Get all the rewards of helping people in need without the unpredictable hours of working in a clinic or hospital. Our nursing staff is crucial to providing high quality care and helping our members when they need it most.
Helping Members Manage Their Health
As a Blue Cross NC nurse, you'll help our members understand and manage their chronic health conditions. You'll increase their confidence and help them meet their health goals. By coordinating members' care with their doctors, you'll also improve patient outcomes.
Ensuring High Quality Care
Our nurses monitor facilities to make sure they meet Blue Cross NC quality standards. They educate doctors about our quality and preventive health initiatives. When needed, they suggest plans for improvement.
Reviewing Member Appeals
Our nurses use their expertise to research member appeals. They review medical records, claims, Blue Cross NC medical policies and care guidelines. They write summaries of their findings and work with others to resolve issues.
Analyzing Medical Policies and Coding
Our experienced team members review and establish medical policy. They analyze service codes related to medical policy. They determine how to apply national coding standards to Blue Cross NC claims processing and reimbursement policies.
Nursing Careers with Blue Cross NC
We have many career paths, including careers for registered nurses. Consider working for us as a Case Manager or Episodic Care Manager, Clinical Appeals Analyst, or Medical Review Analyst.