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How much do rn blue cross jobs pay per hour?

As of Aug 23, 2026, the average hourly pay for rn blue cross in the United States is $44.91, according to ZipRecruiter salary data. Most workers in this role earn between $34.38 and $53.37 per hour, depending on experience, location, and employer.

What is an RN Blue Cross?

An RN Blue Cross job is a registered nurse position within Blue Cross or its affiliated healthcare programs. These nurses typically work in case management, utilization review, care coordination, or member outreach. Their role involves assessing patient needs, coordinating care plans, and ensuring quality healthcare services. They may work remotely, in hospitals, or in office settings, depending on the specific job requirements.

What are the key skills and qualifications needed to thrive in the RN Blue Cross position?

To thrive as an RN at Blue Cross, you need an active registered nurse license, a solid grasp of clinical practices, and experience in care coordination or case management. Familiarity with health insurance systems, utilization review software, and medical coding (such as ICD-10) is highly beneficial. Exceptional communication, critical thinking, and organizational skills will set you apart in this role. These abilities ensure effective support for members, accurate clinical assessments, and seamless collaboration with multidisciplinary teams within the healthcare and insurance environment.

What are some common challenges faced by RNs working at Blue Cross?

RNs at Blue Cross often navigate the challenge of balancing clinical expertise with insurance guidelines, as they review medical claims and coordinate care within policy frameworks. Adjusting to a fast-paced office environment, rather than direct bedside care, requires strong attention to detail and adaptability. There are also situations that demand effective communication with both healthcare providers and members to clarify benefits and care plans. However, RNs in this setting gain a valuable, broader perspective on healthcare systems and can advance into roles such as care manager, quality assurance specialist, or leadership positions within the organization.

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Rn Blue Cross jobs near you
Infographic showing various Rn Blue Cross job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $93,419 per year, or $44.9 per hour.

Clinical Review Registered Nurse

Blue Cross and Blue Shield of Vermont

Montpelier, VT • On-site

$73K - $82K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 25 days ago

Job description

Clinical Review Registered Nurse

Blue Cross and Blue Shield of Vermont is looking for a Clinical Review Registered Nurse to join our Utilization Management team. Our company culture is built on an unwavering focus on the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch. We offer a balanced and flexible workplace, an onsite gym, fitness and wellness programs, a competitive salary and full benefits package including medical and dental insurance, vision, 401K, paid time off and holidays, tuition reimbursement and student loan repayment, dependent caregiver benefits, and resources to support your ongoing personal and professional growth and development.

COMPENSATION: The base salary range for this position is $73,000 - $82,000. Additional compensation opportunities and incentives will be detailed during the interview process. Please note that the range listed above is our good faith estimate of the hiring range for this role. If you are hired at Blue Cross and Blue Shield of Vermont, your final base salary compensation will be determined based on factors such as skills, competencies, education, experience, and internal equity across the current team. We also offer a robust benefits package with significant value (see below).

LOCATION: Blue Cross has transitioned to a hybrid workplace where employees within driving distance of our Berlin, VT office work Wednesdays in the office with flexibility to work remotely the rest of the week. We are only hiring Vermonters for this role. Standard work hours are 8:00-4:30.

The Clinical Review Registered Nurse will be responsible for facilitating members' healthcare needs, authorizing medically necessary services including behavioral health at the right level of care to promote optimal health.

Clinical Review Registered Nurse Responsibilities:

  • Conduct clinical reviews for preservice, concurrent, and retrospective authorizations that promote efficient and medically appropriate use of members benefits to provide cost effective and high-quality care.
  • Self-directed, working independently and collaboratively with the team to facilitate care using clinical skills, principles of managed care, nationally recognized medical necessity criteria, and company medical policies.
  • Emphasis on utilization management, discharge planning, clinical outcomes and the ability to assess, analyze, draw conclusions, and construct effective solutions, identify questionable cases and refer to superior or medical director for review.
  • Proficient with multiple IT systems.
  • Strong written and spoken communication skills
  • Able to follow regulatory requirements with audit feedback incorporated into future work.

Clinical Review Registered Nurse Qualifications:

  • RN with Vermont License required, BSN desired.
  • 3-5 years of relevant experience in a variety of appropriate clinical health care settings (inpatient, outpatient, or differing levels of care)
  • 1- 3 years of insurance related experience desired.
  • Must be willing to participate in on-going CEU training.
  • Must be willing to participate in after hours on call rotation

Clinical Review Registered Nurse Benefits:

  • Health insurance (including vision)
  • Dental coverage (free to employees)
  • Wellness Program
  • 401(k) with employer match + automatic employer contribution
  • Life Insurance
  • Disability Insurance
  • Combined time off (CTO) – 20 days per year + 10 paid holidays
  • Tuition Reimbursement
  • Student Loan Repayment
  • Dependent Caregiver Benefits

Diversity, Equity, and Inclusion: Blue Cross VT is committed to creating an inclusive environment where employees respect, appreciate, and value individual differences, both among ourselves and in our communities. We welcome applicants from all backgrounds and experiences to join us in our commitment to the health of Vermonters, outstanding member experiences, and responsible cost management for all the people whose lives we touch.

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