making healthcare more accessible and convenient. Blue Cross RNs working remotely may also assist with pre-authorization, utilization management, or disease management programs.

How does a Blue Cross RN remote typically communicate and coordinate care with interdisciplinary team members?

As a remote Blue Cross RN, effective communication with physicians, case managers, social workers, and other healthcare professionals is essential. Most coordination occurs via secure digital platforms, video calls, and phone conferences, allowing for timely updates on patient progress and care plans. Regular virtual meetings and documentation in shared electronic health records ensure seamless teamwork and continuity of care. Building strong digital communication skills and being proactive about follow-ups are key to success in this remote setting.

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

To excel as a Blue Cross RN Remote, you need an active RN license, clinical nursing experience (often in case management or utilization review), and strong assessment abilities. Familiarity with electronic medical record (EMR) systems, telehealth platforms, and case management software is typically required, along with certifications like CCM (Certified Case Manager) being advantageous. Exceptional communication, self-motivation, and organizational skills help nurses effectively support members and collaborate virtually with healthcare teams. These competencies ensure quality patient care, regulatory compliance, and efficient service delivery in a remote environment.

What is the difference between Blue Cross Rn Remote vs Blue Cross Lpn Remote?

AspectBlue Cross Rn RemoteBlue Cross Lpn Remote
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote healthcare support, patient assessmentsRemote patient care, basic clinical tasks
Employer & Industry UsageHealth insurance companies, healthcare providersHealth insurance companies, healthcare providers
Common Search & ComparisonYesYes

Blue Cross Rn Remote and Blue Cross Lpn Remote roles both serve in remote healthcare settings within insurance companies and healthcare providers. The main difference lies in the required credentials: RNs need a registered nurse license, while LPNs require a practical nurse license. RNs typically handle more complex patient assessments, whereas LPNs focus on basic patient care tasks. Both roles are essential in remote healthcare support, but they differ in scope and qualification requirements.

What are popular job titles related to Blue Cross Rn Remote jobs in Arizona?

For Blue Cross Rn Remote jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Blue Cross Rn Remote jobs in Arizona look for?

The top searched job categories for Blue Cross Rn Remote jobs in Arizona are:

What cities in Arizona are hiring for Blue Cross Rn Remote jobs?

Cities in Arizona with the most Blue Cross Rn Remote job openings:

Blue Cross Rn Remote jobs near you
Infographic showing various Blue Cross Rn Remote job openings in Arizona as of August 2026, with employment types broken down into 89% Full Time, 6% Part Time, and 5% Contract. Highlights an 100% Remote job distribution.

Insurance Authorization Rep

Blue Cloud Pediatric Surgery Centers LLC

Phoenix, AZ • On-site, Remote

$39K - $54K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Key responsibilities

  • Perform insurance verification and obtain prior authorization for procedures.

  • Communicate with insurance companies regarding authorization issues and discrepancies.

  • Contact patients to inform them of insurance coverage, financial obligations, and arrange payments.

Job description

NOW HIRING
INSURANCE AUTHORIZATION REPRESENTATIVE - REMOTE
ABOUT US
Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors.
As our network of ASCs continues to grow, we are actively recruiting a new Patient Service Coordinator to join our talented and passionate care teams.
Our ASC based model provides an excellent working environment with a close-knit clinical team of Dentists, Anesthesiologists, Registered Nurses, Registered Dental Assistants and more. We'd love to discuss these opportunities in greater detail, and how Blue Cloud can become your new home!
OUR VISION & VALUES
At Blue Cloud, it's our vision to be the leader in safety and quality for
pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision.
  • We cheerfully work hard
  • We are individually empathetic
  • We keep our commitments

Summary/Objective
Perform insurance verification and authorizations. Responsibilities include but not limited to heavy phone contact with dental and medical insurance companies, communicate with insurance companies' authorization department regarding any CPT/CDT code discrepancies (as assigned), and contact patient prior to appointment if there are any insurance/ authorization issues. Serves as a valuable resource to patients, providing them with pertinent information regarding their insurance coverage.
Essential Functions (Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions).
  • Accurately enter insurance information into computer system.
  • Responsible for pre-certification/ authorization and insurance verification for all patients.
  • Obtain prior authorization for procedures.
  • Research follow up and resolve open & pending authorizations in a timely manner.
  • Calculate cash estimates for patients on upcoming visits/ procedures.
  • Contact patients regarding financial obligations and arranging payments.
  • Documents activity in the patient accounts.
  • Concisely, precisely and accurately document all information.
  • Maintain clear communication with patients as well as insurance companies.
  • Maintain strict confidentiality of patient and center related business.
  • Scanning medical documents into patient accounts.
  • Answer questions from clinics, patients, insurance companies, and staff.
  • Maintain patient confidentiality and adhere to HIPAA guidelines / regulations.
  • Perform tasks based on set task schedule.
  • Perform general office duties as needed.

Competency
  • Customer/Client Focus.
  • Stress Management/Composure.
  • Results Driven.
  • Technical Capacity.
  • Problem Solving/Analysis.
  • Teamwork Orientation.
  • Collaboration Skills.
  • Time Management.
  • Communication Proficiency

Supervisory Responsibility
This position has no direct supervisory responsibilities.
Work Environment
This job operates in a professional office environment or can be located remotely in a professional home office. This role routinely uses standard office equipment.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; talk or hear. The employee must occasionally lift or move office products and supplies, up to 20 pounds.
Position Type/Expected Hours of Work
Full time, day shift, Monday through Friday. This position may have occasional overtime.
Travel
This position requires no travel.
Required Education and Experience
  • High School Diploma or Equivalent
  • Ability to effectively handle multiple responsibilities simultaneously in a deadline driven environment.
  • Strong understanding of benefits investigating; deductibles, co-insurance, out of pocket expense & benefit exclusions

Preferred Education and Experience
  • Associates degree
  • Additional coursework in medical/dental billing
  • Previous experience with medical/dental billing software systems
  • 3-5 years in a fast-paced medical/dental office environment
  • Knowledge of patient registration, scheduling, authorizations, billing, and dental/medical policies
  • Working knowledge of Medicare, Medicaid, BC/BS, Workers Compensation, Managed Care, and Commercial insurance carriers billing regulations
  • Strong organization, problem-solving and communication skills

Requirements
None
Job Type: Full-time
Expected hours: 40 per week
Benefits:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance
  • $18-20/hr
  • Remote Opportunity - AZ, ID, TN, MO, TX, MD, CO, FL, DE, IL, KS, MI, NV, NC, OH, PA, WV

Experience:
  • Insurance verification: 1 year (Preferred)
  • Medical billing: 1 year (Preferred)

Work Location: Remote (Not eligible for CA employees)
Blue Cloud is an equal opportunity employer. Consistent with applicable law, all qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship, color, family or medical care leave, gender identity or expression, genetic information, immigration status, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran or military status, race, ethnicity, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable local laws, regulations and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application process, read more about requesting accommodations.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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