2

Remote Weekend Rn Jobs in Peoria, AZ (NOW HIRING)

CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...

US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

US; remote with minimal travel Schedule: Mon - Fri; at least two late shifts per week (1:00 pm - 10 ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois ... Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate ...

US; remote with minimal travel Schedule: Monday - Friday, with three late shifts (11 am - 8 pm PST ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...

Showing results 21-40

Remote Weekend Rn information

What are the key skills and qualifications needed to thrive as a Remote Weekend RN?

To thrive as a Remote Weekend RN, you need a current RN license, strong clinical assessment skills, and experience in telehealth or remote patient care. Familiarity with telemedicine platforms, secure messaging systems, and electronic health records (EHRs) is typically required. Exceptional communication, self-motivation, and time management skills are crucial for providing quality care independently and efficiently from a distance. These competencies ensure that patients receive timely, accurate care and support outside of traditional clinical settings, especially during weekend hours.

What is a Remote Weekend RN?

A Remote Weekend RN is a registered nurse who works remotely, typically from home, providing nursing care, triage, or case management services during weekends. They use telehealth technologies to assess patients, offer medical advice, coordinate care, or manage chronic conditions outside of traditional clinical settings. This role allows nurses to maintain patient care continuity while offering flexibility in scheduling. Weekend shifts are common in this position to ensure patients have access to nursing support outside of standard business hours. Remote Weekend RNs are required to have an RN license and may need experience in telehealth or related fields.

What are some common challenges faced by remote weekend RNs, and how can they be managed effectively?

Remote Weekend RNs often encounter challenges such as managing patient care with limited on-site resources, coordinating with multidisciplinary teams outside traditional office hours, and addressing urgent situations remotely. Effective communication skills and familiarity with telehealth platforms are crucial for handling these obstacles. Developing strong organizational habits and staying proactive in following up with patients and colleagues can help ensure a smooth workflow and high-quality care, even during weekends when support staff may be limited.

What is the difference between Remote Weekend Rn vs Remote Night Rn?

AspectRemote Weekend RnRemote Night Rn
Work ScheduleWeekend shifts, typically Saturday and SundayNight shifts, usually overnight hours
CertificationsRegistered Nurse (RN) license, CPR, BLSRegistered Nurse (RN) license, CPR, BLS
Work EnvironmentHome-based telehealth or remote hospital settingsHome-based telehealth or remote hospital settings
Industry UsageHealthcare, telehealth servicesHealthcare, telehealth services

The main difference between a Remote Weekend Rn and a Remote Night Rn lies in their work schedules. Weekend RNs work primarily on weekends, while Night RNs cover overnight shifts. Both roles require similar certifications and work in remote healthcare environments, serving telehealth or remote hospital settings. Your choice depends on your preferred working hours and schedule flexibility.

What are popular job titles related to Remote Weekend Rn jobs in Peoria, AZ? For Remote Weekend Rn jobs in Peoria, AZ, the most frequently searched job titles are:
What job categories do people searching Remote Weekend Rn jobs in Peoria, AZ look for? The top searched job categories for Remote Weekend Rn jobs in Peoria, AZ are:
What cities near Peoria, AZ are hiring for Remote Weekend Rn jobs? Cities near Peoria, AZ with the most Remote Weekend Rn job openings:
Infographic showing various Remote Weekend Rn job openings in Peoria, AZ as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 11% In-person, and 89% Remote job distribution.

High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)

Blue Cross Blue Shield of Arizona

Phoenix, AZ • On-site, Remote

Full-time

This job post has expired today. Applications are no longer accepted.


Blue Cross Blue Shield Of Arizona rating

5.9

Company rating: 5.9 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

286th of 304 rated insurance


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 position is remote within the state of AZ only. This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
PURPOSE OF THE JOB
This position is responsible for assessment and documentation of member utilization and prediction of future spend feeding internal and external customer reporting. Primary responsibilities include:
  • Function as a designated clinical resource to review High Cost Claimants to identify opportunities to improve member outcomes and determine correct utilization of resources
  • Collaborate with multi-disciplinary teams to determine if there are other resources, BCBSAZ programs, or community resources that can curtail benefit spend or improve outcomes
  • Focus on enhancing customer relationship and service as the primary clinical point of contact

REQUIRED QUALIFICATIONS
Required Work Experience
  • 5 years of experience working within a healthcare and/or management care
  • 2 consecutive years' experience as an RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management

Required Education
  • Associate's Degree in Nursing or related field of study

Required Licenses
  • Active, unrestricted license to practice as a registered nurse (RN) in the state of Arizona (a state in the united states)

Required Certifications
  • N/A

PREFERRED QUALIFICATIONS
Preferred Work Experience
  • 7 years' experience working within a healthcare and/or management care.
  • 3 years' experience with managing direct customer facing or account management experience
  • Experience in working in more than one of Utilization Management, Medical Claim Review and Care Management
  • Experience with working with VITAL, Metavance and/or Guiding Care platforms
  • Experience in operational analysis, data analysis and problem resolution types of activities

Preferred Education
  • Bachelor's or Master's Degree in Nursing or related field of study

Preferred Licenses
  • N/A

Preferred Certifications
  • Certified Commission of Case Managers
  • PMP Certification or Six Sigma/Lean Project Management
  • Certified Professional in Healthcare Quality (CPHQ)

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES
  • Analyze utilization data from provided sources to evaluate cost drivers.
  • Apply clinical knowledge, incorporating the persistency score to determine if member care needs will be ongoing versus an acute episodic.
  • Apply knowledge of customer benefit structure to determine appropriate use of services.
  • Collaborate with multi-disciplinary team to determine if there are other resources; BCBSAZ programs, community resources that can curtail benefit spend or improve outcomes.
  • Document findings in a manner that can be consumed by internal process for reporting purposes, internal and external customers.
  • Refer the member to appropriate internal BCBSAZ group to manage and coordinate care as indicated.
  • Continue to evaluate the member's benefit spend according to Key Decision Criteria.
  • Responsible for the professional, efficient and timely delivery of services to members and customer/Group Benefit Administrator requesting assistance. This includes but is not limited to providing information and assistance with information related to members' claims and clinical course, expected outcomes and persistence of claim expenses.
  • Provide proactive clinical recommendations, information regarding trends, program and industry changes the customer and member experience.
  • Represent customer-internally and coordinate with other departments such as medical and pharmacy account team to address ongoing needs, implement care initiatives, projects and customer systems.
  • Lead process improvement initiative and projects to improve the delivery of services.
  • Lead efforts to identify best practices and resources required to support customer with meeting business commitments and enhance member experience.
  • Develop relationships and establish credibility with key stakeholders (internal and external) to achieve solution strategies and objectives. Routinely collaborate with account management team to provide clinical aspects of High Cost Claimant reviews.
  • Able to analyze and interpret benefit designs and identify opportunities to increase efficiency.
  • Complete High Cost Claimant screening and analysis to identify trends and opportunities; present findings to key stakeholders and clinical leadership.
  • Support clinical quality audit activities under the direction of manager to identify opportunities to deliver on commitments and enhance customer satisfaction/experience.

LEADERSHIP
  • Maintain effective working relationships to ensure teamwork in achieving company goals.
  • Foster effective communication with business partners by setting clear directives and providing exchange of ideas.
  • Provide leadership on change management principles to ensure maximize benefit and alleviate unnecessary disruption.
  • Effectively communicates analytical and reporting needs to supporting departments. Identify and create opportunities to manage trend(s).

ADMINISTRATIVE
  • Manage use of corporate funds including budgeting, financial management, and reporting. Identify opportunities to achieve administrative efficiencies while maintaining service.
  • Establish performance goals in accordance with overall BCBSAZ objectives and divisional strategic planning.
  • Participate in strategic planning activities and contribute to departmental and cross-functional teams to achieve

Business goals/objectives.
  • Ensure the existence of documented policies and procedures.
  • Coordinate activities between multiple divisions to achieve desired results.
  • Volunteer within the community to help BCBSAZ give back to community charitable efforts.
  • Ability to travel up to 25% of time to attend work related customer, business meetings, trainings and conferences.
  • The position requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
  • Perform other duties as assigned.

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.

What Blue Cross Blue Shield Of Arizona employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom