RN Senior Behavioral Health Navigator — Remote

UnitedHealth Group; Phoenix (AZ); On-site; Confidential; Full time

Job summary

UnitedHealth Group in Phoenix, AZ is hiring a Senior Clinical Administrative Nurse to lead outreach and engage members by phone, assess needs, and connect them with clinical services within a coordinated care framework.

The role emphasizes behavioral health support, care coordination, and adherence to telecommuter policies; requires RN license, 2+ years nursing experience, and willingness to work CST hours including Saturdays.

Qualifications

• Current and unrestricted RN compact 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 function independently and responsibly with minimal supervision.

Responsibilities

• Provide members with tools and educational support to navigate the health care system.
• Assist members with adverse determinations, including support through the appeals process.
• Educate members on the use of UMR 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

Acute nursing experience

Behavioral health nursing

Computer literacy

Independent work

Education

RN license (compact)

Bachelor's degree in nursing

Tools

MS Word

Outlook

Job description

UnitedHealth Group in Phoenix, AZ is hiring a Senior Clinical Administrative Nurse to lead outreach and engage members by phone, assess needs, and connect them with clinical services within a coordinated care framework.

The role emphasizes behavioral health support, care coordination, and adherence to telecommuter policies; requires RN license, 2+ years nursing experience, and willingness to work CST hours including Saturdays.