Remote RN Care Navigator & Member Advocate

UHC; Phoenix (AZ); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealthcare is seeking a registered nurse to provide guidance and education as part of a new program. The role focuses on frontline clinical support and customer service, with the flexibility to work remotely from anywhere in the United States.

Responsibilities include addressing medical questions, coordinating care, and educating members on health decisions. Required: RN license and 4+ years of acute nursing, plus case management experience.

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

• Act as a resource to members calling into a customer service setting with medical/health questions.
• Own problems through to resolution in real time or with timely follow-up.
• Provide status on prior authorizations or pre-determination requests.
• Refer and enroll members to internal specialists and programs based on needs and eligibility.
• Support and advocate for members and families in complex medical situations.

Skills

RN license

Acute nursing experience

Case management

Med-surg/ICU/ER experience

Computer proficiency

Independent work

Education

Bachelor's degree in nursing

CCM

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a registered nurse to provide guidance and education as part of a new program. The role focuses on frontline clinical support and customer service, with the flexibility to work remotely from anywhere in the United States.

Responsibilities include addressing medical questions, coordinating care, and educating members on health decisions. Required: RN license and 4+ years of acute nursing, plus case management experience.