Senior Clinical Admin Nurse - Telecommute CST preferred

Employment Type

: Full-Time


: Miscellaneous

Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Senior Clinical Admin Nurse will be responsible for providing individualized attention to UMR membership and covered families and serves to assist with navigation of the health care system. The purpose of the clinical liaison nurse is to help individuals live their lives to the fullest by supporting coordination and collaboration with multiple and external partners including consumers and their families/caregivers, medical, and other clinical teams. This position will also be responsible for ensuring adherence and compliance with the continuity of care regulations for UMR. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: * Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently * Assist members with locating appropriate providers * Process continuity of care requests submitted by members * 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 Competencies, Knowledge, Skills, and Abilities: * Demonstrates an ability to develop creative solutions and problem solving * Proactive- does not wait for things to happen * Evidence of ability and willingness to learn and adapt to frequent changes to work flows, processes and procedures resulting from new technology, customer demands, competitive pressures, etc. * Proven ability to adapt quickly to unique situations and make decisions * Demonstrates initiative and proactivity in dealing with issues and driving them to conclusion * Excellent communication skills, both oral and written, demonstrated by an ability to coordinate and communicate across functional departments, and with external contacts. * Evidence of ability to work independently and to plan, organize, and accomplish assignments in a timely and credible manner. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: * Bachelor's degree in registered nursing or equivalent experience * Active RN license in state of residence; compact state license preferred * 2+ years managed care experience * Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment * Able to function independently and responsibly with minimal supervision Preferred Qualifications: * Advanced Degree * CCM * Utilization management experience * Telecommute experience Soft Skills: * Demonstrated excellent verbal and written communication skills * Excellent customer service orientation * Proven team player and team building skills UnitedHealth Group requires all new hires and employees to report their COVID-19 vaccination status. Careers at UnitedHealthcare Employer & Individual. We all want to make a difference with the work we do. Sometimes we're presented with an opportunity to make a difference on a scale we couldn't imagine. Here, you get that opportunity every day. As a member of one of our elite teams, you'll provide the ideas and solutions that help nearly 25 million customers live healthier lives. You'll help write the next chapter in the history of health care. And you'll find a wealth of open doors and career paths that will take you as far as you want to go. Go further. This is your life's best work.(sm) * All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy. Colorado, Connecticut or Nevada Residents Only: The Salary range for Colorado residents is $53,300 to $95,100. The Salary range for Connecticut/Nevada residents is $58,800 to $106,600 Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers 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 UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Job Keywords: Senior Clinical Admin Nurse, stered Nurse, RN, Nurse, Healthcare Management, Managed Care, Healthcare, CCM, Case Manager, Utilization Management, UHC, UnitedHealthcare, Telecommute, Telecommuter, Telecommuting, Work at Home, Work from Home, Remote, Dallas, TX, Texas, Milwaukee, WI, Wisconsin, St Louis, MO, Missouri, Nashville, TN, Tennessee, Wichita, KS, Kansas

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