Senior Clinical Admin RN - Remote

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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 equitable. Ready to make a difference? Join us to start <strong>Caring. Connecting. Growing together.<br><br></strong>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.<br><br><strong>Candidate must be willing to work Monday - Friday 8:00 am - 5:00 pm</strong>.<br><br>You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.<br><br><strong>Primary Responsibilities<br><br></strong><ul><li>Provide members with tools and educational support needed to navigate the health care system and manage their health concerns effectively and cost efficiently</li><li>Educate and guide members regarding BHSUD</li><li>Assist members with adverse determinations, including the appeal process</li><li>Teach members how to navigate UMR internet-based wellness tools and resources</li><li>Outreach to membership providing pre-admission counseling to membership</li><li>Outreach to membership providing discharge planning to membership and caretakers</li><li>Track all activities and provide complete documentation to generate customer reporting</li><li>Accept referrals via designated processes, collaborate in evaluating available services, and coordinate necessary medical care and community referrals as needed</li><li>Comply with all policies, procedures and documentation standards in appropriate systems, tracking mechanisms and databases</li><li>Contribute to treatment plan discussions</li><li>Other duties as assigned<br><br></li></ul>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.<br><br><strong>Required Qualifications<br><br></strong><ul><li>Current and unrestricted RN compact license</li><li>2+ years of acute nursing experience</li><li>2+ years of behavioral health nursing experience</li><li>2+ years of case management experience</li><li>Demonstrated basic computer proficiency (i.e. MS Word, Outlook)</li><li>Proven ability to function independently and responsibly with minimal supervision<br><br></li></ul><strong>Preferred Qualifications<br><br></strong><ul><li>Bachelor's degree in nursing</li><li>CCM</li><li>2+ years of managed care experience</li><li>Critical care, pediatric, med-surg and/or telemetry experience</li><li>Utilization management experience</li><li>Adverse determination experience</li><li>Telecommute experience<br><br></li></ul><strong>Soft Skills<br><br></strong><ul><li>Demonstrated excellent verbal and written communication skills</li><li>Excellent customer service orientation</li><li>Proven team player and team building skills</li><li>Ability and flexibility to assume responsibilities and tasks in a constantly changing work environment<br><br></li></ul>#UHCPJ<br><br><ul><li>All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy<br><br></li></ul>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 $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.<br><br><strong>Application Deadline:</strong> 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.<br><br><em>At UnitedHealth Group, 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 - an enterprise priority reflected in our mission. <br><br></em><em>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. <br><br></em><em>UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.</em>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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