Remote Behavioral Health UM Clinician

Humana Inc; Louisiana (MO); Hybrid; USD 65,000 - 89,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k)

Paid time off

Disability insurance

Life insurance

Job summary

Humana Inc. is seeking a Licensed Behavioral Health Utilization Management Professional 2 for remote coordination, documentation and determinations of medical services and benefits.

You will interpret criteria, communicate with providers and members, and require independent decision-making with guidance as needed. The ideal candidate has 3+ years post-degree clinical BH experience, multiple state licenses as applicable, and strong MS Office skills for a remote work environment.

Qualifications

• 3+ years of post-degree clinical experience in direct patient care.
• 3+ years of Behavioral Health experience.
• Proficient with MS Office, navigating multiple systems and platforms; tech skills for remote work

Responsibilities

• Coordinate and communicate with providers and members to facilitate optimal care.
• Interpret criteria, policies and procedures to determine treatment or services.
• Document and coordinate medical services and benefit determinations

Skills

Clinical knowledge

Communication skills

Critical thinking

Remote work proficiency

Education

RN (Multi-State Compact) or Master's in behavioral health

LCSW

LMSW

LPC

LMFT

LAC

Licensed Psychologist

Tools

MS Office

Job description

Humana Inc. is seeking a Licensed Behavioral Health Utilization Management Professional 2 for remote coordination, documentation and determinations of medical services and benefits.

You will interpret criteria, communicate with providers and members, and require independent decision-making with guidance as needed. The ideal candidate has 3+ years post-degree clinical BH experience, multiple state licenses as applicable, and strong MS Office skills for a remote work environment.