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Blue Cross Rn Remote Jobs in Racine, WI (NOW HIRING)

Licensed Registered Nurse (RN) in the State of Wisconsin, with no disciplinary action. * Two (2) ... Remote, work from home. * Schedule: Monday - Friday, 8:30 am - 5:00 pm CST WAH Internet Statement ...

Licensed Registered Nurse (RN) in the State of Wisconsin, with no disciplinary action. * Two (2) ... Remote, work from home. * Schedule: Monday - Friday, 8:30 am - 5:00 pm CST WAH Internet Statement ...

This role will begin as a remote (work-from-home) position and will transition to a full-time, in ... Our True Blue team consists of individuals from all backgrounds who contribute diverse perspectives ...

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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 Racine, WI? For Blue Cross Rn Remote jobs in Racine, WI, the most frequently searched job titles are:
What job categories do people searching Blue Cross Rn Remote jobs in Racine, WI look for? The top searched job categories for Blue Cross Rn Remote jobs in Racine, WI are:
What cities near Racine, WI are hiring for Blue Cross Rn Remote jobs? Cities near Racine, WI with the most Blue Cross Rn Remote job openings:
Regional Director of Clinical Survey

Regional Director of Clinical Survey

Gentiva Hospice

Milwaukee, WI • Remote

$88K - $120K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 10 days ago


Gentiva Health Services rating

7.2

Company rating: 7.2 out of 10

Based on 101 frontline employees who took The Breakroom Quiz

32nd of 228 rated social care providers


Job description

Overview

The Regional Director of Clinical Survey is responsible for supporting field operations in achieving and maintaining compliance with all applicable regulatory and accreditation standards. This role partners with branches to prepare for and successfully navigate internal and external surveys, including state licensure, federal certification, and accreditation reviews.

The role also leads the development and execution of corrective action plans in response to survey findings, partnering with clinical, operational, compliance, and legal leadership to ensure sustainable resolution and continuous improvement.

Essential Functions
  • Support branches in preparation for regulatory surveys, audits, and inspections
  • Interpret and apply state and federal regulations to operational practices
  • Lead and oversee corrective action plans resulting from survey deficiencies
  • Partner with operational, clinical, compliance, and legal teams to mitigate risk
  • Monitor and ensure adherence to regulatory and company standards
  • Provide guidance and education to field leadership on survey readiness and compliance expectations
  • Analyze data and documentation to identify trends and opportunities for improvement
  • Participate in committees, special projects, and cross-functional initiatives
  • Promote continuous improvement in policies, procedures, and documentation
  • Maintain consistent communication with leadership regarding risks and compliance concerns
  • Uphold company core values and ensure adherence to organizational policies
About You

Education:

  • Registered Nurse (RN) required
  • Bachelor's degree in Nursing preferred

Experience:

  • Minimum of two (2) years of leadership experience
  • At least three (3) years in hospice and/or home health industry preferred
  • Experience with regulatory surveys, audits, and compliance oversight strongly preferred

Licenses, Certifications and/or Registration:

  • Active, unencumbered RN license (if applicable)
  • Valid driver's license
  • Automobile liability insurance

Equipment/Tools/Work-Aids:

  • Microsoft Excel (intermediate proficiency)
  • Microsoft PowerPoint (basic proficiency)
  • Electronic medical record systems (HCHB preferred)
  • Standard office and remote communication tools

 

Specialized Knowledge and Skills:

  • Strong knowledge of state and federal healthcare regulations
  • Ability to manage confidential and sensitive information
  • Strong organizational and time management skills
  • Effective communication across field and executive audiences
  • Sound judgment and problem-solving capability
  • Ability to manage multiple priorities in a fast-paced environment

 

Strategic Acumen

Ability to interpret regulatory requirements and translate them into actionable operational strategies that improve survey outcomes and compliance performance.

Personal Traits, Qualities and Aptitudes:

  • Demonstrates presence and the ability to influence and build credibility quickly across diverse teams and leadership levels
  • Highly self-directed with strong ownership, accountability, and disciplined follow-through
  • Comfortable operating in ambiguity, adapting approach based on market dynamics and evolving business needs
  • Strong emotional intelligence with the ability to coach, challenge, and motivate others effectively in field settings
  • Results-driven with the ability to balance strategic thinking and hands-on execution in a fast-paced, performance-oriented environment

 

Working Conditions:

  • Fast-paced remote environment with significant field interaction
  • Frequent travel required (approximately 75%)
  • Exposure to varying conditions in field locations and clinical settings
  • Some stress may occur in high-pressure regulatory situations.
We Offer

Benefits for All Associates (Full-Time & Per Diem):

  • Competitive Pay
  • 401(k) with Company Match
  • Career Advancement Opportunities
  • National & Local Recognition Programs
  • Teammate Assistance Fund

Additional Full-Time Benefits:

  • Medical, Dental, Vision Insurance
  • Generous Paid Time Off + 7 Paid Holidays
  • Wellness Programs (Telemedicine, Diabetes Management, Joint & Spine Concierge Care)
  • Education Support & Tuition Assistance
  • Company-paid Life & Long-Term Disability Insurance
  • Voluntary Benefits (Pet, Critical Illness, Accident, LTC)
Legalese
  • This is a safety-sensitive position
  • Employee must meet minimum requirements to be eligible for benefits
  • Where applicable, employee must meet state specific requirements
  • We are proud to be an EEO employer
  • We maintain a drug-free workplace
LocationGentiva HospiceOur Company

At Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.

Our place is by the side of those who need us - from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.

Our nationwide reach is powered by a family of trusted brands that include:

  • Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon
  • Palliative care: Empatia Palliative Care, Emerald Coast Palliative Care
  • Home health care: Heartland Home Health
  • Advanced illness management: Illumia Health

With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized - and kindness is celebrated.

Employment Type: FULL_TIME

What Gentiva Health Services employees say

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