Senior RN: Behavioral Health Care Navigator

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

Benefits offered by this job

Comprehensive benefits package

Incentive programs

Equity stock purchase

401k contribution

Job summary

UnitedHealthcare, part of UnitedHealth Group, is seeking a Senior Clinical Administrative Nurse to engage members by phone, assess needs, and connect them with available clinical services to improve care navigation and outcomes. Role requires an active RN license, 2+ years in acute and behavioral health nursing, and the ability to work hours 11:00 am–8:00 PM CST weekdays, including Saturdays.

Telecommuting may apply under policy.

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 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

Communication skills

Independent working

Customer service

Education

RN license

Tools

MS Word

Outlook

Job description

UnitedHealthcare, part of UnitedHealth Group, is seeking a Senior Clinical Administrative Nurse to engage members by phone, assess needs, and connect them with available clinical services to improve care navigation and outcomes. Role requires an active RN license, 2+ years in acute and behavioral health nursing, and the ability to work hours 11:00 am–8:00 PM CST weekdays, including Saturdays.

Telecommuting may apply under policy.