Behavioral Health Senior Clinical Admin RN - Remote
UnitedHealthcare
La Vista, NE
7 hours ago
$58,800 - $105,000
Job Description
Join UnitedHealthcare as a Senior Clinical Admin Nurse and make a significant impact on the health care experience of our members. In this remote role, you will assist individuals in navigating the health system, providing necessary education and support for their health concerns.
Key Responsibilities
Provide members with tools and educational support to navigate the health care system
Educate and guide members regarding behavioral health and substance use disorder
Assist members with adverse determinations and the appeal process
Teach members how to navigate UMR wellness tools and resources
Conduct outreach to provide pre-admission and discharge planning counseling
Track activities and provide complete documentation for reporting
Collaborate in evaluating available services and coordinate necessary medical care
Comply with all policies and documentation standards
Required Qualifications
Current and unrestricted RN compact license
New York state nursing license or ability to obtain within 3 months of hire
2+ years of acute nursing experience
2+ years of behavioral health nursing experience
2+ years of case management experience
Basic computer proficiency (e.g., MS Word, Outlook)
Proven ability to function independently
Preferred Qualifications
Bachelor’s degree in nursing
CCM certification
2+ years managed care experience
Critical care, pediatric, med-surg and/or telemetry experience
Utilization management experience
Adverse Determination experience
Telecommute experience
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution