Licensed Behavioral Health Utilization Management Professional 2 (Fully Remote) Job at Humana, United States

  • Humana
  • United States

Job Description

  • Support coordination, documentation, and communication of medical services and benefit administration determinations.
  • Apply clinical knowledge and independent critical thinking to interpret criteria, policies, and procedures.
  • Communicate with providers, members, and other parties to facilitate optimal care and treatment.

Qualifications:

  • Requires an active RN license or a master's degree in a behavioral health field with a Louisiana professional license.
  • Must have 3+ years of post-degree clinical experience and 3+ years of behavioral health experience.
  • Proficient with MS Office and able to navigate multiple systems in a remote environment.
  • Remote position requiring residence in Louisiana, with occasional travel to Humana offices for training or meetings.
  • Schedule is Monday through Friday, 8 AM to 5 PM Central Time with flexibility for Eastern Time and occasional weekends/holidays.

About Humana:

  • Humana is a leading healthcare company focused on helping people achieve their best health through insurance and healthcare services.
  • The culture emphasizes whole-person well-being and offers competitive benefits to support associates.
Humana

Humana is a leading U.S. healthcare company providing insurance services and healthcare through its CenterWell brand. It serves millions of people and fosters a caring, whole-person well-being culture.

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Job Tags

Remote work, Monday to Friday

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