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Blue Cross Rn Remote information
What are the key skills and qualifications needed to thrive as a Blue Cross RN Remote, and why are they important?
What is the difference between Blue Cross Rn Remote vs Blue Cross Lpn Remote?
| Aspect | Blue Cross Rn Remote | Blue Cross Lpn Remote |
|---|---|---|
| Required Credentials | Registered Nurse (RN) license | Licensed Practical Nurse (LPN) license |
| Work Environment | Remote healthcare support, patient assessments | Remote patient care, basic clinical tasks |
| Employer & Industry Usage | Health insurance companies, healthcare providers | Health insurance companies, healthcare providers |
| Common Search & Comparison | Yes | Yes |
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 is a Blue Cross RN Remote?
How does a remote Blue Cross RN typically communicate and coordinate care with interdisciplinary team members?
- Remote Data Rn
- Remote Medical Utilization Review Physician
- Freelance International Utilization Review Nurse
- Remote Supervisor Utilization Management
- Manager Facility Services
- Non Clinical Nursing
- Remote Navihealth Utilization Review
- International Remote Nurse Educator
- Online Utilization Review
- Remote Anthem Utilization Review Nurse

Part-time
Posted 2 days ago
Job description
Job Address:
10123 Alliance Road, Suite 320 Blue Ash, OH 45242Telehealth Administrator on Call (Registered Nurse), Remote Position
The PHP Telehealth Administrator on Callhas a passion for providing remote administrative, clinical triage, and care coordination support for the PHP Telehealth provider team, as well as seniors and other residents in a variety of healthcare settings that can include, but are not limited to, skilled nursing facilities, assisted living, and independent living communities, etc. They deliver support in a high touch, person-centered care model and collaborate with the interdisciplinary team to ensure that all residents receive the right care at the right time.
PRN Position
Option for 8 hour shift
Option to choose 1 shift for month and stay on shedule
Personalized Health Partners (PHP) is the medical practice arm for the CommuniCare Family of Companies. The Administrator on Call would directly support both the PHP Telehealth provider group as well answering calls for triage from our other telehealth use cases outside of the Skilled Nursing and Assisted living environments. The goal of the Administrator on Call is to support the Telehealth provider team as well as our patients to increase wellness, prevent illness, improve clinical outcomes and focus on customer experience and satisfaction.
PRIMARY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS
Duties of all PHP Telehealth Administrators on Call
- Coordinate with telehealth providers to ensure appropriate patients receive telemedicine services.
- Communicate with onsite nursing teams to ensure all clinical needs are coordinated
- Oversee provider queue in Never Alone
- Support technical issues that arise for telehealth provider team
- Monitor EMR to triage routine clinical lab requests, routine imaging results, notifications, etc. that result after hours.
- Maintain timely documentation of encounters with facility nurses in the EMR
- Record information directly into CRM system
- Connect patients that need to be seen acutely by an in-house provider the next day with Central Scheduling
- Answer and triage calls from Never Alone use cases outside of the SNF use case
- Provide health education
- Provide an excellent customer experience to foster high customer satisfaction/retention
- Practice ethically and in accordance with the Scope and Standards of Practice of their profession and Board Certification.
- Follow all state and federal regulations, guidelines, and laws
Additional duties of PHP Telehealth Administrator on Call
- Collaborate with telehealth provider group
- Participation in monthly staff meetings
- During downtime there may be some additional project related work related to the development of protocols, initial quality review of previous encounters, or projects to be defined as the role evolves.
EDUCATION and QUALIFICATION:
Required:
- Must have valid RN or LPN license
- Must be willing to be licensed in the 7 states served (Indiana, Ohio, Maryland, Virginia, West Virginia and Kentucky)
- Excellent communication and critical thinking skills
- Good technology aptitude
Preferred Qualifications:
- Training or clinical experience in geriatrics, primary care/internal medicine and/or ED or urgent care
- 3+ years clinical experience
- Be open to professional development through training, obtaining certifications if necessary, and attending team meetings
- Experience working in a collaborative healthcare setting to drive positive outcomes and achieve goals
- Training or experience in outpatient primary care setting