Remote RN Care Navigator & Member Educator

UHC; St. Louis (MO); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Remote work within the U.S.

Job summary

UnitedHealthcare is seeking RNs to join a new program that provides guidance and education as a frontline clinical resource. You will support members across the continuum of care, using nursing judgment to educate and assist with health decisions while working remotely from anywhere in the U.S.

The role emphasizes patient advocacy, problem resolution, and collaboration with internal teams to improve program performance.

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

• Act 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 timely 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.
• Educate members in healthcare decision making.
• Collaborate with peers and managers to improve service model performance.

Skills

RN license

Case management

Nursing

Education

RN license (compact)

Job description

UnitedHealthcare is seeking RNs to join a new program that provides guidance and education as a frontline clinical resource. You will support members across the continuum of care, using nursing judgment to educate and assist with health decisions while working remotely from anywhere in the U.S.

The role emphasizes patient advocacy, problem resolution, and collaboration with internal teams to improve program performance.