Remote Senior Clinical Care Navigator (RN)

Texas Health Institute; Phoenix, Northern (AZ, KY); Hybrid; USD 60,000 - 107,000; Full time

Job summary

UnitedHealthcare is seeking a Family Advocate Support CARE - Senior Clinical Admin Nurse to provide individualized navigation assistance for members and families within the UMR CARE Clinical program. The role emphasizes coordination with clinical teams, education, and proactive outreach to support transitions and discharge planning.

The position requires an active RN license, 2+ years in acute and behavioral health nursing, and Medicaid waiver experience, with flexibility for remote work within

Qualifications

• Current and unrestricted RN compact license.
• Ability to obtain additional licenses as required.
• 2+ years of acute nursing experience.
• 2+ years of behavioral health nursing experience.
• 2+ years of Medicaid waiver experience.
• Med-surg, critical care and/or ER experience.
• Basic computer proficiency (ie MS Word, Outlook).
• Proven ability to function independently and responsibly with minimal supervision.

Responsibilities

• Provide members with tools, education, and support to help them navigate the health care system and manage their health concerns effectively and cost efficiently
• Assist members with adverse determinations, including the appeals process
• Educate members on how to use UMR internet-based wellness tools and resources
• Conduct member outreach to provide pre-admission counseling
• Conduct member outreach to support discharge planning for members and caregivers
• Track activities and maintain complete documentation to support customer reporting
• Accept referrals through designated processes, collaborate on available service options, and coordinate medical care and community referrals as needed
• Follow all policies, procedures, and documentation standards within appropriate systems, tracking tools, and databases
• Participate in treatment plan discussions
• Complete other duties as assigned

Skills

RN license

Education

Bachelor’s degree in Nursing

Job description

UnitedHealthcare is seeking a Family Advocate Support CARE - Senior Clinical Admin Nurse to provide individualized navigation assistance for members and families within the UMR CARE Clinical program. The role emphasizes coordination with clinical teams, education, and proactive outreach to support transitions and discharge planning.

The position requires an active RN license, 2+ years in acute and behavioral health nursing, and Medicaid waiver experience, with flexibility for remote work within