Behavioral Health Senior Clinical Admin RN - Remote

Lensa; Minnetonka (MN); Remote; USD 59,000 - 117,000; Full time

Job summary

A leading company is seeking a Senior Clinical Admin RN to provide individualized support to members navigating the healthcare system. This remote position involves coordinating care and collaborating with various partners to enhance health outcomes. The ideal candidate will have an RN license and experience in behavioral health and case management.

Benefits

Comprehensive benefits package

Incentives and recognition programs

Stock purchase options

401(k)

Qualifications

• Current and unrestricted RN compact license.
• 2+ years of acute nursing experience.
• 2+ years of behavioral health nursing experience.

Responsibilities

• Provide members with tools and educational support.
• Assist members with adverse determinations and appeals.
• Conduct outreach to members providing pre-admission counseling.

Skills

Communication

Customer Service

Teamwork

Adaptability

Education

Bachelor’s degree in nursing

Tools

MS Word

Outlook

Job description

Behavioral Health Senior Clinical Admin RN - Remote

1 day ago Be among the first 25 applicants

Lensa is the leading career site for job seekers at every stage of their career. Our client, UnitedHealth Group, is seeking professionals. Apply via Lensa today!

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Senior Clinical Admin Nurse is responsible for providing individualized attention to UMR membership and covered families, assisting with navigation of the health care system. The clinical liaison nurse helps individuals live their lives to the fullest by supporting coordination and collaboration with multiple external partners, including consumers, families/caregivers, medical, and other clinical teams.

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

Primary Responsibilities

• Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost-efficiently.
• Assist members with adverse determinations, including the appeal process.
• Teach members how to navigate UMR internet-based wellness tools and resources.
• Conduct outreach to members providing pre-admission counseling.
• Provide discharge planning to members and caretakers.
• Track all activities and document thoroughly to generate customer reports.
• Accept referrals via designated processes, evaluate available services, and coordinate necessary medical care and community referrals.
• Comply with all policies, procedures, and documentation standards in systems, tracking mechanisms, and databases.
• Contribute to treatment plan discussions.
• Perform other duties as assigned.

Candidate must be willing to work Monday - Friday, 8:00 am - 5:00 pm.

You’ll be rewarded and recognized for your performance in an environment that challenges you, provides clear success criteria, and offers development opportunities for other roles you may be interested in.

Required Qualifications

• 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.
• Basic computer proficiency (MS Word, Outlook).
• Proven ability to work 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, and/or telemetry.
• Utilization management experience.
• Adverse Determination experience.
• Telecommute experience.

Soft Skills

• Excellent verbal and written communication skills.
• Strong customer service orientation.
• Team player with team-building skills.
• Adaptability and flexibility in a changing environment.
• Adherence to UnitedHealth Group’s Telecommuter Policy for remote employees.

The salary range for this role is $59,500 to $116,600 annually, based on full-time employment and factors such as location, education, experience, and certifications. Benefits include a comprehensive package, incentives, recognition programs, stock purchase options, and 401(k). Benefits are subject to eligibility.

Application Deadline: Posted for at least 2 business days or until a sufficient candidate pool is reached. The posting may end early due to volume.

Our mission is to help people live healthier lives and improve the health system for everyone. We are committed to equitable care, addressing health disparities, and environmental sustainability. We are an Equal Opportunity Employer and a drug-free workplace.