Senior Clinical Outreach Nurse – Care Coordination

UnitedHealthcare; Phoenix (AZ); On-site; USD 60,000 - 107,000; Full time

Benefits offered by this job

Comprehensive benefits

Equity stock purchase plan

401k contributions

Job summary

UnitedHealthcare is seeking a Senior Clinical Administrative Nurse in Phoenix to engage members by phone, assess needs, and introduce available clinical services, aligning with organizational goals. The role emphasizes care coordination, collaboration with providers, and documentation while meeting productivity targets.

Requires nursing licensure and 2+ years in acute and behavioral health settings. Day schedule is 8:00 am–5:00 PM CST on weekdays, with a focus on empathetic, patient-centered

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).

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 (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.
• Contribute to treatment plan discussions.
• Perform other duties as assigned.

Skills

Verbal communication

Customer service

Teamwork

Education

Bachelor's degree in nursing

CCM certification

Tools

MS Word

Outlook

Job description

UnitedHealthcare is seeking a Senior Clinical Administrative Nurse in Phoenix to engage members by phone, assess needs, and introduce available clinical services, aligning with organizational goals. The role emphasizes care coordination, collaboration with providers, and documentation while meeting productivity targets.

Requires nursing licensure and 2+ years in acute and behavioral health settings. Day schedule is 8:00 am–5:00 PM CST on weekdays, with a focus on empathetic, patient-centered