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Blue Cross Rn Remote Jobs in Buffalo, NY (NOW HIRING)

RN

Buffalo, NY · Remote

$40 - $60/hr

MDs, PAs, and Nurses. Benefits ... This a full-time or part-time REMOTE position * You'll be able to choose which projects you want to ...

Patient Service Representative

Buffalo, NY · Remote

$17 - $21.50/hr

Patient Service Representative (PSR) Remote independent contract worker position Competitive fee ... Preferred Candidates include (not limited to): RN, EMT, Paramedic, EMS, Firefighter, PA, LPN, MA ...

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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 job categories do people searching Blue Cross Rn Remote jobs in Buffalo, NY look for? The top searched job categories for Blue Cross Rn Remote jobs in Buffalo, NY are:
What cities near Buffalo, NY are hiring for Blue Cross Rn Remote jobs? Cities near Buffalo, NY with the most Blue Cross Rn Remote job openings:

Remote RN Telephone Triage (NYS license required)

Virtual Medical

Buffalo, NY • Remote

Full-time

Posted 8 days ago


Job description

*****MUST LIVE WITHIN 2 HOURS DRIVING TIME OF THE WNY AREA*****
(4) 10 hour shifts, afternoons 3p-130a, rotating weekends.   Salary:  $34/$35 an hour, overtime available (excellent medical benefit package and more)
REMOTE TRAINING 6-8 WEEKS MONDAY-FRIDAY.  TRAINING TIMES MAY VARY DURING TRAINING PERIOD FROM 8a-430p - 12p-830p
We are looking for qualified Registered Nurse's to join our team.  We are a fully remote 24-hour On Call Center where we received incoming calls for our clients/individuals in need of immediate medical attention.  We provide assessment, guidance, and disposition to the appropriate level of care.  We work closely with our team of RN's and providers to determine Right Care, Right Place and Right Time disposition, which may be care instructions, tele medicine visit with a provider or advise, Urgent Care, ER or 911 level of care required.
Primary Responsibilities:

  • Receives incoming calls from contracted clients
  • Assess patient's current health status and recommends appropriate level of care based on clinical judgment, evidenced based guidelines and clinical protocols
  • Develops plan(s) of nursing service appropriate to the patients’ health care needs
  • Demonstrates knowledge of medications.
  • Telephone communication skills with appropriate phone etiquette necessary
  • Must have the ability to make critical independent decisions and prioritize appropriately.
  • Document all calls and actions taken into the patient’s medical record
  • Utilizes technology as appropriate to meet the requirements of the job functions.
  • Communicates to the health care team members the outcome of the assessment/reassessment to ensure appropriate follow up occurs based on the needs of the patient care.
  • Displays an exemplary level of patience, courtesy, and flexibility.
  • Interacts with patients, physicians, and staff in a manner conducive to maintain positive relationships and to meet the goals and objectives of the agency.
  • Adheres to ethical, legal/regulatory and accreditation standards
  • Assumes responsibility for his/her own education, using formal and informal resources that contribute to professional self‐growth.
  • Consult with administrator for issues or requested services outside scope of practice or requiring assistance in performing
  • Must be detail oriented and able to multitask
  • Performs other duties as assigned.

Qualifications:

  • AAS in Nursing, Bachelor’s Degree in Nursing or related fields preferred, not required
  • Unrestricted New York State Licensed RN with a minimum of two years of experience as a clinical hospital nurse in an emergency room, critical care or med/surg, OR a minimum of two years’ experience in RN telephone triage in a primary care setting.
  • Knowledge of OPWDD regulations recommended, not required
  • Current BCLS required
  • Current Infection Control Certificate required
  • Must be proficient in using computer applications and using the internet.

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