Behavioral Health Senior Clinical Admin RN - Remote

At United Healthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

You’ll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.

Candidate must be willing to work Monday – Friday 8:00 am – 5:00 pm.

• Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently
• Educate and guide members regarding BHSUD
• Assist members with adverse determinations, including the appeal process
• Teach members how to navigate UMR internet-based wellness tools and resources
• Outreach to membership providing pre-admission counseling to membership
• Outreach to membership providing discharge planning to membership and caretakers
• Track all activities and provide complete documentation to generate customer reporting
• Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed
• Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases
• Contribute to treatment plan discussions
• Other duties as assigned

• Current and unrestricted RN compact license
• 2+ years of acute nursing experience
• 2+ years of behavioral health nursing experience
• 2+ years of case management experience
• Demonstrated basic computer proficiency (i.e. MS Word, Outlook)
• Proven ability to function independently and responsibly with minimal supervision

• Bachelor’s degree in nursing
• CCM
• 2+ years of managed care experience
• Critical care, pediatric, med-surg and/or telemetry experience
• Utilization management experience
• Adverse determination experience
• Telecommute experience

• Demonstrated excellent verbal and written communication skills
• Excellent customer service orientation
• Proven team player and team building skills
• Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment

* All employees working remotely will be required to adhere to United Health Group’s Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives.

The salary for this role will range from $60,200 to $107,400 annually based on full‑time employment. We comply with all minimum wage laws as applicable.

This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

United Health Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal, rules, or regulations.

United Health Group is a drug‑free workplace. Candidates are required to pass a drug test before beginning employment.