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Blue Cross Rn Remote Jobs in Hamilton, OH (NOW HIRING)

Medpace, Inc.

Clinical Data Coder

Cincinnati, OH · On-site +1

$18 - $22.75/hr

BSN and RN with applicable experience is required, or more advanced clinical degree (including ... learning and cross-functional collaboration. Purpose-Driven Work * * Work alongside physicians ...

Formic

Automation Sales Manager

Cincinnati, OH · Remote

Medical, dental, and vision insurance through Blue Cross Blue Shield and Unum, with 99% of employee ... A one-time allowance for fully remote and hybrid employees to support an at-home or on-the-road ...

CTI

Clinical Trial Manager

Covington, KY · On-site +1

Develop successful cross-functional relationships with internal and external team members. * May be ... RN with Associate's Degree, or 3-year Nursing Diploma with at least 2 years clinical nursing ...

CTI

Clinical Trial Manager

Covington, KY · Remote

Develop successful cross-functional relationships with internal and external team members. * May be ... RN with Associate's Degree, or 3-year Nursing Diploma with at least 2 years clinical nursing ...

MDS Communications

Remote Call Center Agent

Cincinnati, OH · Remote

$15 - $16/hr

... Cross, and Christian ministries like Focus on the Family, Prison Fellowship, the Navigators and ... We are fully registered in all 50 states and uphold the highest standards of legal and ethical ...

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All JobsBlue Cross Rn JobsBlue Cross Rn Remote JobsBlue Cross Rn Remote Jobs in Hamilton, OH

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 Hamilton, OH? For Blue Cross Rn Remote jobs in Hamilton, OH, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Hamilton, OH look for? The top searched job categories for Blue Cross Rn Remote jobs in Hamilton, OH are:
What cities near Hamilton, OH are hiring for Blue Cross Rn Remote jobs? Cities near Hamilton, OH 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 Hamilton, OH as of June 2026, with employment types broken down into 87% Full Time, 9% Part Time, and 4% Contract. Highlights an 42% Physical, 2% Hybrid, and 56% Remote job distribution.

RN Telehealth Administrator on Call, Remote, PRN

Communicarehealth

Blue Ash, OH • Remote

Part-time

Re-posted 18 days ago

Job description

Job Address:

10123 Alliance Road, Suite 320 Blue Ash, OH 45242


Telehealth Administrator on Call (Registered Nurse), Remote Position

The PHP Telehealth Administrator on Callhas a passion for providing remote administrative, clinical triage, and care coordination support for the PHP Telehealth provider team, as well as seniors and other residents in a variety of healthcare settings that can include, but are not limited to, skilled nursing facilities, assisted living, and independent living communities, etc. They deliver support in a high touch, person-centered care model and collaborate with the interdisciplinary team to ensure that all residents receive the right care at the right time.

PRN Position

Option for 8 hour shift

Option to choose 1 shift for month and stay on shedule

Personalized Health Partners (PHP) is the medical practice arm for the CommuniCare Family of Companies. The Administrator on Call would directly support both the PHP Telehealth provider group as well answering calls for triage from our other telehealth use cases outside of the Skilled Nursing and Assisted living environments. The goal of the Administrator on Call is to support the Telehealth provider team as well as our patients to increase wellness, prevent illness, improve clinical outcomes and focus on customer experience and satisfaction.

PRIMARY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS

Duties of all PHP Telehealth Administrators on Call

  • Coordinate with telehealth providers to ensure appropriate patients receive telemedicine services.
  • Communicate with onsite nursing teams to ensure all clinical needs are coordinated
  • Oversee provider queue in Never Alone
  • Support technical issues that arise for telehealth provider team
  • Monitor EMR to triage routine clinical lab requests, routine imaging results, notifications, etc. that result after hours.
  • Maintain timely documentation of encounters with facility nurses in the EMR
  • Record information directly into CRM system
  • Connect patients that need to be seen acutely by an in-house provider the next day with Central Scheduling
  • Answer and triage calls from Never Alone use cases outside of the SNF use case
  • Provide health education
  • Provide an excellent customer experience to foster high customer satisfaction/retention
  • Practice ethically and in accordance with the Scope and Standards of Practice of their profession and Board Certification.
  • Follow all state and federal regulations, guidelines, and laws

Additional duties of PHP Telehealth Administrator on Call

  • Collaborate with telehealth provider group
  • Participation in monthly staff meetings
  • During downtime there may be some additional project related work related to the development of protocols, initial quality review of previous encounters, or projects to be defined as the role evolves.

EDUCATION and QUALIFICATION:

Required:

  • Must have valid RN or LPN license
  • Must be willing to be licensed in the 7 states served (Indiana, Ohio, Maryland, Virginia, West Virginia and Kentucky)
  • Excellent communication and critical thinking skills
  • Good technology aptitude

Preferred Qualifications:

  • Training or clinical experience in geriatrics, primary care/internal medicine and/or ED or urgent care
  • 3+ years clinical experience
  • Be open to professional development through training, obtaining certifications if necessary, and attending team meetings
  • Experience working in a collaborative healthcare setting to drive positive outcomes and achieve goals
  • Training or experience in outpatient primary care setting

Apply