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Blue Cross Rn Remote Jobs in Carmel, IN (NOW HIRING)

RADcube

Be Seen First

Registered Nurse Clinical Auditor

Indianapolis, IN · Remote

$50K - $75K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

Remote with Occasional travel - Downtown Indianapolis, IN (Expenses are covered by client) We are seeking a detail-oriented Registered Nurse to support medical record reviews, billing compliance ...

Humana

Care Coordinator, RN Field Based

Greenfield, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Greenfield, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Clermont, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Cumberland, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Clermont, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Indianapolis, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Lawrence, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Avon, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Cumberland, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Indianapolis, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Cumberland, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Speedway, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Danville, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

Humana

Care Coordinator, RN Field Based

Indianapolis, IN · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

We are a caring community made of close-knit teams, cross-country friendships, and inclusive ... Combination remote work at home and onsite member visits Location: Must reside in Indiana Hours:

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All JobsBlue Cross Rn JobsBlue Cross Rn Remote JobsBlue Cross Rn Remote Jobs in Carmel, IN

Blue Cross Rn Remote information

What can I do as a Blue Cross RN that isn't bedside?

A Blue Cross RN can work in case management, telehealth, health coaching, or utilization review, which involve coordinating care, providing patient education remotely, and assessing medical necessity. These roles typically require strong communication skills, clinical knowledge, and sometimes additional certifications, allowing nurses to work outside of direct patient bedside care.

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 Blue Cross RN remote 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 Carmel, IN? For Blue Cross Rn Remote jobs in Carmel, IN, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Carmel, IN look for? The top searched job categories for Blue Cross Rn Remote jobs in Carmel, IN are:
What cities near Carmel, IN are hiring for Blue Cross Rn Remote jobs? Cities near Carmel, IN 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 Carmel, IN as of August 2026, with employment types broken down into 83% Full Time, and 17% Contract. Highlights an 100% Remote job distribution.

Registered Nurse Clinical Auditor

RADcube

Indianapolis, IN • Remote

$50K - $75K/yr

Full-time

Medical, Dental, Vision, Life, PTO

Re-posted 5 days ago

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Job description

Job Title: Registered Nurse Clinical Auditor 

Location: Remote with Occasional travel - Downtown Indianapolis, IN (Expenses are covered by client)


We are seeking a detail-oriented Registered Nurse to support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating quality of care, reviewing medical records and program policies and identifying compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings clinical knowledge, regulatory awareness, and strong analytical and writing skills. This is a remote position with occasional travel required within Indiana.


Key Responsibilities

  • Review medical records and related documentation to evaluate provider compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations.
  • Conduct medical record and compliance reviews independently and provide preliminary findings to the Lead Reviewer.
  • Identify potential documentation deficiencies, and billing compliance issues.
  • Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached.
  • Assist with audit responses and appeals as needed.
  • Ensure all work aligns with state, federal, and national healthcare and Medicaid guidelines.
  • Stay current on clinical guidelines, policies, regulations, and Indiana Medicaid program and policy updates.
  • Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and procedures.
  • Adapt quickly to changing priorities, policies, regulatory updates, and review requirements while maintaining accuracy and meeting deadlines.


Qualifications

  • RN license preferred; Indiana license or compact license accepted.
  • Coding certification such as CCS or CPC are strongly preferred.
  • Candidate located in or near the Indianapolis area is preferred.
  • At least 1 year of Medicaid claims review, billing compliance, or healthcare reimbursement experience.
  • Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.
  • Knowledge of CPT coding guidelines and ICD-10 standards.
  • Proficiency in Microsoft Excel, Word, and Outlook.
  • Strong analytical, critical thinking, problem-solving, and technical writing skills.
  • Ability to work independently and collaboratively in a fast-paced environment.
  • Experience working with healthcare providers is strongly preferred.
  • Knowledge of healthcare claims data and fraud, waste, and abuse preferred.

Company Description

RADcube is a data services and AI enablement company providing innovative and hands on support to clients through their technological transformation journey. We provide 360° development, support and security solutions backed by world-class expertise and precise execution. We specialize in niche technology solutions and innovative software using the latest technologies. We partner with AWS, Microsoft, Salesforce, MuleSoft, UIPath, Azure, Automation Anywhere and many more.

Recognized for its innovation-led culture, RADcube operates RADlabs, an R&D hub focused on high-impact solutions like Responsible AI and Intelligent Automation. The firm is committed to a human-centric approach, ensuring cutting-edge technology delivers measurable business outcomes and long-term success for global clients.

The company’s commitment to innovation has earned significant industry honors:

2026 TechPoint Mira Awards Finalist: Named a finalist for Tech Company of the Year, recognizing high-growth pioneers that demonstrate extraordinary leadership.

Public Sector Excellence: Awarded the Utah NASPO Cloud & Software Solutions Contract, solidifying their role as a trusted partner for large-scale government digital initiatives and more.