Senior Clinical Outreach Nurse — Care Coordination & Navigation

UnitedHealth Group; Phoenix (AZ); In loco; USD 60.000 - 107.000; Tempo pieno

Descrizione del lavoro

UnitedHealth Group seeks an experienced Senior Clinical Administrative Nurse to perform high‑volume outreach by phone, assess member needs, and introduce available clinical services. You will coordinate care with families, providers, and teams to ensure efficient, evidence‑based support across systems.

The role emphasizes clinical assessment with operational productivity, requiring comfort with long phone days, and delivery of patient education and adherence strategies. Weekday hours 8am–5pm CST.

Competenze

• Current and unrestricted RN license.

Mansioni

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

Conoscenze

Verbal and written communication

Customer service orientation

Teamwork

Adaptability

Formazione

BSN / Bachelor of Science in Nursing

CCM certification

Descrizione del lavoro

UnitedHealth Group seeks an experienced Senior Clinical Administrative Nurse to perform high‑volume outreach by phone, assess member needs, and introduce available clinical services. You will coordinate care with families, providers, and teams to ensure efficient, evidence‑based support across systems.

The role emphasizes clinical assessment with operational productivity, requiring comfort with long phone days, and delivery of patient education and adherence strategies. Weekday hours 8am–5pm CST.