Remote RN Care Navigator and Education Advocate

University of Minnesota School of Nursing; Phoenix, Northern (AZ, KY); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Telecommuting policy

Comprehensive benefits package

401k contribution

Job summary

UnitedHealthcare is seeking an experienced RN to provide frontline education and guidance to members across the continuum of care. You will handle medical questions, coordinate care, and refer to internal programs while delivering compassionate, patient-centered service.

The role requires 4+ years of acute nursing, 2+ years in case management, and proficiency with basic computer tools. Remote work within the United States is offered with weekday evenings and Saturday shifts as required.

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).
• 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 comprehensive and timely follow-up with the member
• Provide process and status on previously submitted prior authorizations or pre-determination requests
• Effectively refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility
• Support and advocate for members and families in complicated medical situations
• Use good nursing judgement in a variety of scenarios real time
• Accurately documents member interaction across multiple databases, while on the call and follow all processes and procedures
• Educates members in healthcare decision making
• Takes lead role in setting direction and participating in or developing new program and initiatives to improve performance of new program
• Ability to collaborate with peers and managers to improve service model performance
• Assists with the development and implementation of departmental policies and procedures
• Enjoys working in a fast paced environment and must be able to adapt quickly to change while executing efficiently

Skills

RN license

Acute nursing

Case management

Med-surg/ICU/ER

Computer skills

Independence

Education

BSN or higher

CCM certification

Managed care experience

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking an experienced RN to provide frontline education and guidance to members across the continuum of care. You will handle medical questions, coordinate care, and refer to internal programs while delivering compassionate, patient-centered service.

The role requires 4+ years of acute nursing, 2+ years in case management, and proficiency with basic computer tools. Remote work within the United States is offered with weekday evenings and Saturday shifts as required.