Remote Behavioral Health Utilization Manager

Humana; United States; Remote; USD 53,000 - 89,000; Full time

Job summary

Humana seeks a Licensed Behavioral Health Utilization Management Professional 2 to coordinate and document medical services determinations for members. This remote role requires residence in Louisiana and a relevant professional license.

You will interpret criteria and communicate with providers to ensure optimal care while following policy and operating objectives. Ideal candidates have 3+ years of post‑degree clinical and behavioral health experience, strong MS Office skills, and the ability

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 systems.

Responsibilities

• Coordinate and communicate with providers, members, or other parties to facilitate optimal care and treatment.
• Interpret criteria, policies, and procedures to determine appropriate actions in various situations.
• Document and support medical services determinations and benefit processes in a remote setup.

Skills

Clinical experience

Behavioral health

Remote work proficiency

MS Office proficiency

Education

Master's degree in behavioral health-related field

Louisiana professional license (LCSW/LMSW/LPC/LMFT/LAC/Licensed Psychologist)

RN - Multi-State Compact

Kentucky license (required with Louisiana license)

Tools

MS Office

Job description

Humana seeks a Licensed Behavioral Health Utilization Management Professional 2 to coordinate and document medical services determinations for members. This remote role requires residence in Louisiana and a relevant professional license.

You will interpret criteria and communicate with providers to ensure optimal care while following policy and operating objectives. Ideal candidates have 3+ years of post‑degree clinical and behavioral health experience, strong MS Office skills, and the ability