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Humana
Utilization Management Behavioral Health Professional
Remote · Full time · Mid level
$65k–$88.6k / year
About the role
Support coordination, documentation, and communication of medical services and benefit determinations in behavioral health. Interpret criteria and policies to provide appropriate treatment and care.
What you’ll do
• Utilize clinical knowledge and critical thinking to interpret policies. • Coordinate with providers and members for optimal care. • Understand organizational strategy and objectives. • Make independent decisions with minimal direction. • Follow established guidelines and procedures.
What you’ll bring
• Bachelor’s in nursing or master’s in Human Services with licensure. • 3+ years clinical experience in healthcare settings. • Intermediate Microsoft Office skills. • Strong oral and written communication skills. • Preferred: managed care or utilization review experience.
Life at Humana
Humana offers competitive benefits including medical, dental, vision, 401(k), paid time off, parental leave, disability, and life insurance. Supports whole-person well-being.
About Humana
Humana Inc. is a leading U.S. healthcare company providing insurance and healthcare services to improve quality of life for millions.