UnitedHealthcare · 2 months ago
Behavioral Health Senior Clinical Admin RN - Remote
United States
Full-time
Remote
Mid, Senior Level
$59K/yr - $105K/yr
2+ years expUnitedHealthcare is simplifying the health care experience and is seeking a Senior Clinical Admin Nurse. This role involves providing individualized attention to UMR membership, assisting with navigation of the health care system, and collaborating with various partners to support members in managing their health concerns effectively.
FitnessHealth CareWellness
Responsibilities
Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently
Educate and guide members regarding BHSUD
Assist members with adverse determinations, including the appeal process
Teach members how to navigate UMR internet-based wellness tools and resources
Outreach to membership providing pre-admission counseling to membership
Outreach to membership providing discharge planning to membership and caretakers
Track all activities and provide complete documentation to generate customer reporting
Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed
Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases
Contribute to treatment plan discussions
Other duties as assigned
Qualification
Required
Current and unrestricted RN compact license
2+ years of acute nursing experience
2+ years of behavioral health nursing experience
2+ years of case management experience
Demonstrated basic computer proficiency (i.e. MS Word, Outlook)
Proven ability to function independently and responsibly with minimal supervision
Preferred
Bachelor's degree in nursing
CCM
2+ years of managed care experience
Critical care, pediatric, med-surg and/or telemetry experience
Utilization management experience
Adverse determination experience
Telecommute experience
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Company
UnitedHealthcare
UnitedHealthcare helps people live healthier lives by simplifying the health care experience.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Beth Soberg
CEO West Region, Local Markets
Bobby Gregoire
Medicare Health Plan CEO, Iowa & South Dakota
Recent News
Springfield Business Journal
2026-01-22
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