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Blue Cross Rn Remote Jobs in Madison, MS (NOW HIRING)

Compass Group

Hybrid Remote/Onsite Dietitian

Jackson, MS · On-site +1

$35 - $40/hr

Must be a Registered Dietitian with a valid CDR # Position Details : Provides comprehensive support ... Leadership development * Cross-functional career paths The company has earned significant ...

MDS Communications

Remote Call Center Agent

Jackson, MS · 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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Blue Cross Rn Remote information

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 remote Blue Cross RN 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.
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What job categories do people searching Blue Cross Rn Remote jobs in Madison, MS look for? The top searched job categories for Blue Cross Rn Remote jobs in Madison, MS are:
What cities near Madison, MS are hiring for Blue Cross Rn Remote jobs? Cities near Madison, MS with the most Blue Cross Rn Remote job openings:
Blue Cross Rn Remote jobs near you
RN Care Manager - Remote (Must reside in Mississippi)

RN Care Manager - Remote (Must reside in Mississippi)

Molina Healthcare

Jackson, MS • Remote

$23.76 - $51.49/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Molina Healthcare rating

8.1

Company rating: 8.1 out of 10

Based on 193 frontline employees who took The Breakroom Quiz

133rd of 281 rated insurance

Job description

JOB DESCRIPTION Job Summary

Provides support for care management/care coordination activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.
 

Essential Job Duties 
Completes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. 
Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals. 
Conducts telephonic, face-to-face or home visits as required. 
Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. 
Maintains ongoing member caseload for regular outreach and management. 
Promotes integration of services for members including behavioral health, long-term services and supports (LTSS), and home and community resources to enhance continuity of care. 
Facilitates interdisciplinary care team (ICT) meetings and informal ICT collaboration. 
Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. 
Assesses for barriers to care, provides care coordination and assistance to member to address concerns. 
May provide consultation, resources and recommendations to peers as needed. 
Care manager RNs may be assigned complex member cases and medication regimens. 
Care manager RNs may conduct medication reconciliation as needed. 
25-40% estimated local travel may be required (based upon state/contractual requirements). Required Qualifications 
At least 2 years experience in health care, preferably in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience. 
Registered Nurse (RN). License must be active and unrestricted in state of practice. 
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. 
Understanding of the electronic medical record (EMR) and Health Insurance Portability and Accountability Act (HIPAA). 
Demonstrated knowledge of community resources. 
Ability to operate proactively and demonstrate detail-oriented work. 
Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. 
Ability to work independently, with minimal supervision and self-motivation. 
Responsiveness in all forms of communication, and ability to remain calm in high-pressure situations. 
Ability to develop and maintain professional relationships. 
Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. 
Excellent problem-solving, and critical-thinking skills. 
Strong verbal and written communication skills. 
Microsoft Office suite/applicable software program proficiency, and ability to navigate online portals and databases. 
Preferred Qualifications 
Certified Case Manager (CCM).


To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $23.76 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Employment Type: Full Time

What Molina Healthcare employees say

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Hours and flexibility

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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