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Blue Cross Rn Remote Jobs (NOW HIRING)

Registered Nurse

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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.
More about Blue Cross Rn Remote jobs
What cities are hiring for Blue Cross Rn Remote jobs? Cities with the most Blue Cross Rn Remote job openings:
What states have the most Blue Cross Rn Remote jobs? States with the most job openings for Blue Cross Rn Remote jobs include:
Infographic showing various Blue Cross Rn Remote job openings in the United States as of July 2026, with employment types broken down into 2% As Needed, 73% Full Time, 11% Part Time, 13% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.
Clinical Assessment Coordinator RN/LPN - (Remote)

Clinical Assessment Coordinator RN/LPN - (Remote)

Maximus

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 4 days ago. Applications are no longer accepted.


Maximus rating

6.9

Company rating: 6.9 out of 10

Based on 297 frontline employees who took The Breakroom Quiz

280th of 487 rated business services


Job description

General information
Job Posting Title
Clinical Assessment Coordinator RN/LPN - (Remote)
Date
Wednesday, July 15, 2026
City
Remote
Country
United States
Working time
Full-time
Description & Requirements
Maximus is seeking a compassionate and detail-oriented Clinical Assessment Coordinator RN/LPN to join our team. In this role, you will review clinical assessments to ensure completeness and accuracy, summarize key findings, and recommend appropriate rehabilitative services and placements based on individual needs. Your strong understanding of mental health diagnoses, symptoms, and medications will be essential in providing high-quality, person-centered recommendations that support positive outcomes for each individual.
About the Program:
The Indiana Level of Care Assessment and Referral (IN LCAR) program is a comprehensive statewide initiative encompassing several key components, including the PASRR (Preadmission Screening and Resident Review). This program mandates that all individuals being considered for admission to a Medicaid-certified nursing facility, irrespective of their payor source, undergo a comprehensive screening for Serious Mental Illness, Intellectual Disabilities, or Related Conditions. The objective is to prevent inappropriate institutionalization by ensuring that each individual's specific needs are accurately identified and addressed.
*This remote position will support Central Standard Time (CST) work hours.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- Competitive Compensation - Bonuses based on performance included!
- Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- Paid Time Off Package - Enjoy PTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- Tuition Reimbursement - Invest in your ongoing education and development.
- Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Responsible for completing medical and/or behavioral health assessments within contract requirements
- Conducts on-site, video call and/or telephonic assessments to determine an individual's needs for services and supports, eligibility, level of care or related outcome
- Perform all job duties in compliance with Person First standards, HIPAA guidelines, and company confidentiality policies and procedures.
- Travel may be required based on program contract requirements
- Performs other related duties as assigned.
Required Skills/Abilities:
- Preferred knowledge may include community support programs, long-term care assessment and level of care in medical, behavioral health or related programs
- Knowledge and understanding of medical and/or behavioral health diagnoses and prescribed medications
- Ability to collect data, define problems, establish facts, and draw valid conclusions
Minimum Requirements
- Education and licensure requirements are based on program contract requirements and are outlined in job posting
- High School Degree or equivalent required
- Minimum 1 year of clinical experience required
- Bachelor's degree in social work, Mental Health or related degree program
- Current and valid Registered multi-state Nurse (RN) or Licensed Practical Nurse (LPN) license.
- Minimum of 2 years RN/LPN clinical experience in mental health
- Proficiency in Microsoft Office applications (Work, Excel, Outlook)
Preferred Requirements:
- Strong understanding of mental health diagnosis, symptoms, and medications.
Home Office Requirements:
- Maximus provides company-issued computer equipment
- Reliable high-speed internet service
- Minimum 20 Mbps download speeds/50 Mbps for shared internet connectivity
- Minimum 5 Mbps upload speeds
- Private and secure workspace
#LI- Remote
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
Minimum Salary
$
22.00
Maximum Salary
$
29.00

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