Remote Senior RN Care Navigator for Families

Texas Health Institute; Minnetonka (MN); Hybrid; USD 60,000 - 107,000; Full time

Benefits offered by this job

Benefits package

Incentive programs

Equity stock purchase

401k plan

Job summary

UnitedHealth Group seeks a Family Advocate Support CARE - Senior Clinical Admin Nurse to provide individualized guidance to UMR CARE members and families, helping navigate the health care system and coordinate care with clinical teams.

Responsibilities include pre-admission counseling, discharge planning support, and documentation in systems. The role requires RN licensure and 2+ years of acute and behavioral health nursing experience.

Qualifications

• Current and unrestricted RN license.
• 2+ years of acute nursing experience.
• 2+ years of behavioral health nursing experience.
• 2+ years of Medicaid waiver experience.
• Med-Surg, ICU and/or ER experience.

Responsibilities

• Provide members with tools, education, and support to navigate the health care system.
• Assist members with adverse determinations and appeals.
• Educate members on wellness tools and resources.
• Conduct member outreach for pre-admission counseling.
• Support discharge planning for members and caregivers.
• Track activities and document for reporting.
• Coordinate care and referrals with partners as needed.
• Follow all policies and documentation standards.
• Participate in treatment plan discussions.

Skills

RN license

Acute nursing

Behavioral health nursing

Medicaid waiver experience

Med-Surg/ICU/ER

Independent work

MS Word

Outlook

Education

Bachelor's in Nursing

CCM

Case management experience

Managed care experience

Tools

MS Word

Outlook

Job description

UnitedHealth Group seeks a Family Advocate Support CARE - Senior Clinical Admin Nurse to provide individualized guidance to UMR CARE members and families, helping navigate the health care system and coordinate care with clinical teams.

Responsibilities include pre-admission counseling, discharge planning support, and documentation in systems. The role requires RN licensure and 2+ years of acute and behavioral health nursing experience.