Senior Clinical Administrator Registered Nurse

1 week ago


Lewes, Delaware, United States UnitedHealthcare Full time

Job Summary:

We are seeking a highly skilled Registered Nurse to join our team as a Clinical Resource Specialist. In this role, you will provide guidance and education to employees on managing their health and well-being.

Key Responsibilities:

  • Promote wellness and good health habits in the employee population.
  • Identify high-risk and emerging risk members and engage with them for stabilization.
  • Collaborate with the QuadMed Clinics on member-facing communication and activities.
  • Coordinate the delivery of healthcare for high-risk and emerging risk members.
  • Assist in steerage to Premium Designated Providers for Care as needed.
  • Refer to and partner with the Case Management and UMR team as needed.

Requirements:

  • Current and unrestricted compact Wisconsin RN license.
  • 2+ years of acute nursing experience as an RN.
  • Basic computer proficiency (ie MS Word, Outlook).
  • Ability to obtain multi-state licensure as required.

Preferred Qualifications:

  • Case Management Certification (CCM).
  • 2+ years of managed care experience.
  • 2+ years of experience in employee wellness and/or health promotion.

Why Join Us:

At UnitedHealthcare, we're simplifying the health care experience and creating healthier communities. We're committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes.



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