Senior Clinical Administrator RN
3 weeks ago
UnitedHealthcare is seeking a Senior Clinical Administrator RN to join our team. As a key member of our employee health services team, you will play a critical role in promoting wellness and good health habits among our employees.
Key Responsibilities- Promote wellness and good health habits among employees through various activities and interactions.
- Identify high-risk and emerging risk employees and engage with them to stabilize their health through ongoing one-on-one interactions.
- Collaborate with Quad/QuadMed teams to identify gaps in care and develop strategies to address them.
- Coordinate the delivery of healthcare services for high-risk and emerging risk employees, ensuring timely access to specialists and follow-up appointments.
- Encourage employees to use QuadMed Clinics for acute care and promote adoption of a primary care provider.
- Partner with the Case Management and UMR team to engage employees in UMR programs and address barriers to care.
- Assess barriers to employee engagement and care, and provide resources and support to address identified barriers.
- Act as a resource to employees calling into customer service, addressing medical and health questions.
- Provide process and status updates on prior authorizations and pre-determination requests.
- Support and advocate for employees and families in complicated medical situations.
- Use good nursing judgment in a variety of scenarios.
- Accurately document member interactions across multiple databases.
- Current and unrestricted compact Wisconsin RN license.
- 2+ years of acute nursing experience as an RN.
- Basic computer proficiency (MS Word, Outlook).
- Ability to obtain multi-state licensure as required.
- Case Management Certification (CCM).
- 2+ years of managed care experience.
- 2+ years of experience in employee wellness and/or health promotion.
- Call center experience.
- Clinical experience outside of the hospital setting.
- Case management experience.
- Experience in Oncology, Musculoskeletal, ER, and Discharge Planning.
- 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.
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Senior Clinical Administrator RN
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Milwaukee, Wisconsin, United States UnitedHealthcare Full timeJob SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our team as a Senior Clinical Administrator RN. In this role, you will play a critical part in promoting the health and well-being of our employees by providing guidance, education, and support.Key ResponsibilitiesPromote wellness and good health habits among employees...
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Senior Clinical Administrator RN
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Senior Clinical Administrator RN
3 weeks ago
Milwaukee, Wisconsin, United States UnitedHealthcare Full timeAbout the RoleAt UnitedHealthcare, we're committed to simplifying the healthcare experience and creating healthier communities. As a Senior Clinical Admin RN, you'll play a vital role in removing barriers to quality care and making a meaningful impact on the lives of millions of people.Key ResponsibilitiesPromote wellness and good health habits among...
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Senior Clinical Administrator RN
3 weeks ago
Milwaukee, Wisconsin, United States UnitedHealthcare Full timeJob SummaryUnitedHealthcare is seeking a highly skilled and dedicated Clinical Administrator RN to join our team. As a key member of our healthcare team, you will play a vital role in promoting wellness and good health habits among our employees, while coordinating with Quad/QuadMed and UMR teams.Key ResponsibilitiesPromote wellness and good health habits in...
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