Behavioral Health Sr Clinical Admin Nurse RN
Not Disclosed•Full-TimeRemote
location_on4111, North Drinkwater Boulevard, Entertainment District, Scottsdale, Maricopa County, Arizona, 85251, United States
About UnitedHealthcare
At UnitedHealthcare, 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 optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
Our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone—of every race, gender, sexuality, age, location and income—deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.
About the Role
The Senior Clinical Administrative Nurse is an outreach‑intensive role in which the nurse spends approximately 90% of the workday on the phone attempting engagement with membership. Using clinical expertise, the nurse conducts structured outreach to engage members, assess needs, and introduce available clinical services in support of organizational engagement goals.
In addition to outbound outreach, the role supports members and their covered families with health care system navigation and care coordination. Acting as a clinical liaison, the nurse collaborates with members, caregivers, medical providers, and internal and external clinical teams to facilitate coordinated, efficient care using a clinically informed and operationally driven approach.
Success in this role requires comfort spending most of the workday on the phone, sustained outbound calling, efficiency in member engagement, and the ability to balance clinical assessment with operational productivity expectations. You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges.
Hiring Process
Application Deadline: 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.
Next Steps: Candidates are required to pass a drug test before beginning employment. We will review applications and reach out to qualified candidates to begin the interview process.
Equal Opportunity & Culture
UnitedHealth 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 laws, rules, or regulations.
UnitedHealth Group is a drug‑free workplace. All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Work location
Work model: Remote
4111, North Drinkwater Boulevard, Entertainment District, Scottsdale, Maricopa County, Arizona, 85251, United States
Scottsdale, Arizona
Key Responsibilities
- check_circleConduct structured outbound outreach to engage members and assess clinical needs
- check_circleSupport members with health care system navigation and care coordination
- check_circleProvide educational tools to help members manage health concerns cost efficiently
- check_circleProvide ER steerage and education on appropriate emergency department utilization
- check_circleTrack all activities and maintain complete documentation to support customer reporting
- check_circleContribute to treatment plan discussions and accept referrals through designated processes
- check_circleAssist members with adverse determinations and guide them through the appeals process
- check_circleConduct pre-admission counseling and support discharge planning for members and caregivers
- check_circleCollaborate with providers and teams to evaluate services and coordinate medical care
Requirements
- verifiedCurrent and unrestricted RN compact license
- verifiedAbility to obtain additional state licensure as needed
- verified2+ years of acute nursing experience
- verified2+ years of behavioral health nursing experience
- verifiedBasic computer proficiency (ie MS Word, Outlook)
- verifiedWilling to work weekdays 11:00 am - 8:00 PM CST, including Saturdays 8:00 am - 5:00 PM CST
- verifiedPass a drug test
Nice to Have
Bachelor's degree in nursing. 2+ years of case management experience. Telephonic nursing experience. CCM certification. 2+ years of managed care experience. Critical care, pediatric, med-surg, and/or telemetry experience. Utilization management experience. Adverse Determination experience. Telecommute experience.
Benefits & Perks
check_circleIncentive and recognition programscheck_circleEquity stock purchasecheck_circle401k contributioncheck_circleRemote work flexibility from anywhere within the U.S.
Similar Job Opportunities
Skills, education and keywords
Skills: RN Compact License, MS Word, Outlook, CCM, Case Management, Telephonic Nursing, Managed Care, Utilization Management, Adverse Determination, Telecommute.
Education: Bachelor's degree in nursing (preferred).
Frequently asked questions about Behavioral Health Sr Clinical Admin Nurse RN at UnitedHealthcare
What does a Behavioral Health Sr Clinical Admin Nurse RN at UnitedHealthcare do?expand_more
A Behavioral Health Sr Clinical Admin Nurse RN at UnitedHealthcare is responsible for the following: Conduct structured outbound outreach to engage members and assess clinical needs; Support members with health care system navigation and care coordination; Provide educational tools to help members manage health concerns cost efficiently; and Provide ER steerage and education on appropriate emergency department utilization.
What are the requirements for this Behavioral Health Sr Clinical Admin Nurse RN role?expand_more
UnitedHealthcare is looking for candidates who meet the following requirements: 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 (ie MS Word, Outlook); and Willing to work weekdays 11:00 am - 8:00 PM CST, including Saturdays 8:00 am - 5:00 PM CST.
Where is the Behavioral Health Sr Clinical Admin Nurse RN role at UnitedHealthcare located?expand_more
Behavioral Health Sr Clinical Admin Nurse RN at UnitedHealthcare is based in 4111, North Drinkwater Boulevard, Entertainment District, Scottsdale, Maricopa County, Arizona, 85251, United States. This is a remote role.
Is this Behavioral Health Sr Clinical Admin Nurse RN job remote, hybrid, or on-site?expand_more
UnitedHealthcare has listed this Behavioral Health Sr Clinical Admin Nurse RN role as remote.
How much experience is required for this Behavioral Health Sr Clinical Admin Nurse RN role?expand_more
Behavioral Health Sr Clinical Admin Nurse RN at UnitedHealthcare typically requires 2+ years of relevant experience at the senior level.
What skills do you need for the Behavioral Health Sr Clinical Admin Nurse RN role at UnitedHealthcare?expand_more
Key skills for Behavioral Health Sr Clinical Admin Nurse RN at UnitedHealthcare include RN Compact License; MS Word; Outlook; CCM; Case Management; Telephonic Nursing; Managed Care; and Utilization Management.
What education is required for Behavioral Health Sr Clinical Admin Nurse RN at UnitedHealthcare?expand_more
Educational requirements for this role: Bachelor's degree in nursing (preferred).
What category does the Behavioral Health Sr Clinical Admin Nurse RN role belong to?expand_more
Behavioral Health Sr Clinical Admin Nurse RN at UnitedHealthcare is part of the healthcare & nursing job category on Recrutus.
About UnitedHealthcare
UnitedHealthcare is dedicated to advancing health and wellness by enhancing healthcare accessibility and affordability. As a division of UnitedHealth Group, the company designs health plans tailored for individuals, families, and employers, emphasizing streamlined experiences, cost-effective solutions, and personalized care. Operating within the Hospitals and Health Care industry, UnitedHealthcare collaborates with over 1.3 million healthcare professionals and 6,500 hospitals globally to deliver coordinated, community-responsive care. Headquartered in Minnetonka, MN, the organization prioritizes ethical practices, patient-centered approaches, and innovative strategies to improve healthcare outcomes. Guided by principles of integrity, compassion, and collaboration, UnitedHealthcare focuses on building trust through partnerships and fostering continuous improvement in healthcare delivery. Its mission centers on creating a sustainable, high-quality system that adapts to diverse patient needs while maintaining operational excellence. With a presence in multiple markets, the company supports customizable solutions to address evolving healthcare challenges.
Browse more roles: All UnitedHealthcare jobs, healthcare & nursing jobs on Recrutus.