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Blue Cross Rn Remote Jobs in Philadelphia, PA (NOW HIRING)

HealthSkil

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Fully Remote Registered Nurse (RN) Care Manager

Philadelphia, PA · Remote

$90K - $98K/yr

As an RN Care Manager, you will play a vital role in delivering holistic, patient-centered care that addresses not only physical health, but also the underlying factors that influence long-term ...

MVP Recovery

PRN Remote CRNP

Chester, PA · On-site +1

$90K - $121K/yr

Flexible | PRN Position Overview MVP Recovery is seeking a Certified Registered Nurse Practitioner (CRNP) to provide follow-up medication management appointments in a PRN, primarily remote capacity.

Novacore

Medical Review Nurse

Conshohocken, PA · Remote

The Medical Review Nurse is a registered nurse who can assist Novacore's Claim and Underwriting ... Ability to work independently in a remote setting. * Ability to work with multiple offices and ...

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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.
What are popular job titles related to Blue Cross Rn Remote jobs in Philadelphia, PA? For Blue Cross Rn Remote jobs in Philadelphia, PA, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Philadelphia, PA look for? The top searched job categories for Blue Cross Rn Remote jobs in Philadelphia, PA are:
What cities near Philadelphia, PA are hiring for Blue Cross Rn Remote jobs? Cities near Philadelphia, PA 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 Philadelphia, PA as of July 2026, with employment types broken down into 3% As Needed, 79% Full Time, 9% Part Time, and 9% Contract. Highlights an 1% In-person, and 99% Remote job distribution.
Health Coach RN - remote (PA/NJ/DE)

Health Coach RN - remote (PA/NJ/DE)

Independence Blue Cross

Philadelphia, PA • On-site, Remote

Full-time

Posted 6 days ago

Independence Blue Cross rating

8.4

Company rating: 8.4 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

113th of 298 rated insurance

Job description

Hours: FT, Mon-Fri 8:30-5p
Under the direction of the Care Management Manager, the Health Coach functions as the primary nurse to provide both health coaching and case management services to members across the continuum of health ranging from health promotion to end-of-life. Health coaches collaborate on care plan development and coordination with members and physicians by screening, assessing, planning, facilitating, monitoring and giving input when adjustment is needed, and advocating for the member on an individual basis. Health coaches use clinical and motivational interviewing skills to assess member's need and establish mutually agreeable goals while supporting member in developing self-management skills in adopting positive behavior changes. Health Coaches work with the member to identify and address barriers to member's adherence to standards of evidence-based medicine. The health coach facilitates communication between the patient, family, and members of the health care team while acting as an educator and link between the patient, providers and the plan, ensuring high quality, cost-effective services are delivered. Helps members coordinate care and navigate the healthcare system.
Duties and Responsibilities:
  • Functions as a primary nurse for members across the continuum of health and health-related services including information and support for lifestyle improvement, acute symptoms, treatment decisions, targeted health conditions, chronic conditions and complex conditions.
  • Engages with the members ranging from coaching to intensive case management with the goal to develop and support the member's ability to self-manage.
  • Provides appropriate clinical coaching support to members placing in-bound calls seeking assistance with acute symptoms, chronic conditions and/or health information regarding, specific topics.
  • Conducts appropriate surveys/assessments to proactively identify needs. Develops appropriate care plans and establishes goals. Assessment includes working with member/family/significant other to identify barriers of adherence to the physician's plan of care as well as achieving lifestyle improving goals. Continues to work with member via on-going telephonic communication to achieve the agreed upon goals.
  • Proactively incorporates lifestyle improvement and prevention opportunities into member interactions and coaching.
  • Contacts member's physician when needed especially in more complex medical situations requiring case management intervention to facilitate care coordination.
  • Monitors the quality of service, seeking member/family input. Communicates safety issues to manager and utilizes the occurrence screening for quality-of-care tracking.
  • Identifies on-line, telephonic and community-based resources that can assist the member in achieving and maintaining their personal health goals. Assist the member in accessing those services. In addition, assist in maximizing the use of member's benefits and ensuring coordination of services and outcomes.
  • Provides exceptional customer service.
  • Maintains and communicates accurate information in associate self-serve program.
  • Attends educational programs/training to maintain state license, CCMC licensure and updated knowledge of Health Coach process.
  • Ensures all activities are documented and conducted in compliance with applicable regulatory requirements and accreditation standards.
  • Other duties as assigned.

Qualifications:
  • Current, active, and unrestricted Pennsylvania (PA) or multi-state Registered Nurse licensure.
  • Three years any of combination of clinical, case management and/or disease/condition management experience.
  • Exceptional communication and problem-solving ability.
  • Ability to work flexible hours.
  • Basic computer skills.
  • Strong clinical knowledge.

  • Current, active, and unrestricted Pennsylvania (PA) Registered Nurse licensure.
  • Three years any of combination of clinical, case management and/or disease/condition management experience.
  • Exceptional communication and problem-solving ability.
  • Ability to work flexible hours.
  • Basic computer skills.
  • Strong clinical knowledge.

Fully Remote:
This role is designated by Independence as fully remote. The incumbent will not be required to report to one of Independence's physical office locations to perform the work. However, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania.
At Independence Blue Cross, all qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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