RN — Remote Field Care Coordinator

UnitedHealthcare; Fayetteville (TN); Hybrid; USD 40,000 - 72,000; Full time

Benefits offered by this job

Comprehensive benefits

Incentive and recognition programs

Equity stock purchase & 401k

Job summary

UnitedHealthcare is seeking a field-based Care Coordinator to apply clinical knowledge and coordinate complex member care, often Medicare/Medicaid. You will work with Case Management, Utilization Review, and Behavioral Health teams to ensure timely access to services, documentation, and quality care delivery.

Remote work is possible within commuting distance to Giles County, with up to 75% travel. A current RN license and 2+ years of clinical RN experience are required; MS Office proficiency is

Qualifications

• Current RN license in the United States.
• 2+ years of clinical RN experience.
• 1+ years using MS Office (Word, Excel, Outlook).
• Excellent organization, communication and time management.
• Reside in or within commuting distance to Giles County; reliable transportation; travel up to 75%.

Responsibilities

• Apply clinical knowledge to coordinate care for Medicare/Medicaid members.
• Incorporate evidence-based practices into care coordination.
• Provide self-management support and patient education.
• Ensure appropriate utilization and consistent benefits application.
• Conduct telephonic and face-to-face assessments per policy and timeframes.
• Advocate for members and coordinate community resources.
• Develop and maintain member-centered care plans with teams.
• Collaborate with Care Coordination to improve care quality and efficiency.
• Monitor hospital encounters and intervene to reduce frequency.
• Escalate clinical decisions beyond authority to the manager for review.
• Participate in quality improvement processes and document care activities.
• Use Health Plan software to enter requests and track services.
• Maintain time-sensitive documentation per regulatory requirements.

Skills

RN license

Clinical experience

Excellent communication

Time management

Organization

Reliable transportation

Tools

MS Office

Outlook

Word

Excel

Job description

UnitedHealthcare is seeking a field-based Care Coordinator to apply clinical knowledge and coordinate complex member care, often Medicare/Medicaid. You will work with Case Management, Utilization Review, and Behavioral Health teams to ensure timely access to services, documentation, and quality care delivery.

Remote work is possible within commuting distance to Giles County, with up to 75% travel. A current RN license and 2+ years of clinical RN experience are required; MS Office proficiency is