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Blue Cross Rn Remote Jobs in Tennessee (NOW HIRING)

PharmD Live

Spanish Speaking LPN - Tennessee

Nashville, TN · Remote

$24.75 - $33.75/hr

Fully Remote Schedule: Flexible - create your own hours Requirement: Must hold an active Tennessee RN or LPN license Position Overview: We are looking for a bilingual Care Coordinator (RN/LPN) fluent ...

PharmD Live

Spanish Speaking LPN - Tennessee

Nashville, TN · Remote

$24.75 - $33.75/hr

Fully Remote Schedule: Flexible - create your own hours Requirement: Must hold an active Tennessee RN or LPN license Position Overview: We are looking for a bilingual Care Coordinator (RN/LPN) fluent ...

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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?

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.

How does a remote Blue Cross RN 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 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.

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 Tennessee? For Blue Cross Rn Remote jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Tennessee look for? The top searched job categories for Blue Cross Rn Remote jobs in Tennessee are:
What cities in Tennessee are hiring for Blue Cross Rn Remote jobs? Cities in Tennessee 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 Tennessee as of May 2026, with employment types broken down into 84% Full Time, 8% Part Time, and 8% Contract. Highlights an 100% Remote job distribution.
Registered Nurse (Remote)

Registered Nurse (Remote)

Upperline Health

Nashville, TN • On-site, Remote

Full-time

Posted 6 days ago

Upperline Health rating

3.0

Company rating: 3.0 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

Job description

About Us
A Specialty Path to Good Health
Upperline Health is the nation's largest provider group dedicated to lower extremity, wound and vascular care. Founded in 2017 with the ambitious goal of transforming specialty care, Upperline Health is a pioneer in bringing value-based care models into specialty care. Upperline delivers a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.
Triage is temporary.
Treatment is transformative.
Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. We put patients at the center of value-based care.
About the Registered Nurse RoleUpperline Health is seeking a weekday Registered Nurse to support a team of clinicians in delivering complex plans of care in accordance with the patient's health status and overall goals and values. This individual will be based in one of our Upperline markets and will be responsible for providing care navigation and patient support as well as coordination of post-discharge care management services. This role supports high-risk and recently discharged patients to ensure safe transitions across care settings, prevent avoidable readmissions, close care gaps, and improve quality outcomes under value-based care contracts. This will include a range of clinical and administrative tasks such as directly providing telephonic support to patients, families and working collaboratively with the team of Nurse Practitioners and ancillary staff.
Ideal candidates will have experience working with an older adult patient population and telehealth triage experience. Most importantly, candidates must demonstrate compassion for patient needs, have great attention to detail and thrive in a collaborative environment.
What You'll Do:
  • Telephonic care management with patients and their families, including triaging incoming calls and addressing and escalating urgent patient issues, as well as making proactive outgoing calls as requested by Upperline's Providers.
  • Provide chronic care management and transitional care management outreach, assessment and intervention to assess, identify and close clinical and non-clinical gaps in patient care.
  • Appropriate triage and escalation of routine, urgent and emergent patient issues.
  • Clinical care coordination with other providers and specialists, including:
    • Upperline clinic, telephonic, and home-based visit coordination
    • PCP or specialist office visit appointment coordination
    • Initiating clinical service orders on behalf of the patient
    • Initiating health plan authorization for Home Health, DME, Home Infusion and other critical services. Verifying the timely delivery of these services.
  • Medication reconciliation and management to include the following, prescription updates and refill requests, identifying potential medication issues, answering patient questions on side effects and medication conflicts, and coordinating refills in coordination with Upperline Pharmacy team.
  • Various clinical and administrative tasks.
  • Potentially participation in weekly/monthly interdisciplinary team meetings and clinical huddles.
  • Other related duties as deemed necessary by Upperline Health

Required Skills & Competencies:
  • Candidates should be excited and energized by the prospect of working collaboratively as part of an innovative team
  • Active Compact RN licensure required A plus if you are licensed in CA, CT, or MI
  • Minimum of 3 years clinical experience required, preferably in a centralized care management team environment
  • Prior healthcare experience serving chronically ill patients preferred
  • Previous experience in ER, Critical Care or Home Health a plus
  • Strong customer-service orientation
  • Previous experience with Athena EMR a plus
  • Must be able to help provide weekend and holiday coverage on a rotating basis
  • Patient, compassionate and professional demeanor required
  • Exceptional organizational skills and ability to multi-task
  • Self-starter with an entrepreneurial spirit and demonstrated problem solving skills
  • Strong writing, Word, Excel, and database management skills
  • Extremely strong work ethic
  • Experience working in a fast-growing, rapidly changing environment

Compensation
Compensation is commensurate to compensation for similar positions in the region and based on prior training and experience.
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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