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Blue Cross Rn Remote Jobs in Denver, CO (NOW HIRING)

FreedomCare

Lead Nurse (Denver, CO / Hybrid)

Denver, CO · On-site +1

$35 - $47.25/hr

The Lead Nurse partners closely with Operations, Compliance, Quality, and cross-functional teams to ... Active Registered Nurse (RN) license in good standing (Compact licensure to serve multiple states ...

DaVita, Inc.

Clinical Support Auditor (IKC)

Denver, CO · On-site +1

$35.75 - $48/hr

... remote with the ability to travel as needed to present in-person training (travel is 2-4 times per year). Preferred Qualifications: * Associate's degree with a current active clinical license (RN) ...

DaVita, Inc.

Clinical Support Auditor (IKC)

Denver, CO · On-site +1

$35.75 - $48/hr

... remote with the ability to travel as needed to present in-person training (travel is 2-4 times per year). Preferred Qualifications: * Associate's degree with a current active clinical license (RN) ...

DaVita, Inc.

Clinical Support Auditor (IKC)

Denver, CO · On-site +1

$35.75 - $48/hr

... remote with the ability to travel as needed to present in-person training (travel is 2-4 times per year). Preferred Qualifications: * Associate's degree with a current active clinical license (RN) ...

BetterHelp

Licensed Psychologist- Remote

Denver, CO · Remote

$650/wk

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 ...

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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 Denver, CO? For Blue Cross Rn Remote jobs in Denver, CO, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Denver, CO look for? The top searched job categories for Blue Cross Rn Remote jobs in Denver, CO are:
What cities near Denver, CO are hiring for Blue Cross Rn Remote jobs? Cities near Denver, CO 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 Denver, CO as of August 2026, with employment types broken down into 89% Full Time, and 11% Contract. Highlights an 100% Remote job distribution.

Lead Nurse (Denver, CO / Hybrid)

FreedomCare

Denver, CO • On-site, Remote

$35 - $47.25/hr

Full-time

Medical, Dental, Vision, Life

Posted 13 days ago

FreedomCare rating

6.9

Company rating: 6.9 out of 10

Based on 46 frontline employees who took The Breakroom Quiz

48th of 239 rated social care providers

Job description

FreedomCare is a healthcare company that has been dedicated to revolutionizing the home care industry since 2016. We support our patients by ensuring they have the power to choose a caregiver who will care for them in the comfort of their own homes. Our mission spans coast to coast, supporting patients across the U.S.
We pride ourselves on our values which drive the level of care that we deliver to our patients:
  • Here For You (An attitude of service, empathy, and availability)
  • Own It (Drive and ownership)
  • Do the Right Thing (High integrity)
  • Be Positive (Great attitude and a can-do positive approach to challenges)

Join our team and make a positive impact on the lives of others! We are looking for a Lead Nurse for our Colorado team!
Position Overview
The Lead Nurse is responsible for providing clinical leadership, oversight, and support for FreedomCare's Colorado Care Management Team. This role supervises Care Managers while ensuring the delivery of safe, compliant, and person-centered clinical services.
The Lead Nurse partners closely with Operations, Compliance, Quality, and cross-functional teams to oversee clinical workflows, documentation, regulatory compliance, and quality improvement initiatives. This role serves as the primary clinical resource for Colorado, supporting Care Managers in delivering exceptional patient care while ensuring adherence to Colorado Medicaid requirements, FreedomCare policies, and industry best practices.
The Lead Nurse plays a key role in developing clinical processes, improving operational efficiency, supporting team development, and promoting a culture of accountability, collaboration, and continuous improvement.
Responsibilities
Every Day You Will:
Clinical Leadership
  • Provide day-to-day leadership, mentorship, and clinical guidance to the Colorado Care Management team.
  • Serve as the primary clinical subject matter expert (SME) for Colorado operations.
  • Support Care Managers with complex clinical cases, escalations, and changes in participant condition.
  • Review and approve care plans to ensure they accurately reflect participant needs, authorizations, and regulatory requirements.
  • Assist Operations leadership in planning, implementing, and evaluating new clinical programs and initiatives.

Quality & Compliance
  • Ensure compliance with Colorado Medicaid regulations, contractual requirements, and FreedomCare clinical policies by overseeing caregiver qualifications and training records, service authorizations, care plan implementation, documentation standards, and critical incident reporting.
  • Monitor clinical documentation for accuracy, completeness, and timeliness.
  • Conduct routine chart audits and documentation reviews to maintain audit readiness.
  • Identify compliance risks, documentation gaps, and workflow improvement opportunities while implementing corrective actions as needed.
  • Participate in internal audits, quality improvement initiatives, and regulatory reviews.
  • Support investigation and follow-up of incidents, hospitalizations, complaints, and changes in participant condition.

Team Leadership
  • Supervise, coach, and develop Care Managers through regular feedback, mentorship, and performance management.
  • Partner with Operations leadership to assist with recruiting, interviewing, onboarding, and training new clinical team members.
  • Promote consistent clinical practices through education, competency development, and ongoing coaching.
  • Foster a collaborative, positive work environment aligned with FreedomCare's core values: Here For You, Own It, Do the Right Thing, Be Positive

Operational Excellence
  • Monitor day-to-day clinical operations by analyzing workflows, productivity, and quality metrics.
  • Develop and improve clinical workflows, standard operating procedures (SOPs), and best practices.
  • Support the implementation of new clinical programs, operational initiatives, and regulatory changes while ensuring successful adoption by the Care Management team.
  • Partner with Operations, Compliance, and other departments and external vendors to improve clinical operations and patient outcomes.
  • Support caregiver oversight in collaboration with Care Managers.
  • Monitor clinical capacity and assist in workload distribution to ensure timely patient services.

Education and Experience
  • Active Registered Nurse (RN) license in good standing (Compact licensure to serve multiple states or willingness to obtain strongly preferred).
  • Bachelor of Science in Nursing (BSN) required, master's degree in nursing, Healthcare Administration, Public Health, or related field preferred.
  • Minimum 3-5 years clinical nursing experience working with elders and/or adults with disabilities in home- and community-based settings (HCBS), long-term services and supports (LTSS), case management, or chronic disease management.
  • 2+ years in a clinical leadership, supervisory, or program management role, preferably within Medicaid-funded programs.
  • Minimum 1 year of experience developing, writing, or implementing Standard Operating Procedures (SOPs) or similar policies, workflows, or clinical process documentation.

Qualifications
Experience supporting patients and caregivers in a homecare environment including caregiver coaching, care plan development, and long-term services coordination.
  • Strong regulatory compliance orientation with the ability to translate state requirements into internal workflows and training.
  • Experience serving as a subject-matter expert, escalation point, or clinical resource for staff.
  • Strong communication and interpersonal skills.
  • Proficiency in using office software (e.g., Microsoft Office suite).
  • Problem-solving and decision-making abilities.
  • Organizational and multitasking skills.
  • Excellent communication, critical thinking, and organizational skills
  • Experience using a CRM (Salesforce is a plus)
  • Self-motivated
  • Able to thrive in a fast-paced start-up environment

Why work at FreedomCare?
We are here for you and committed to providing a best-in-class employee experience, starting with the following offerings:
  • Medical, dental, and vision
  • Life, STD, and LTD insurance401(k) match
  • Wellness Programs
  • Internet
  • Reimbursement
  • Gym
  • Reimbursement
  • Competitive Compensation
  • Continued Education
  • Opportunities for growth

Technology Focused We invest in technology and tools to facilitate seamless communication, collaboration, and productivity for all workers.
This is a place where your voice matters, we build great relationships, and your work has meaning and a tangible positive impact on others!
At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.
#INHV
At FreedomCare, base pay is one part of our total compensation package and is determined within a range. This provides our employees with the opportunity to professionally grow and develop within a role. The base pay range for this role is between $100,000 and $120,000 per year at the commencement of your first year of employment. Compensation decisions are dependent upon a variety of factors which may include, but are not limited to: skill set, years of relevant experience, education, location, and licensure/certifications.
Compensation Range
$100,000-$120,000 USD

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