Behavioral Health Sr Clinical Admin Nurse RN

UnitedHealth Group; Arizona; On-site; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits package.

Incentive and recognition programs.

Equity stock purchase and 401k

Job summary

UnitedHealth Group in Phoenix, AZ is seeking a Senior Clinical Administrative Nurse for an outreach-intensive, phone-centered role focused on engaging members, assessing needs, and coordinating care. The position balances clinical assessment with productivity in a full-time day-shift schedule.

Required are an RN compact license and 2+ years each in acute nursing and behavioral health nursing. The role offers a comprehensive benefits package and opportunities for professional growth within a

Qualifications

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

Responsibilities

• Provide members with tools and educational support to navigate the health care system and manage health concerns.
• Assist members with adverse determinations, including support through appeals process.
• Educate members on use of wellness tools and resources.
• Educate and guide members regarding behavioral health and SUD services.
• Provide ER steerage and education on appropriate ED utilization.
• Conduct outreach for pre-admission counseling.
• Support discharge planning through outreach to members and caregivers.
• Track activities and maintain documentation for reporting.
• Accept referrals and coordinate medical care and community referrals.
• Comply with policies and documentation standards across systems.

Job description

About This Role

The Senior Clinical Administrative Nurse is an outreach-intensive role focused on engaging members through structured outreach, assessing needs, and facilitating care coordination. This position is ideal for nurses who are comfortable spending the majority of their workday on the phone and balancing clinical assessments with operational productivity.

Highlights

• Pay: $60,200 - $107,400/year
• Location: Phoenix, AZ
• Schedule: Full Time, Day shift

What You'll Do

• Provide members with tools and educational support to navigate the health care system and manage health concerns effectively.
• Assist members with adverse determinations, including support through the appeals process.
• Educate members on the use of UMR internet-based wellness tools and resources.
• Educate and guide members regarding behavioral health and substance use disorder (BHSUD) services.
• Provide ER steerage and education on appropriate emergency department utilization and alternative levels of care.
• Conduct outreach to members to provide pre-admission counseling.
• Conduct outreach to members and caregivers to support discharge planning.
• Track all activities and maintain complete documentation to support customer reporting.
• Accept referrals through designated processes; collaborate in evaluating available services and coordinate required medical care and community referrals.
• Comply with all policies, procedures, and documentation standards across applicable systems, tracking mechanisms, and databases.

Requirements

Education:

• Current and unrestricted RN compact license required.

Experience:

• 2+ years of acute nursing experience.
• 2+ years of behavioral health nursing experience.

Licenses & Certifications:

• Current and unrestricted RN compact license.
• Ability to obtain additional state licensure as needed.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution.

About UnitedHealth Group

UnitedHealth Group is a leading healthcare provider committed to delivering exceptional patient care. They focus on simplifying the health care experience and creating healthier communities while striving to make healthcare work better for everyone.