UnitedHealthcare
At UnitedHealthcare, we are dedicated to enhancing the health care experience, fostering healthier communities, and breaking down barriers to quality care. Your work here will positively impact millions of lives. Join us in building a more responsive, affordable, and equitable health care system. Are you ready to make a difference? Come help us
Care. Connect. Grow together. As a Senior Clinical Admin Nurse, you will play a pivotal role in providing personalized support to our UMR membership and their families to help them navigate the health care system. Your efforts will empower individuals to live fulfilling lives by coordinating with diverse partners, including consumers, their families/caregivers, medical, and various clinical teams. You will have the flexibility to work remotely from anywhere in the U.S., tackling challenging tasks while contributing meaningfully to our mission. Work Schedule:
Please be prepared to work Monday through Friday from 8:00 am to 5:00 pm. Key Responsibilities: Provide members with essential tools and educational support to effectively navigate the health care system and manage their health concerns in a cost-efficient manner. Educate and guide members on Behavioral Health Substance Use Disorders (BHSUD). Assist members with adverse determinations, including navigating the appeal process. Instruct members on how to utilize UMR's internet-based wellness tools and resources. Conduct outreach to members for pre-admission counseling. Provide discharge planning support to members and their caregivers. Document all activities comprehensively for accurate reporting. Accept referrals, evaluate services, and coordinate necessary medical care and community referrals as needed. Adhere to all relevant policies, procedures, and documentation standards. Contribute actively to treatment plan discussions. Perform additional duties as assigned. We offer a rewarding environment where your performance will be recognized, and you will receive clear guidance on how to succeed and grow within the organization. Required Qualifications: Current and unrestricted RN compact license. At least 2 years of acute nursing experience. A minimum of 2 years of behavioral health nursing experience. At least 2 years in case management. Basic computer proficiency (e.g., MS Word, Outlook). Ability to work independently with minimal supervision. Preferred Qualifications: Bachelor's degree in nursing. Certified Case Manager (CCM) certification. At least 2 years of managed care experience. Experience in critical care, pediatrics, med-surg, or telemetry. Utilization management experience. Experience with adverse determinations. Prior telecommuting experience. Soft Skills: Exceptional verbal and written communication skills. Strong customer service orientation. Proven ability to work in a team and foster team building. Flexibility to manage tasks in a dynamic work environment. Please note that all remote employees must comply with UnitedHealth Group's Telecommuter Policy. Compensation for this position ranges from $58,800 to $105,000 annually based on factors like local labor markets, education, work experience, and certifications. We provide a comprehensive benefits package, incentive programs, equity stock purchase options, and 401k contributions (subject to eligibility requirements). Enjoy a robust array of benefits and incentives as part of your career with us. Application Deadline:
This listing will remain active for a minimum of 2 business days or until a suitable candidate pool is found. The posting may close early based on the volume of applications received. At UnitedHealth Group, our mission is to improve health outcomes and ensure that everyone—regardless of race, gender, sexuality, age, location, or income—has the opportunity to lead a healthy life. We are committed to addressing health disparities and improving access to quality care, especially for historically marginalized groups and those with lower incomes. We also strive to minimize our environmental impact. UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will be considered for employment without discrimination based on race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status, or any other characteristic protected by applicable laws. UnitedHealth Group maintains a drug-free workplace. All candidates must pass a drug test prior to beginning employment.
Care. Connect. Grow together. As a Senior Clinical Admin Nurse, you will play a pivotal role in providing personalized support to our UMR membership and their families to help them navigate the health care system. Your efforts will empower individuals to live fulfilling lives by coordinating with diverse partners, including consumers, their families/caregivers, medical, and various clinical teams. You will have the flexibility to work remotely from anywhere in the U.S., tackling challenging tasks while contributing meaningfully to our mission. Work Schedule:
Please be prepared to work Monday through Friday from 8:00 am to 5:00 pm. Key Responsibilities: Provide members with essential tools and educational support to effectively navigate the health care system and manage their health concerns in a cost-efficient manner. Educate and guide members on Behavioral Health Substance Use Disorders (BHSUD). Assist members with adverse determinations, including navigating the appeal process. Instruct members on how to utilize UMR's internet-based wellness tools and resources. Conduct outreach to members for pre-admission counseling. Provide discharge planning support to members and their caregivers. Document all activities comprehensively for accurate reporting. Accept referrals, evaluate services, and coordinate necessary medical care and community referrals as needed. Adhere to all relevant policies, procedures, and documentation standards. Contribute actively to treatment plan discussions. Perform additional duties as assigned. We offer a rewarding environment where your performance will be recognized, and you will receive clear guidance on how to succeed and grow within the organization. Required Qualifications: Current and unrestricted RN compact license. At least 2 years of acute nursing experience. A minimum of 2 years of behavioral health nursing experience. At least 2 years in case management. Basic computer proficiency (e.g., MS Word, Outlook). Ability to work independently with minimal supervision. Preferred Qualifications: Bachelor's degree in nursing. Certified Case Manager (CCM) certification. At least 2 years of managed care experience. Experience in critical care, pediatrics, med-surg, or telemetry. Utilization management experience. Experience with adverse determinations. Prior telecommuting experience. Soft Skills: Exceptional verbal and written communication skills. Strong customer service orientation. Proven ability to work in a team and foster team building. Flexibility to manage tasks in a dynamic work environment. Please note that all remote employees must comply with UnitedHealth Group's Telecommuter Policy. Compensation for this position ranges from $58,800 to $105,000 annually based on factors like local labor markets, education, work experience, and certifications. We provide a comprehensive benefits package, incentive programs, equity stock purchase options, and 401k contributions (subject to eligibility requirements). Enjoy a robust array of benefits and incentives as part of your career with us. Application Deadline:
This listing will remain active for a minimum of 2 business days or until a suitable candidate pool is found. The posting may close early based on the volume of applications received. At UnitedHealth Group, our mission is to improve health outcomes and ensure that everyone—regardless of race, gender, sexuality, age, location, or income—has the opportunity to lead a healthy life. We are committed to addressing health disparities and improving access to quality care, especially for historically marginalized groups and those with lower incomes. We also strive to minimize our environmental impact. UnitedHealth Group is an Equal Employment Opportunity employer. Qualified applicants will be considered for employment without discrimination based on race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or veteran status, or any other characteristic protected by applicable laws. UnitedHealth Group maintains a drug-free workplace. All candidates must pass a drug test prior to beginning employment.