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Blue Cross Rn Remote Jobs in Edina, MN (NOW HIRING)

ITW

eCommerce Channel Manager

Minneapolis, MN · Remote

$90K - $120K/yr

... Blue Coral ® , Fast Orange ® , Fix-A-Flat ® , Genuine Innovations ® , Gumout ® , No Touch ® ... This position is based Remote from Home. Key Responsibilities Performance & Analytics * Build e ...

Shutterfly

Sr. Software Engineer

Woodbury, MN · On-site +1

$127K - $167K/yr

Partner with cross-functional teams to translate business requirements into scalable technical ... remote, but candidates must reside in a state in which Shutterfly is registered to do business.

Shutterfly

Sr. Software Engineer

Minneapolis, MN · On-site +1

$127K - $168K/yr

Partner with cross-functional teams to translate business requirements into scalable technical ... remote, but candidates must reside in a state in which Shutterfly is registered to do business.

Shutterfly

Sr. Software Engineer

Eden Prairie, MN · On-site +1

$124K - $164K/yr

Partner with cross-functional teams to translate business requirements into scalable technical ... remote, but candidates must reside in a state in which Shutterfly is registered to do business.

Shutterfly

Sr. Software Engineer

Minneapolis, MN · On-site +1

$127K - $168K/yr

Partner with cross-functional teams to translate business requirements into scalable technical ... remote, but candidates must reside in a state in which Shutterfly is registered to do business.

Shutterfly

Sr. Software Engineer

Eden Prairie, MN · On-site +1

$124K - $164K/yr

Partner with cross-functional teams to translate business requirements into scalable technical ... remote, but candidates must reside in a state in which Shutterfly is registered to do business.

Shutterfly

Sr. Software Engineer

Woodbury, MN · On-site +1

$127K - $167K/yr

Partner with cross-functional teams to translate business requirements into scalable technical ... remote, but candidates must reside in a state in which Shutterfly is registered to do business.

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Blue Cross Rn Remote information

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 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 are popular job titles related to Blue Cross Rn Remote jobs in Edina, MN?

For Blue Cross Rn Remote jobs in Edina, MN, the most frequently searched job titles are:

What job categories do people searching Blue Cross Rn Remote jobs in Edina, MN look for?

The top searched job categories for Blue Cross Rn Remote jobs in Edina, MN are:

What cities near Edina, MN are hiring for Blue Cross Rn Remote jobs?

Cities near Edina, MN 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 Edina, MN as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% Remote job distribution.

Coding Education Consultant - Remote

UnitedHealth Group

Plymouth, MN • On-site, Remote

Full-time

Retirement

Posted 6 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

190th of 888 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Position in this function is reporting to the Provider Education and Escalations Manager, the Coding Education Consultant is part of a team responsible for conducting coding audits for escalated claims and providing coding education to providers and facilities who are inaccurately billing.
This role will primarily focus on the presentation of medical coding content on common billing errors, performing audits on escalated claims, and providing feedback on completed claim audits. This position requires the coder to present/deliver coding education in a variety of settings both internally and externally: (not limited to) educational boot camps, expo event class, provider/facility offices, method of delivery is mainly via telephonic or virtual (i.e.: Webex) meetings.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Create and deliver presentation materials to facilitate provider education
  • Lead provider education meetings to drive issue resolution, including potential onsite provider meetings
  • Apply principles of adult learning and training best practices to deliver effective and innovative training material
  • Create supporting materials for learning activities (e.g., agendas, schedules, letters, audio/visual aids, etc.)
  • Leverage/modify existing training solutions to meet current needs
  • Act as a subject matter expert for internal and external partners in the form of assistance with medical coding, documentation requirements based off industry standards
  • Ensures adherence to state and federal mandates for all coding guidance, applicable benefit language, medical & reimbursement policies, coding requirements and consideration of relevant clinical information
  • Possesses strong decision-making skills on complex claim audits
  • Analyze and interpret claims data and medical records/documentation to understand the historical activity and determine validity of the payment/denial on a claim
  • Identifies aberrant billing patterns and trends, evidence of fraud, waste, or abuse, and recommends providers to be flagged for review
  • Maintains and manages daily assignments, with accountability to quality, utilization, and productivity standards
  • Discussing the findings as a collaborative team with UHN advocacy, UHC PPS and analyst before approaching the provider call
  • Maintaining positive provider and network relationships
  • Actively owning and resolving issues for Best in Class and / or high-profile providers encountered during education session
  • Analyze data trends prior to education outreach to ensure provider billing errors are addressed in a holistic fashion
  • Managing individual workload with a high emphasis on quality
  • Demonstrated written, verbal, analytical, organizational, time management and problem-solving skills with proven ability to work independently
  • Assume additional responsibilities as assigned

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Current, active, unrestricted Inpatient Coder Certification (CIC, CCS, RHIT, RHIA etc.)
  • 5+ years of experience as a Certified Inpatient Coder in a healthcare setting including knowledge of industry terminology, and regulatory guidelines
  • 3+ years providing formal training on medical coding and/or customer service experience
  • Fully proficient with MS products such as Word, PowerPoint, and Excel (Pivot Tables, etc.)

Preferred Qualifications:
  • A current, active, unrestricted nursing license (RN, LPN, etc.)
  • Training Certification
  • CDI Certification
  • Managed care experience
  • Investigational and/or auditing experience
  • Knowledge of claims platforms

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 - $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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