Remote RN Care Navigator & Health Education Lead

Jobtome; La Vista (NE); A distancia; USD 60.000 - 107.000; Jornada completa

Descripción de la vacante

UnitedHealthcare is seeking a registered nurse to join a new program aimed at guiding and educating members on health and well-being. The role is highly customer service oriented and supports complex medical situations, with a focus on front-line clinical education and resource provision.

Remote work is allowed from anywhere in the U.S., with a Monday–Friday 8:00 am–5:00 pm schedule. Strong nursing background and case management experience are required.

Formación

• 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.

Responsabilidades

• Acts as resource to members in a customer service setting addressing medical questions.
• Owns problems through resolution with members in real time or follow-up.
• Provides status on prior authorizations or pre-determination requests.
• Refers and enrolls members to internal specialists and programs based on needs.
• Supports and advocates for members in complex medical situations.
• Uses nursing judgement in diverse, real-time scenarios.
• Documents member interactions across databases during and after calls.
• Educates members in healthcare decision-making.
• Leads direction for new program initiatives to improve performance.
• Collaborates with peers and managers to improve service model performance.
• Assists with development and implementation of departmental policies.

Conocimientos

RN license

Independent work

Communication skills

Customer service

Team player

Educación

Registered Nurse license

Bachelor's degree in nursing

Descripción del empleo

UnitedHealthcare is seeking a registered nurse to join a new program aimed at guiding and educating members on health and well-being. The role is highly customer service oriented and supports complex medical situations, with a focus on front-line clinical education and resource provision.

Remote work is allowed from anywhere in the U.S., with a Monday–Friday 8:00 am–5:00 pm schedule. Strong nursing background and case management experience are required.