Remote Nurse Care Navigator (RN) | Education & Support

Registered Nurse; Phoenix, Northern (AZ, KY); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Remote work within U.S.

Benefits package

401k contribution

Job summary

UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to improve care delivery. Remote work from anywhere in the U.S.

is supported, with weekday hours and Saturday shifts as needed. Applicants should have an active RN license, 4+ years of acute nursing experience, 2+ years in case management, and strong

Qualifications

• Current and unrestricted RN license to practice in applicable state.
• 4+ years of acute nursing experience as an RN.
• 2+ years of case management experience.
• Med-surg, critical care and/or ER experience.
• Basic computer proficiency (MS Word, Outlook).
• Proven ability to function independently and responsibly with minimal supervision.

Responsibilities

• Acts as resource to members calling into a customer service setting addressing medical/health questions.
• Own problem through to resolution on behalf of the member in real time or through timely follow-up.
• Provide process and status on previously submitted prior authorizations or pre-determination requests.
• Refer and enroll members to internal specialists and programs based on needs and eligibility.
• Support and advocate for members and families in complicated medical situations.
• Use nursing judgement in a variety of scenarios in real time.
• Document member interactions across multiple databases, on call and follow procedures.
• Educate members in healthcare decision making.

Skills

RN license

Case management

Communication skills

MS Office basics

Education

Bachelor's degree in Nursing

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking an experienced registered nurse to join a frontline clinical resource program that educates and supports members about health management. The role emphasizes customer service, nursing judgment, and collaboration to improve care delivery. Remote work from anywhere in the U.S.

is supported, with weekday hours and Saturday shifts as needed. Applicants should have an active RN license, 4+ years of acute nursing experience, 2+ years in case management, and strong