Remote RN Clinical Care Navigator

Jobtome; Omaha (NE); Remote; USD 60,000 - 107,000; Full time

Job summary

UnitedHealthcare is seeking a registered nurse to join a frontline program focused on education and support for members across the continuum of care. The role emphasizes customer service, nursing judgment, and collaboration with internal teams to improve care and outcomes.

Requires an unrestricted RN license, 4+ years of acute nursing, and 2+ years in case management. Remote work is available nationwide within the U.S.; standard business hours apply.

Qualifications

• Current and unrestricted RN license (compact)
• 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 with medical/health questions in a customer service setting
• Own problems through to resolution and follow up with members
• Provide status on prior authorizations or pre-determination requests
• Refer/enroll members to internal specialists/programs based on needs
• Educate members in healthcare decision making
• Collaborate with peers and managers to improve service model performance
• Assist with development/implementation of departmental policies and procedures

Skills

Nursing judgment

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 program focused on education and support for members across the continuum of care. The role emphasizes customer service, nursing judgment, and collaboration with internal teams to improve care and outcomes.

Requires an unrestricted RN license, 4+ years of acute nursing, and 2+ years in case management. Remote work is available nationwide within the U.S.; standard business hours apply.