Um Behavioral Health Professional

HumanPanorama

Louisiana, US
Base: $65,000 - $88,600 py; bonus/equity: eligible...
Remote
Behavioral health knowledge
Clinical knowledge application
Provider and member communication
Humana is seeking a remote Utilization Management Behavioral Health Professional to coordinate and document medical services within the behavioral health sector, particularly for clients in Louisiana. The ideal candidate will have a master's-level clinician license and experience in managed care, with strong communication skills being essential for this role

Job Summary

  • The Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations.
  • Apply clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.
  • Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.

Matching Summary

Match Score: 85

Humana is seeking a remote Utilization Management Behavioral Health Professional to coordinate and document medical services within the behavioral health sector, particularly for clients in Louisiana. The ideal candidate will have a master's-level clinician license and experience in managed care, with strong communication skills being essential for this role.

Salary

Base: $65,000 - $88,600 per year; Bonus/Equity: Eligible for bonus incentive plan; Benefits: Medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • Behavioral health knowledge
  • Clinical knowledge application
  • Provider and member communication
  • Independent critical thinking
  • Electronic information systems proficiency

Nice-to-have

  • Behavioral change expertise
  • Health promotion coaching
  • Community health resources knowledge
  • Bilingual English/Spanish skills

Key Requirements

  • Master's level clinician with independent licensure in Louisiana
  • 1+ year managed care experience
  • Experience utilizing MCG and ASAM Criteria
  • Proficient in Microsoft Office
  • Available for 40-hour work week, potential overtime, weekend and on-call rotation
  • Must reside in Louisiana and perform work within the state

Work Rights

Not specified

Tailored Resume

Cover Letter