RN Field Care Navigator (Remote/Field-Based)

Jobtome; Fayetteville (NC); Remote; USD 40,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits package

401(k) contributions and equity stock

Job summary

UnitedHealthcare is seeking a field-based RN Care Coordinator to support medically complex members, coordinating care across acute, home, and community settings. You will work remotely within driving distance to Giles County, traveling up to 75% to meet with members and providers.

You will apply clinical knowledge, implement evidence-based care plans, educate patients, and advocate for access to benefits while collaborating with Case Management, Utilization Review, and Behavioral Health teams.

Qualifications

• Current RN license
• 2+ years of clinical RN experience
• 1+ years MS Office experience
• Willingness to travel up to 75% within assigned territory
• Located in commutable driving distance to Giles County

Responsibilities

• Apply clinical knowledge to coordinate case management for Medicare/Medicaid beneficiaries
• Incorporate evidence-based practices into care coordination
• Provide patient education and self-management support
• Ensure appropriate utilization of health benefits
• Conduct assessments and document according to policy and timelines
• Advocate for members and coordinate with providers and families
• Develop and maintain individualized care plans
• Coordinate with care coordination team to improve care quality and efficiency
• Monitor hospital encounters and provide education/interventions as needed
• Refer decisions beyond authority to manager for review
• Participate in quality improvement processes
• Use Health Plan software to document service requests and progress
• Maintain time-sensitive documentation for regulatory compliance
• Coordinate services per Health Plan policy

Skills

RN License

Clinical experience

MS Office proficiency

Organization & time management

Travel willingness

Education

RN degree

Tools

MS Office

Job description

UnitedHealthcare is seeking a field-based RN Care Coordinator to support medically complex members, coordinating care across acute, home, and community settings. You will work remotely within driving distance to Giles County, traveling up to 75% to meet with members and providers.

You will apply clinical knowledge, implement evidence-based care plans, educate patients, and advocate for access to benefits while collaborating with Case Management, Utilization Review, and Behavioral Health teams.