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Blue Cross Rn Remote Jobs in Butler, PA (NOW HIRING)

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 Butler, PA? For Blue Cross Rn Remote jobs in Butler, PA, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Butler, PA look for? The top searched job categories for Blue Cross Rn Remote jobs in Butler, PA are:
What cities near Butler, PA are hiring for Blue Cross Rn Remote jobs? Cities near Butler, PA with the most Blue Cross Rn Remote job openings:
Infographic showing various Blue Cross Rn Remote job openings in Butler, PA as of June 2026, with employment types broken down into 85% Full Time, 11% Part Time, and 4% Contract. Highlights an 52% Physical, 3% Hybrid, and 45% Remote job distribution.
Mobile RN / Medical Case Manager Beaver & Lawrence Counties - Pennsylvania

Mobile RN / Medical Case Manager Beaver & Lawrence Counties - Pennsylvania

Novus Group

Beaver, PA • Remote

$48.21/hr

Full-time

Retirement, PTO

Posted 23 days ago


Job description

Mobile RN / Medical Case Manager – Beaver & Lawrence Counties - Pennsylvania

To qualify for this role, applicants must have one or more of the following: Master’s degree in a health or human services field PLUS active Pennsylvania professional licensure, OR An active Registered Nurse (RN) license (BSN preferred), OR Active Paramedic/EMT certification with 6–8 years of progressive experience.

Role Type: Full-Time, Regular Employee of the Company (Not a temp or contract assignment)

Shift: Day Job (Flexible hours, Monday through Friday; occasional evening hours based on member needs)

Work Arrangement: Remote / Community-Based (Primarily field-based traveling within the community, with remaining administrative work completed from home)

Location: Beaver & Lawrence Counties (Field travel required; mileage reimbursement included)

New Hire Starting Salary Range: $29.29 – $34.02 per hour (After hire, pay increases can be earned, see below).

About the Opportunity

This job is a permanent, full-time career opportunity within a dedicated behavioral health managed care organization. If selected, you will be hired directly as a regular employee of the organization we represent. You will be on their payroll and eligible for their full suite of benefits from your start date. This is not a temporary, contract, or "temp-to-hire" role. This position features a highly autonomous, community-based layout, offering an excellent fit for professionals seeking field-based clinical practice paired with remote home-office flexibility.

Purpose

The Mobile RN / Medical Case Manager assists members who require comprehensive care coordination by conducting vital face-to-face assessments within their communities, residences, and clinical facilities. Operating as a critical link across the continuum of care, this professional identifies behavioral, clinical, social, and environmental barriers to wellness. This role is crucial for developing integrated service plans, facilitating communication between primary physical care and behavioral health providers, and establishing essential social service linkages to reduce clinical recidivism and crises.

Responsibilities

  • Member Assessment & Coordination: Conduct face-to-face, on-site member assessments in home or facility settings; coordinate directly with facility staff on complex discharge planning and collaborate with outpatient physicians to ensure timely follow-up.
  • Patient Navigation & Comfort: Greet and engage members and families within their environment, guiding them through complex clinical conditions and providing direct health education to enhance their self-management skills.
  • Safe Patient Handling: Implement targeted clinical interventions and specific community outreach plans for high-risk or disengaged members to ensure personal safety, prevent frequent crises, and reduce hospital readmissions.
  • Clerical & Phone Triage: Receive and respond immediately to complex clinical and behavioral crisis calls, triaging immediate needs and stabilizing care scenarios through established emergency protocols.
  • Data Entry & Systems: Perform precise, routine data entry of assessments, case notes, and integrated care plans into the internal care management tracking systems under strict departmental compliance timeframes.
  • Interpersonal Excellence: Maintain highly cooperative, collaborative, and professional working relationships with members, family caregivers, physicians, behavioral health clinicians, and governmental social service agencies.
Minimum Essential Requirements

  • Education & Experience Pathways:
    • Master’s degree in a health or human services field PLUS active Pennsylvania professional licensure.
    • OR An active Registered Nurse (RN) license (BSN preferred).
    • OR Active Paramedic/EMT certification with 6–8 years of progressive experience.
  • Core Experience: Minimum of three (3) years of progressive professional experience in behavioral health, clinical care, utilization management, home care, discharge planning, or case management. (Prior exposure to substance use disorders/SUD is highly preferred).
  • Technical Compliance: Excellent verbal and written communication skills required to lead interagency case conferences, participate in provider treatment planning, and interface with management. Strong PC skills for remote database entry.
  • Driving Requirements: Active PA Driver’s License and valid automotive insurance.
  • Certification Requirement: CPR/BLS certification required based on American Heart Association (AHA) standards—must include both a didactic and hands-on skills demonstration component—within 30 days of hire. Ability to clear all mandatory child and federal background clearances (Act 33, Act 34, Act 73).
Performance-Based Earning Potential

This role offers a structured path for financial advancement. Through consistent high performance, leadership development, and continuous learning over time, employees have the opportunity to earn up to $48.21 per hour.

Premier Benefits

  • Exceptional Retirement Package: Retirement plans with employer matching. Combined, the organization contributes up to 8% of your eligible pay toward your future.
  • World-Class Healthcare: Access preventive care and specialty services through an exclusive provider network.
  • Generous Paid Time Off: Enjoy up to 5.5 weeks of PTO per year, plus 7 paid holidays, with unique options to buy or sell PTO days to fit your lifestyle.
  • Tuition Assistance: Benefit from up to $6,000 per academic year in tuition reimbursement, plus exclusive tuition discounts at over 30 partner colleges and universities.