Remote Senior RN Care Navigator & Education Specialist

Texas Health Institute; Phoenix (AZ); Hybrid; USD 60.000 - 107.000; Vollzeit

Benefits dieser Stelle

Remote work anywhere in the US

Comprehensive benefits package

401k

Equity stock purchase

Zusammenfassung

UnitedHealthcare is launching a new nurse-led program to provide education and guidance to members across the continuum of care. As an RN, you will deliver frontline clinical support and help members manage their health and well-being while working from anywhere in the U.S.

This role emphasizes customer service, requires nursing expertise across med-surg/icu/ER, and engages in program development and collaboration with internal teams to improve service delivery.

Qualifikationen

• Current and unrestricted RN 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).
• Ability to work independently with minimal supervision.

Aufgaben

• Act as resource to members calling into a customer service setting addressing medical/health questions.
• Own problem through to resolution on behalf of the member with timely follow-up.
• Provide process and status on prior authorizations or pre-determination requests.
• Refer and enroll members to appropriate internal specialists and programs.
• Support and advocate for members in complicated medical situations.
• Educate members in healthcare decision making.
• Collaborate to improve service model performance.
• Assist with development and implementation of department policies.

Kenntnisse

RN license

Acute nursing

Case management

Communication

Independent work

Ausbildung

Bachelor's degree in nursing

CCM

Tools

MS Word

Outlook

Jobbeschreibung

UnitedHealthcare is launching a new nurse-led program to provide education and guidance to members across the continuum of care. As an RN, you will deliver frontline clinical support and help members manage their health and well-being while working from anywhere in the U.S.

This role emphasizes customer service, requires nursing expertise across med-surg/icu/ER, and engages in program development and collaboration with internal teams to improve service delivery.