Behavioral Health Senior Clinical Admin RN - Remote
UnitedHealthcare
Papillion, NE
2 days ago
$58,800 - $105,000
Job Description
Join UnitedHealthcare as a Senior Clinical Admin RN, where you'll provide essential support to members navigating the health care system. This remote position allows you to make a meaningful impact on health outcomes while enjoying a flexible work environment.
Key Responsibilities
Provide tools and educational support to members for health care navigation
Educate members regarding BHSUD
Assist with adverse determinations and appeal processes
Teach members to navigate wellness tools
Conduct outreach for pre-admission and discharge planning
Document all activities for customer reporting
Collaborate in evaluating services and coordinate care
Comply with policies and documentation standards
Contribute to treatment plan discussions
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)
Ability to function independently with minimal supervision
Preferred Qualifications
Bachelor’s degree in nursing
CCM certification
2+ years managed care experience
Experience in critical care, pediatric, med-surg, or telemetry
Utilization management experience
Adverse Determination experience
Telecommute experience
Benefits & Perks
Comprehensive benefits packageIncentive and recognition programsEquity stock purchase401k contribution