Senior Clinical RN - Remote Care Navigator

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

Benefits offered by this job

Remote work nationwide

Benefits package

Job summary

UnitedHealthcare is seeking a Senior Clinical Admin Nurse RN for Emerging CARE, with remote work flexibility across the United States. The role supports members by providing guidance, education, and front-line clinical resources to manage health and well‑being, combining nursing generalist expertise with excellent customer service.

Responsibilities include addressing medical questions, resolving issues, processing authorizations, and coordinating referrals while documenting interactions in

Qualifications

• 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).
• Proven ability to function independently with minimal supervision.

Responsibilities

• 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 real time or timely follow-up.
• Provide process and status on previously submitted prior authorizations or pre-determination requests.
• Refer and enroll members to appropriate internal specialists and programs based on needs and eligibility.
• Support and advocate for members and families in complicated medical situations.
• Document member interactions across databases during and after calls.

Skills

Verbal communication

Written communication

Team player

Adaptability

Education

Bachelor's degree in nursing

CCM certification

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a Senior Clinical Admin Nurse RN for Emerging CARE, with remote work flexibility across the United States. The role supports members by providing guidance, education, and front-line clinical resources to manage health and well‑being, combining nursing generalist expertise with excellent customer service.

Responsibilities include addressing medical questions, resolving issues, processing authorizations, and coordinating referrals while documenting interactions in