Family Advocate Support CARE - Senior Clinical Admin Nurse - Remote

Primary Responsibilities: Provide members with tools, education, and support to help them navigate the health care system and manage their health concerns effectively and cost efficiently Assist members with adverse determinations, including the appeals process Educate members on how to use UMR internet-based wellness tools and resources Conduct member outreach to provide pre-admission counseling Conduct member outreach to support discharge planning for members and caregivers Track activities and maintain complete documentation to support customer reporting Accept referrals through designated processes, collaborate on available service options, and coordinate medical care and community referrals as needed Follow all policies, procedures, and documentation standards within appropriate systems, tracking tools, and databases Participate in treatment plan discussions Complete other duties as assigned Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm. 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: Current and unrestricted RN compact license Ability to obtain additional licenses as required 2+ years of acute nursing experience 2+ years of behavioral health nursing experience 2+ years of Medicaid waiver experience Med-surg, critical care and/or ER experience Basic computer proficiency (ie MS Word, Outlook) Proven ability to function independently and responsibly with minimal supervision

Preferred Qualifications: Bachelor's degree in nursing CCM 2+ years of case management experience 2+ years managed care experience Previous utilization management experience Previous critical care, pediatric, med-surg and/or telemetry experience Adverse Determination experience Telecommute experience

Soft Skills: 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 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

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. At United Health Group, our mission is to help people live healthier lives and make the health system work better for everyone. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. 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 laws, rules, or regulations. United Health Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.