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Blue Cross Rn Remote Jobs in Phoenix, AZ (NOW HIRING)

TEEMA Group

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

Coordinate with cross-functional teams such as case management, care coordination, and program ... Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ...

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Blue Cross Rn Remote information

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 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 are popular job titles related to Blue Cross Rn Remote jobs in Phoenix, AZ?

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

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

The top searched job categories for Blue Cross Rn Remote jobs in Phoenix, AZ are:

What cities near Phoenix, AZ are hiring for Blue Cross Rn Remote jobs?

Cities near Phoenix, AZ 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 Phoenix, AZ as of August 2026, with employment types broken down into 86% Full Time, 8% Part Time, and 6% Contract. Highlights an 100% Remote job distribution.

Integrated Care Manager - Adult - Remote AZ

Phoenix, AZ • On-site, Remote

Blue Cross Blue Shield of Arizona
Insurance Services • 1 - 5K employees

5.9

Company rating: 5.9 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

295th of 315 rated insurance

Paid breaks

Recommended by parents

Good training

Learn more about Blue Cross Blue Shield of Arizonaexternal

Full-time

Medical

Re-posted 23 days ago

Job description

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
  • Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
  • Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
  • Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
  • Onsite: daily onsite requirement based on the essential functions of the job
  • Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
Responsible for promoting continuity of care through a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates care options and services available to members through their benefit plan. Ensures care meets individual healthcare needs while promoting quality and cost-effective outcomes. This role is primarily focused on case management but may assist with utilization management if needed.
QUALIFICATIONS
REQUIRED QUALIFICATIONS
Required Work Experience
  • 2 years of full-time equivalent experience in direct clinical care to consumers

Required Education
  • Associate's Degree in a general field of study OR
  • Post High School Nursing Diploma OR
  • Master's Degree in a behavioral health field (MSW, MA, MS, M.Ed.), Ph.D., or Psy.D

Required Licenses
  • Active, current, unrestricted license in Arizona (or eligible via endorsement) as a behavioral health professional such as LCSW, LPC, LISAC, LMFT, or licensed psychologist (Psy.D. or Ph.D.) OR
  • Active, current, unrestricted RN license in Arizona or a Nurse Licensure Compact (NLC) state

Required Certifications
  • Within 4 years of hire, must obtain one of the following case management certifications:
    CCM, CDMS, CMAC, CMC, CRC, CRRC, COHN, RN-C, or RN-BC

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 3 years of direct clinical care experience (managed care case management preferred)
  • 1-2 years of experience in a managed care organization

Preferred Education
  • Bachelor's Degree in Nursing or Health and Human Services

Preferred Licenses
  • None

Preferred Certifications
  • Active case management certification (CCM, CDMS, CMAC, CMC, CRC, CRRC, COHN, RN-C, RN-BC)

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
  • Assess and collect member data from all care settings
  • Collaborate with providers, members, and families to implement care plans
  • Handle high-volume health insurance-related customer calls daily
  • Explain benefits, coverage, eligibility, claims, programs, and networks
  • Review medical records and determine medical necessity based on criteria and benefits
  • Present case status updates to leadership and medical director as needed
  • Coordinate with internal departments, providers, and external agencies
  • Meet quality, productivity, and timeliness standards
  • Maintain compliance with state, federal, and accreditation requirements
  • Ensure accurate and complete documentation
  • Apply policies and procedures effectively

Team Support (when applicable)
  • Assist in workload distribution
  • Monitor and report team progress
  • Communicate issues and improvement opportunities
  • Mentor and support team members
  • Participate in continuing education in healthcare, behavioral health, and managed care annually

Work Schedule
  • Full-time role (minimum 40 hours per week)
  • Additional hours may be required based on business needs
  • Perform other duties as assigned

COMPETENCIES
REQUIRED COMPETENCIES
Required Job Skills
  • Intermediate PC skills
  • Intermediate use of office equipment (copiers, fax, scanners, phones)
  • Intermediate skills in word processing, spreadsheets, and databases

Required Professional Competencies
  • Maintain confidentiality and privacy
  • Advanced clinical knowledge
  • Strong interpersonal and active listening skills
  • Ability to interpret and explain policies and procedures
  • Strong analytical and research skills
  • Organizational skills with ability to manage multiple priorities
  • Ability to follow direction
  • Team collaboration skills
  • Sound judgment and problem-solving ability
  • Ability to manage and maintain data across multiple systems

Required Leadership Competencies
  • Conflict resolution
  • Ability to represent the organization in the community

PREFERRED COMPETENCIES
Preferred Job Skills
  • Advanced PC proficiency
  • Knowledge of CPT 2018 and ICD-10 coding

Preferred Professional Competencies
  • Knowledge of managed care, utilization management, and quality management
  • Familiarity with InterQual, MCG, ASAM, or similar criteria tools
  • Understanding of organizational services and operations
  • Knowledge of patient education and behavior change techniques

Preferred Leadership Competencies
  • None

Our Commitment
AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

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