Remote RN Care Navigator: Patient Education & Support

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

Job summary

UnitedHealthcare is seeking a registered nurse to provide guidance and education for members across care continuum. This remote role supports frontline clinical education and customer service, leveraging nursing judgment to resolve issues in real time and through follow-up.

The position requires an unrestricted RN license, 4+ years acute nursing experience, 2+ years of case management, and comfort with documenting interactions across databases. Remote work and benefits are highlighted.

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

• Address medical/health questions as a resource for members.
• Own problems through resolution with timely follow-up.
• Provide process and status on prior authorizations or pre-determination requests.
• Refer and enroll members to internal specialists/programs based on needs and eligibility.
• Support and advocate for members and families in complex medical situations.
• Use nursing judgement in various real-time scenarios.
• Document member interactions across multiple databases on calls and follow processes.
• Educate members in healthcare decision making.
• Lead new program initiatives to improve performance of the program.
• Collaborate with peers and managers to improve service model performance.
• Assist with developing and implementing departmental policies and procedures.
• Remain adaptable in a fast-paced environment.

Skills

Verbal communication

Written communication

Customer service

Team player

Adaptability

Independent work

Education

RN license (unrestricted, compact allowed)

Bachelor's degree in nursing (preferred)

Job description

UnitedHealthcare is seeking a registered nurse to provide guidance and education for members across care continuum. This remote role supports frontline clinical education and customer service, leveraging nursing judgment to resolve issues in real time and through follow-up.

The position requires an unrestricted RN license, 4+ years acute nursing experience, 2+ years of case management, and comfort with documenting interactions across databases. Remote work and benefits are highlighted.