ZipRecruiter

Log In

2

Blue Cross Rn Remote Jobs in Providence, RI (NOW HIRING)

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Case Management Certification CCM preferred Requires an RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote position previously. Must have case management ...

VIVA USA INC

Nurse Case Manager

Woonsocket, RI · On-site +1

Case Management Certification CCM preferred Requires an RN with unrestricted active license in Georgia. REQUIRED : Must have experience working a remote position previously. Must have case management ...

DataAnnotation

Registered Nurse

Providence, RI · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse

New Bedford, MA · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

Registered Nurse

Brockton, MA · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN

Brockton, MA · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN

New Bedford, MA · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

DataAnnotation

RN

Providence, RI · Remote

$40 - $60/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... MDs, PAs, and Nurses. Advantages of contracting with us: * You'll be able to choose which projects ...

next page

Showing results 1-20

All JobsBlue Cross Rn Remote JobsBlue Cross Rn Remote Jobs in Providence, RI

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 Providence, RI? For Blue Cross Rn Remote jobs in Providence, RI, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Providence, RI look for? The top searched job categories for Blue Cross Rn Remote jobs in Providence, RI are:
Blue Cross Rn Remote jobs near you

RN - Case Management / Clinical Documentation Specialist (Remote) - RNCM 0608 IS#01

NavitasPartners

Fall River, MA • Remote

$57 - $61/hr

Other

Posted 5 days ago

Job description

Job Title: RN - Case Management / Clinical Documentation Specialist (Remote)
Location: Remote (Based out of Massachusetts)
Schedule: Day Shift | 32 Hours per Week
Shift Timing: 7:00 AM - 3:30 PM
Weekend/Holiday Requirement: Rotating weekends and occasional holidays

Position Summary

We are seeking an experienced Registered Nurse (RN) Clinical Documentation Specialist to support clinical documentation improvement (CDI) initiatives in a fully remote environment. This role is responsible for reviewing patient medical records to ensure accurate and complete clinical documentation, reflecting severity of illness and appropriate reimbursement.

The ideal candidate will have strong clinical knowledge, experience with electronic medical records, and the ability to collaborate effectively with physicians and interdisciplinary teams.

Key Responsibilities
  • Conduct thorough and timely reviews of medical records to ensure accurate clinical documentation
  • Identify opportunities for documentation improvement and initiate appropriate queries
  • Communicate effectively with physicians and clinical staff to clarify documentation
  • Collaborate with Health Information Management (HIM) and nursing teams to resolve discrepancies
  • Ensure accurate data entry and maintenance within the electronic medical record system
  • Participate in CDI initiatives, team meetings, and ongoing education efforts
  • Provide follow-up on documentation queries to ensure timely resolution
  • Support compliance with regulatory requirements and documentation standards
  • Maintain high standards of service excellence when interacting with internal stakeholders
  • Manage multiple priorities in a fast-paced, remote work environment
Required Qualifications
  • Current Registered Nurse (RN) license in Massachusetts
  • Certified Clinical Documentation Specialist (CCDS) or CDI certification required
  • Prior experience working fully remotely
  • Experience with Epic Electronic Medical Records system
  • Minimum of recent acute care experience (ICU, CCU, or strong Med/Surg) OR 4 years of recent Case Management experience
  • Strong knowledge of pathophysiology and disease processes
  • Understanding of Medicare Part A & B guidelines and DRG impact
  • Familiarity with regulatory healthcare requirements
  • Strong analytical, critical thinking, and problem-solving skills
  • Excellent written and verbal communication skills
  • Ability to work independently and manage multiple tasks effectively
Preferred Qualifications
  • Bachelor of Science in Nursing (BSN)
  • Previous leadership or supervisory experience
  • Experience in Clinical Documentation Improvement programs
Key Competencies
  • Strong organizational and time management skills
  • High attention to detail and accuracy
  • Effective interpersonal and negotiation skills
  • Self-motivated and dependable with a proactive approach
  • Ability to collaborate with cross-functional teams in a remote setting
Work Environment
  • Fully remote role with structured daytime schedule
  • Requires a dedicated workspace and ability to work independently
  • Equipment and system access will be provided as per organizational policy

For more details reach at Aditi.sharma@navitashealth.com or Call / Text at 516-587-6677.

About Navitas Healthcare, LLC: It is a Joint Commission Certified / WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided, and your salary will be discussed upfront.

Apply