Remote Senior Clinical Nurse Navigator for Coordination

UnitedHealth Group; Phoenix (AZ); Remote; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits package

Stock purchase plan

401k contribution

Job summary

UnitedHealthcare is seeking a Family Advocate Support CARE - Senior Clinical Admin Nurse to play a pivotal role in guiding UMR CARE Clinical members and families through the health care system. The role emphasizes coordination with multiple partners to support care and navigation while maintaining thorough documentation and compliance.

The position offers remote work across the U.S. with standard Monday–Friday hours and opportunities for professional growth within UnitedHealth Group.

Qualifications

• Current and unrestricted RN compact license.
• 2+ years of acute nursing experience.
• 2+ years of behavioral health nursing experience.
• 2+ years of Medicaid waiver experience.
• Proven ability to function independently and responsibly with minimal supervision.

Responsibilities

• Provide members with tools, education, and support to navigate the health care system and manage 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

Acute nursing

Behavioral health nursing

Medicaid waiver experience

Independent working

Education

Bachelor's degree in nursing

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a Family Advocate Support CARE - Senior Clinical Admin Nurse to play a pivotal role in guiding UMR CARE Clinical members and families through the health care system. The role emphasizes coordination with multiple partners to support care and navigation while maintaining thorough documentation and compliance.

The position offers remote work across the U.S. with standard Monday–Friday hours and opportunities for professional growth within UnitedHealth Group.