Remote RN Care Navigator

UHC; Denver (CO); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Benefits package

401k contribution

Equity stock purchase

Job summary

UnitedHealth Group is hiring a registered nurse to provide guidance and education to members across the continuum of care as a front-line clinical resource. The role is customer-service oriented and benefits from a nursing generalist background, with the flexibility to work remotely from anywhere in the U.S.

while addressing complex healthcare needs. Primary responsibilities include resolving member inquiries, managing prior authorizations, referring to internal specialists, and educating

Qualifications

• Current and unrestricted RN compact license.
• 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).

Responsibilities

• Act as a resource to members calling into a customer service setting addressing medical/health questions.
• Own problems through to resolution on behalf of the member in real time or through follow-up.
• Provide process and status on 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.

Skills

RN license

Acute nursing

Case management

MS Word

Education

Bachelor's degree in nursing

CCM

Tools

Outlook

Job description

UnitedHealth Group is hiring a registered nurse to provide guidance and education to members across the continuum of care as a front-line clinical resource. The role is customer-service oriented and benefits from a nursing generalist background, with the flexibility to work remotely from anywhere in the U.S.

while addressing complex healthcare needs. Primary responsibilities include resolving member inquiries, managing prior authorizations, referring to internal specialists, and educating