Remote RN Care Navigator & Education Specialist

ISHE; Phoenix (AZ); Hybrid; USD 64,000 - 107,000; Full time

Job summary

UnitedHealthcare is seeking a registered nurse to join a new program that provides guidance and education to members across the continuum of care.

The role combines frontline clinical support with customer service, using nursing judgment to educate, advocate, and help members navigate their health and treatments.

This position offers remote work from anywhere in the U.S., with standard business hours and opportunities for growth within UnitedHealth Group.

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 (ie 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.
• 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 licensure

Acute nursing experience

Case management

Med-surg/CCU/ER experience

Computer proficiency

Independent work

Education

Bachelor's degree in nursing

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a registered nurse to join a new program that provides guidance and education to members across the continuum of care.

The role combines frontline clinical support with customer service, using nursing judgment to educate, advocate, and help members navigate their health and treatments.

This position offers remote work from anywhere in the U.S., with standard business hours and opportunities for growth within UnitedHealth Group.