Remote RN Care Navigator & Educator

Jobtome; Paradise Valley (NV); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits package

Incentive and recognition programs

401k contribution and stock purchase

Job summary

UnitedHealthcare is seeking a registered nurse to provide education and guidance to members across the continuum of care. The role emphasizes frontline clinical support, customer service, and collaboration to improve care management while offering a remote work option within the United States.

The ideal candidate has 4+ years of acute nursing and 2+ years in case management, with solid MS Word/Outlook skills and the ability to work independently.

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 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 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.
• Use nursing judgement in various scenarios real time.
• Document member interactions across databases during and after calls.
• Educate members in healthcare decision making.
• Set direction and participate in or develop new program initiatives to improve performance.
• Collaborate with peers and managers to improve service model performance.
• Assist with development and implementation of departmental policies.

Skills

Acute nursing experience (RN)

Case management experience

Independence with minimal supervision

Strong communication skills

Adaptability in fast-paced environment

Education

Bachelor's degree in nursing

RN license (compact)

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a registered nurse to provide education and guidance to members across the continuum of care. The role emphasizes frontline clinical support, customer service, and collaboration to improve care management while offering a remote work option within the United States.

The ideal candidate has 4+ years of acute nursing and 2+ years in case management, with solid MS Word/Outlook skills and the ability to work independently.