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Blue Cross Rn Remote Jobs in Fullerton, CA (NOW HIRING)

Astrana Health, Inc.

Care Manager I - RN

Monterey Park, CA · On-site +1

$78K - $91K/yr

Care Manager I - RN Department: Population Health Employment Type: Full Time Location: 1600 ... This is a remote position. The home office is located at 1600 Corporate Center Dr., Monterey Park ...

New

Astrana Health

Care Manager I - RN

Monterey Park, CA · Remote

$78K - $91K/yr

Registered Nurse, Licensed Vocational Nurse, or Medical Assistant required * Bachelor's degree in ... This is a remote position. The home office is located at 1600 Corporate Center Dr., Monterey Park ...

New

Astrana Health, Inc.

Care Manager I - RN

Monterey Park, CA · Remote

$78K - $91K/yr

Registered Nurse, Licensed Vocational Nurse, or Medical Assistant required * Bachelor's degree in ... This is a remote position. The home office is located at 1600 Corporate Center Dr., Monterey Park ...

New

Corvel

CA Utilization Review Nurse I

Rancho Cucamonga, CA · Remote

$30.64 - $45.80/hr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of ... Current Nursing licensure in the state of operation required; RN is required unless local state ...

Moffitt

PATIENT OBSERVER PRN

Long Beach, CA · Remote

$16.75/hr

Responsible for providing constant inpatient and/or remote patient observation and surveillance under the direction of a registered nurse (RN) of assigned patients. Observation may include more than ...

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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 Fullerton, CA? For Blue Cross Rn Remote jobs in Fullerton, CA, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Fullerton, CA look for? The top searched job categories for Blue Cross Rn Remote jobs in Fullerton, CA are:
What cities near Fullerton, CA are hiring for Blue Cross Rn Remote jobs? Cities near Fullerton, CA 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 Fullerton, CA as of August 2026, with employment types broken down into 77% Full Time, 9% Part Time, and 14% Contract. Highlights an 100% Remote job distribution.

Care Manager I - RN

Astrana Health, Inc.

Monterey Park, CA • On-site, Remote

$78K - $91K/yr

Full-time

Posted 2 days ago

New

Job description

Care Manager I - RN
Department: Population Health
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Heather Hartman
Compensation: $78,000 - $91,000 / year
Description
Job Title: Care Manager
Department: Population Health
What You'll Do
  • Develops and initiates the Individual Care Plan, which is client-centered, com prehensive and consistent with p rog ram guidelines and policies and procedures
  • Identifies, arranges for, and monitors appropriate community services based on a good knowledge of Medicare, Medicaid, and other entitlement programs
  • Coordinate and facilitate patient care through assessment, evaluation, planning, and implementation
  • Communicate patient needs to a variety of care team members and follow up accordingly
  • Manage discharge plans upon completion of treatment
  • Work collaboratively with patients, families, physicians, and nurses to ensure high quality care
  • Act as the patient's advocate as it relates to insurance coverage and financial assistance
  • Maintain the patient's comprehensive clinical record through detailed documentation
  • Coordinate an interdisciplinary approach to support timely access to appropriate care, facilitate continuity of care among providers and improve utilization of appropriate resources
  • Apply established principles of care transition and follow member through continuum of care as well as coordinate a warm hand-off to the appropriate provider and/or health plan for necessary involvement of continuation of care and services
  • Assists UM Manager and participates in all internal and external audits
  • Primary liaison with all contracted health plans for case management activities
  • Ensure the privacy and security of PHI (Protected Health Information) as outlined in Medical Group/ MSO policies and procedures related to HIPAA compliance
  • Other duties and special projects as assigned

Qualifications
  • Registered Nurse, Licensed Vocational Nurse, or Medical Assistant required
  • Bachelor's degree in nursing and or a related health services field is preferred
  • At least two (2) years' experience in utilization management including experience applying evidenced based clinical criteria and benefit plans is required
  • At least three (3) years' of clinical experience preferably in case management or related experience is required

You're great for the role if:
  • Have a certification as Certified Case Management (CCM)
  • Are fluent in Tagalog or Ilocano

Environmental Job Requirements and Working Conditions
  • This is a remote position. The home office is located at 1600 Corporate Center Dr., Monterey Park, CA 91754.
  • The total compensation target pay range for this role is: $78,000 - $91,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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