Remote Behavioral Health Utilization Management Specialist

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

Job summary

Humana, Inc. is seeking a Licensed Behavioral Health Utilization Management Professional to coordinate clinical reviews and documentation for behavioral health services in a remote Louisiana environment.

The role requires 3+ years of post-degree clinical experience in behavioral health and a qualifying licensure (RN in multi-state compact or state-licensed masters-level professional such as LCSW/LMSW/LPC/LMFT/LAC/ Psychologist).

Qualifications

• 3+ years of post-degree clinical experience in direct patient care.
• 3+ years of Behavioral Health experience.
• Proficient with MS Office and remote work platforms.

Responsibilities

• Coordinate medical necessity reviews and documentation for behavioral health services.
• Communicate with providers and members to facilitate appropriate care.
• Interpret criteria, policies, and procedures within a remote environment.

Skills

Behavioral health knowledge

MS Office proficiency

Education

Master's degree in behavioral health field

RN license (Louisiana or multi-state)

LCSW/LMSW/LPC/LMFT/LAC/PSY license

Job description

Humana, Inc. is seeking a Licensed Behavioral Health Utilization Management Professional to coordinate clinical reviews and documentation for behavioral health services in a remote Louisiana environment.

The role requires 3+ years of post-degree clinical experience in behavioral health and a qualifying licensure (RN in multi-state compact or state-licensed masters-level professional such as LCSW/LMSW/LPC/LMFT/LAC/ Psychologist).