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Blue Cross Rn Remote Jobs in Lawrence, KS (NOW HIRING)

Will be cross-trained to assist with backlog in any needed focus-coding group. * Work cooperatively ... This position is entirely remote or work from home following completing of onboarding training ...

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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 Lawrence, KS?

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

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

The top searched job categories for Blue Cross Rn Remote jobs in Lawrence, KS are:

What cities near Lawrence, KS are hiring for Blue Cross Rn Remote jobs?

Cities near Lawrence, KS with the most Blue Cross Rn Remote job openings:

Infographic showing various Blue Cross Rn Remote job openings in Lawrence, KS as of August 2026, with employment types broken down into 93% Full Time, and 7% Contract. Highlights an 100% Remote job distribution.

Full-time

Re-posted 23 days ago


Job description

Something special starts here.

You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health.


You'll find everything you're looking for at LMH Health:

  • Join a team that cares about the community
  • Tuition reimbursement to support continuing education
  • Professional development and recognition
  • Excellent benefits


We're looking for you.

Job Description

I. JOB SUMMARY
The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record. The Coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The Coder has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department.
II. ESSENTIAL JOB RESPONSIBILITIES

  • Reviews inpatient and outpatient medical records to identify the principal diagnosis and all applicable secondary diagnosis and procedures.
  • Use computerized encoding system to facilitate accurate coding according to the appropriate classification system.
  • Sequence diagnosis and procedures by following ICD-10-CM & ICD-10-PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines.
  • Will be cross-trained to assist with backlog in any needed focus-coding group.
  • Work cooperatively with medical staff and other healthcare professionals in obtaining documentation to ensure optimal hospital payment and accurate data input.
  • Prepare workload reports and participates in department continuous quality improvement studies.
  • Abstract medical data from the record to complete discharge data abstract on each outpatient.
  • Complete and verify diagnostic, demographic and other information for submission to KHDS.
  • Review, verify, and initiate necessary correction processes for data quality review.
  • Participate in medical record documentation auditing to monitor physician compliance with regulatory requirements.
  • Communicate and advise other hospital personnel on coding and DRG assignment.
  • Meet established quality and productivity standards.
  • Adhere to all hospital and departmental policies, procedures and regulations, including attendance.
  • Perform other related duties as assigned or requested.
  • Requires ability to concentrate and maintain accuracy in spite of frequent interruptions and/or distractions, sit for long periods.
  • Must be able to follow instructions and use sound judgment.
  • Requires close mental and visual attention to details, as well as excellent verbal and written communication skills.
  • Able to handle frustration and interactions with others in a professional manner.
  • Requires self-motivation to complete work assignments in a timely, accurate manner.
  • Maintain ongoing registration and continuing education for applicable credentials
  • Performs other duties as needed or assigned.
  • Regular and reliable attendance is an essential function of this position

III. JOB QUALIFICATIONS
Required:

  • High School Diploma or equivalent
  • Completion of one of the following through AHIMA accredited programs: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator
    OR
  • Credentialed through AAPC or in progress

Preferred:

  • Associates or Bachelor's Degree in Health Information Management
  • 3M Coding Solution Knowledge

Remote Work/Work-from-Home:

This position is entirely remote or work from home following completing of onboarding training program. This person must live within Kansas or Missouri, and will be required attend on-site meetings, as scheduled.

Our Cultural Beliefs
  • People First
  • Integrity Matters
  • Better Together

At LMH Health,we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.