Remote Nurse Case Manager & Patient Advocate

UHC; Omaha (NE); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Remote work from anywhere in the U.S.

Job summary

UnitedHealth Group is seeking a registered nurse to provide guidance and education as part of a new program. The role emphasizes frontline clinical resource support, member education, and care coordination across the continuum of care.

You will handle inquiries in a customer-service oriented setting, work remotely from anywhere in the U.S., and contribute to program development and improved performance in a fast-paced environment.

Qualifications

• Current and unrestricted RN compact license.
• 4+ years of acute nursing experience as an RN.
• 2+ years of case management experience.
• Basic computer proficiency (MS Word, Outlook).
• Proven ability to function independently 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 comprehensive and timely follow-up.
• Provide process and status on previously submitted prior authorizations or pre-determination requests.
• Refer and enroll members to appropriate internal specialists and programs based on needs and eligibility.
• Support and advocate for members and families in complicated medical situations.
• Educate members in healthcare decision making.
• Collaborate with peers and managers to improve service model performance.

Skills

RN license

Acute nursing experience

Case management

MS Word/Outlook

Independent work

Communication skills

Customer service

Education

Bachelor's degree in nursing

CCM

Tools

MS Word

Outlook

Job description

UnitedHealth Group is seeking a registered nurse to provide guidance and education as part of a new program. The role emphasizes frontline clinical resource support, member education, and care coordination across the continuum of care.

You will handle inquiries in a customer-service oriented setting, work remotely from anywhere in the U.S., and contribute to program development and improved performance in a fast-paced environment.