Remote Behavioral Health UM Specialist

Humana; United (LA); Remote; USD 65,000 - 89,000; Full time

Job summary

Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 to support coordination, documentation, and determinations for behavioral health services in a remote setting.

The role requires 3+ years of post-degree clinical and behavioral health experience, a Master’s degree in a behavioral health field (or RN licensure), proficiency with MS Office, and the ability to navigate multiple systems with strong independent thinking. Occasional travel is minimal.

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 in a remote environment.

Responsibilities

• Coordinate, document, and communicate medical services and benefit determinations.
• Interpret criteria, policies, and procedures to provide appropriate care.
• Communicate with providers, members, and other parties to facilitate optimal care and treatment.
• Follow established guidelines and procedures.

Skills

MS Office proficiency

Independent critical thinking

Communication skills

Remote troubleshooting

Education

RN license – Multi-State Compact

Master's degree in behavioral health–related field

Tools

Multiple systems & platforms navigation

Job description

Humana is seeking a Licensed Behavioral Health Utilization Management Professional 2 to support coordination, documentation, and determinations for behavioral health services in a remote setting.

The role requires 3+ years of post-degree clinical and behavioral health experience, a Master’s degree in a behavioral health field (or RN licensure), proficiency with MS Office, and the ability to navigate multiple systems with strong independent thinking. Occasional travel is minimal.