Remote RN Care Navigator & Member Education

Jobtome; Scottsdale (AZ); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealth Group in the United States is seeking a registered nurse to join a program providing education and guidance to members across the continuum of care. This frontline clinical role emphasizes customer service and uses a nursing generalist background to enhance health management and well-being.

The position offers remote work from anywhere in the U.S. with typical hours 8:00 am–5:00 pm, Monday–Friday, and requires an active RN license, 4+ years of acute nursing, and 2+ years of case

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 follow-up.
• Provide process and status on previously submitted prior authorizations or pre-determination requests.
• Effectively refers and enrolls members to appropriate internal specialists and programs.
• Support and advocate for members and families in complicated medical situations.

Skills

Verbal communication

Written communication

Customer service

Teamwork

Education

RN license (compact)

Tools

MS Word

Outlook

Job description

UnitedHealth Group in the United States is seeking a registered nurse to join a program providing education and guidance to members across the continuum of care. This frontline clinical role emphasizes customer service and uses a nursing generalist background to enhance health management and well-being.

The position offers remote work from anywhere in the U.S. with typical hours 8:00 am–5:00 pm, Monday–Friday, and requires an active RN license, 4+ years of acute nursing, and 2+ years of case