Remote Rn Auditor Jobs in Arlington, TX (NOW HIRING)

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.

As an SCA (Service Contract Act) Call Center Registered Nurse (RN), you will play a vital role in delivering high-quality, evidence-based clinical support to Beneficiaries worldwide. Leveraging advanced clinical decision support tools and technology, you will provide symptom assessment, health education, and triage services through phone, chat, and video channels.

In this highly rewarding role, you will empower Beneficiaries to make informed healthcare decisions, access the right level of care at the right time, and navigate complex healthcare needs with confidence and compassion. Your clinical expertise will directly contribute to improved health outcomes, patient safety, and exceptional service experiences.

This position is ideal for clinically skilled nurses who enjoy critical thinking, fast-paced decision-making, meaningful patient interactions, and the flexibility of delivering care in a virtual environment.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. 

Primary Responsibilities:
Clinical Excellence

• Perform comprehensive symptom assessment and triage for Beneficiaries of all ages using evidence-based clinical protocols and nursing judgment
• Evaluate a broad spectrum of health concerns and determine the appropriate level of care based on established guidelines and clinical expertise
• Deliver individualized health education and self-care recommendations that promote informed healthcare decisions
• Recognize and appropriately escalate urgent and emergent clinical situations to ensure patient safety

Patient Assessment and Care Delivery

• Provide safe, high-quality clinical services within scope of practice and in accordance with organizational policies, procedures, and clinical protocols
• Conduct thorough assessments, including collection and analysis of relevant health history and presenting symptoms
• Utilize critical thinking skills to identify patient needs, risks, and appropriate care recommendations
• Deliver exceptional patient-centered care while maintaining efficiency and accuracy in a high-volume virtual environment
• Accurately document all patient interactions, assessments, recommendations, and outcomes in accordance with regulatory and organizational standards

Quality, Compliance, and Communication

• Communicate clearly, professionally, and compassionately to ensure Beneficiaries understand care recommendations and next steps
• Maintain compliance with quality standards, clinical guidelines, and performance expectations
• Collaborate effectively with internal teams to support continuity of care and positive patient outcomes
• Demonstrate accountability for quality metrics, documentation standards, patient satisfaction, and service excellence
• Support a culture of continuous learning, patient advocacy, and clinical excellence

Teamwork, Leadership, and Collaboration

• Partner with leaders and teammates to achieve operational, quality, and service goals
• Serve as a positive contributor to team culture through collaboration, professionalism, and shared accountability
• Assist with onboarding, training, mentoring, and precepting new team members as assigned
• Participate actively in team meetings, educational opportunities, quality initiatives, and process improvement activities
• Embrace change and support organizational initiatives that enhance patient care and operational performance

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, unrestricted Compact RN license in state of residence
• Ability to obtain and maintain additional state RN licenses as required
• Ability to obtain and maintain Tier 1 NAC clearance
• Ability to obtain and maintain Federal Common Access Card (CAC) clearance
• 3 years of recent Registered Nurse experience in a clinical setting
• Demonstrated ability to assess and triage patients across the lifespan with a wide variety of presenting symptoms
• Advanced computer proficiency with the ability to navigate multiple systems and monitors simultaneously while providing patient care
• Ability to maintain a secure, private home office environment with reliable high-speed wired internet service
• Ability to adapt to a fast-paced, technology-driven virtual care environment
• U.S. Citizenship 

Preferred Qualifications:

• Experience in telehealth, nurse advice lines, call center nursing, or virtual care environments
• Diverse clinical experience across multiple healthcare settings
• Experience in Pediatrics, Women's Health/Obstetrics, Behavioral Health, Emergency Care, Urgent Care, or Primary Care
• Experience with evidence-based triage protocols and clinical decision support systems
• Experience serving military populations, government healthcare programs, or geographically diverse patient populations
• Bilingual (Spanish - medical terminology)
• Clinical judgment, critical thinking, and decision-making skills

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer 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 us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

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