Remote RN Care Navigator & Program Lead

Jobtome; Houston (TX); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealthcare is seeking a registered nurse to join a frontline, customer-service oriented program. You will provide guidance and education to members, navigating care options and benefits while maintaining clinical judgment in real-time.

The role supports education, care coordination, and program development, with remote work flexibility within the U.S. and a Monday–Friday schedule. Strong communication and independent work skills are essential.

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 comprehensive and timely follow-up with the member.
• Educates members in healthcare decision making.
• Efficiently refers and enrolls members to appropriate internal specialists and programs, based on member's needs and eligibility.
• Accurately documents member interaction across multiple databases, while on the call and follows all processes and procedures.
• Ability to collaborate with peers and managers to improve service model performance.
• Assists with the development and implementation of departmental policies and procedures.

Skills

RN license

Communication

Customer service

Education

Bachelor's degree in nursing

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a registered nurse to join a frontline, customer-service oriented program. You will provide guidance and education to members, navigating care options and benefits while maintaining clinical judgment in real-time.

The role supports education, care coordination, and program development, with remote work flexibility within the U.S. and a Monday–Friday schedule. Strong communication and independent work skills are essential.