Remote Behavioral Health Care Coordinator RN

Anacalifornia; Phoenix, Northern (AZ, KY); Hybrid; USD 60,000 - 107,000; Full time

Job summary

UnitedHealthcare is seeking a Senior Clinical Administrative Nurse to engage members by phone, assess needs, and connect them with clinical services. The role requires coordinating care with providers and internal teams while supporting discharge planning and documentation standards.

The position emphasizes strong communication, independent work, and adherence to telecommuter policies, with a schedule including CST daytime availability and weekend shifts.

Qualifications

• Current and unrestricted RN license.
• Ability to obtain additional state licensure as needed.
• 2+ years of acute nursing experience.
• 2+ years of behavioral health nursing experience.
• Basic computer proficiency (MS Word, Outlook).
• Proven ability to work independently with minimal supervision.

Responsibilities

• Provide members with tools and educational support to navigate the health care system and manage health concerns effectively and cost efficiently.
• 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 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.
• Contribute to treatment plan discussions.
• Perform other duties as assigned.

Skills

Verbal communication

Written communication

Customer service

Teamwork

Self-management

Education

RN license (unrestricted)

Additional state licensure possible

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a Senior Clinical Administrative Nurse to engage members by phone, assess needs, and connect them with clinical services. The role requires coordinating care with providers and internal teams while supporting discharge planning and documentation standards.

The position emphasizes strong communication, independent work, and adherence to telecommuter policies, with a schedule including CST daytime availability and weekend shifts.