Remote RN Care Navigator

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

Job summary

UnitedHealthcare is seeking a registered nurse to serve as a front-line clinical resource, guiding members on health management and care decisions. This role emphasizes education, advocacy, and high-quality customer service in a fast-paced environment.

The position offers remote work flexibility from anywhere in the U.S. with standard business hours and opportunities to grow within a supportive care team. RN license required; CCM preferred.

Qualifications

• Current and unrestricted RN 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).
• Proven ability to function independently with minimal supervision.

Responsibilities

• Acts as a resource to members calling into a customer service setting addressing medical/health questions.
• Owns problems through to resolution on behalf of the member in real time or through follow-up.
• Provides process and status on prior authorizations or pre-determination requests.
• Refer and enroll members to internal specialists and programs based on needs and eligibility.
• Educates members in healthcare decision making and supports families in complex medical situations.
• Documents member interactions across databases during calls and follow-up.

Skills

RN License

Case Management

Med-surg

ICU/ER

Independent worker

Education

BSN

CCM

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a registered nurse to serve as a front-line clinical resource, guiding members on health management and care decisions. This role emphasizes education, advocacy, and high-quality customer service in a fast-paced environment.

The position offers remote work flexibility from anywhere in the U.S. with standard business hours and opportunities to grow within a supportive care team. RN license required; CCM preferred.