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Blue Cross Rn Remote Jobs in Virginia (NOW HIRING)

Acentra Health

Clinical Reviewer

Mclean, VA · Remote

Job Summary and Responsibilities Acentra Health is looking for a Clinical Reviewer (LPN, LVN, RN) ... This is a remote position. The selected candidate will typically work Monday-Friday from 8:00 AM ...

New

Corvel

Advocacy 24/7 Triage Nurse

Glen Allen, VA · Remote

$25.48 - $41.09/hr

This is a remote role, candidates must reside in a nursing compact state. This role requires ... Obtains and maintains licensure as a Registered Nurse in 50 states and the District of Columbia

Corvel

Advocacy 24-7 Triage Nurse

Glen Allen, VA · Remote

$25.48 - $41.09/hr

This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Provides telephonic assessment and ... Obtains and maintains licensure as a Registered Nurse in 50 states and the District of Columbia

Inova Primary Care

Patient Fin Svcs Rep 4

Fairfax, VA · Remote

$18 - $22.75/hr

This position is eligible for remote work for candidates residing in the following states - VA, MD ... Commercial, Managed Care, Blue Cross, Medicare, Medicaid, etc.) and ensures that all assigned ...

New

BetterHelp

Clinical Psychologist- Remote

Norfolk, VA · Remote

$66K - $82K/yr

Work from the comfort of home (fully remote) * Flexible schedule - you set your own hours. * Free ... Also, we are unable to accept substance abuse counselors, school counselors, registered nurses ...

Carilion Clinic

CLINICAL DIETITIAN (CAP I)

Roanoke, VA · On-site +1

Located in the beautiful Blue Ridge Mountains, we offer a supportive work environment. New ... Registered Dietitian Nutritionist (R.D.N.); Certified Diabetes Educator (C.D.E.) desired for the ...

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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.

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 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 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 are popular job titles related to Blue Cross Rn Remote jobs in Virginia? For Blue Cross Rn Remote jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Virginia look for? The top searched job categories for Blue Cross Rn Remote jobs in Virginia are:
What cities in Virginia are hiring for Blue Cross Rn Remote jobs? Cities in Virginia 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 Virginia as of June 2026, with employment types broken down into 3% As Needed, 92% Full Time, and 5% Part Time. Highlights an 3% In-person, and 97% Remote job distribution.
Nurse Case Manager-NOVA, VA

Nurse Case Manager-NOVA, VA

Sentara Healthcare

Manassas, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Sentara Health rating

6.8

Company rating: 6.8 out of 10

Based on 385 frontline employees who took The Breakroom Quiz

487th of 873 rated healthcare providers

Job description

City/State
Manassas, VA
Work Shift
First (Days)
Overview:
Sentara Healthcare is currently hiring an Integrated Nurse Case Manager for Northern Virginia, VA
This is a Full Time position with day shift hours and great benefits!
Requires travel to conduct face-to-face home visits in members' homes or other locations throughout the Northern Virginia Region, VA (including Arlington, Manassas, Bristow, Haymarket, Woodbridge, Front Royal, and Warrenton).
Preferred residence locations include:
  • Manassas, VA
  • Bristow, VA
  • Haymarket, VA
  • Prince William County area
  • Warrenton, VA / Fauquier County area (also considered)

Primary responsibilities include:
  • Responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum
  • Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services
  • Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
  • Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs
  • Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible
  • Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
  • Presents cases at case conferences for multidisciplinary focus. Ensures compliance with regulatory, accrediting and company policies and procedures
  • May assist in problem solving with provider, claims or service issues

Education
  • Associates or Bachelors Degree in Nursing

Certification/Licensure
  • Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required.

Experience
  • 3 years experience in Nursing
  • Discharge planning experience preferred
  • Managed Care experience preferred
  • Preferred: Private duty nursing and knowledgeable with ventilators in a facility or home

Keywords: Care Coordination, Case Management, Human Services, Community Health, Health Education, RN Case Manager, Registered Nurse, BSN, ADN, Private Duty, Ventilator, LinkedIn, Talroo-Nursing ,Manassas, Bristow, Haymarket, Prince William County ,Warrenton, VA , Fauquier County area
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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