We dedicate an elite team to serve our UnitedHealthcare members and/or families with complex health needs as well as other specialized populations because we recognize that the health care system needs to be tailored to work for every individual and family to best serve their specific needs. When you join us as a Registered Nurse Advisor, you’ll have the opportunity to support a team of non-clinical Advisors who deliver an extraordinary experience to families who need an ally that is empowered to fast track resolving issues and serves as an ongoing resource to provide clinical guidance. You will work with families, providers, and other UHG groups to resolve issues.

You will use your clinical knowledge to act as a liaison between the member support team, members and the multiple disciplines that impact the experience, while offering problem solving, education and guidance. Your primary goal is to first understand the member’s need, eliminating confusion and providing resolution, all while showing empathy. Members have a reliable ally in the health care system because you and your team are there when they need you most. You and your team will make a difference.

You will make an impactful and meaningful difference for many individuals and families. This is where you can bring your compassion for others while doing your life’s best work.(sm)

This is a full-time (40 hours/week), Monday - Friday position. Employees are required to have flexibility to work any of our 8-hour shifts during our normal business hours of 8:00am - 8:00pm in their local time zone within a call center setting.

If you are located in a Compact State, you’ll enjoy have the flexibility to telecommute* as you take on some tough challenges. Candidates must live within 50 miles of a UnitedHealth Group office. 

Primary Responsibilities:

• Work with members to understand their clinical issues and communicate those issues to providers when necessary
• Proactively collaborate and solve clinical roadblocks with internal team members and external contacts (i.e., providers) to work through member issues on a case-by-case basis
• Understand members medical history and to help find support for members with undiagnosed medical complexity
• Drive team consultation, research, and collaboration to expand the skill set of the team in meeting the diverse needs of individuals with complex health needs
• Proactively review new, in process, and closed cases to identify opportunities to provide guidance to members and the team
• Escalate and articulate quality of care concerns to the Medical Director, and collaborate with involved parties to develop solutions and close communication to members
• Identify and incorporate holistic environmental and cultural factors that impact the health and experience for our members and families
• Identify priorities to address business and operational challenges interfering with the needs of the members
• Demonstrate active, empathetic listening to develop solutions with members, multidisciplinary providers, and internal team
• Relay complex information across teams and to members in a plain, clear manner
• Continually provide feedback and insight on process improvements

This position will require active and unrestricted nursing licensure in multiple US States. Selected candidate must be willing and able to obtain and maintain multiple state licensure (application fees and filing costs paid for by UHG).   

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• Current and unrestricted RN License in your state of residence
• Multiple state licensures (in addition to a Compact License if applicable) OR ability to obtain multiple state nursing licenses
• 3+ years of experience working directly with complex pediatric patients and families
• Proficient in multitasking and navigating multiple computer programs simultaneously while talking on the phone
• Proficient with Microsoft Outlook, Word, and Excel
• Access to high-speed internet with minimum upload/download speeds of 13 MBPS/20 MBPS via Cable Broadband, DSL, or Fiber 
• Dedicated, distraction-free home office / workspace
• Full COVID-19 vaccination is an essential job function of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation 

Preferred Qualifications:

• Bachelor's Degree
• Certified Case Manager (CCM)
• Case management experience
• Complex case management experience 
• Managed Care experience
• Relationship management experience
• Genuine passion for children and families
• Ability to dig deep, proactively anticipating not just medical but also system processes and issues
• Ability to effectively navigate the healthcare system
• Familiarity with systems including but not limited to ISET, ICUE, and PHMC

To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment.

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make the health system work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm)

Colorado, Connecticut or Nevada Residents Only: The salary range for Colorado residents is $54,400 to $97,000. The salary range for Connecticut / Nevada residents is $60,000 to $106,700. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.