Behavioral Health Nurse

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $65k - $88.6k / year

⏰ Full Time

🟢 Junior

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Support coordination, documentation, and communication of medical services or benefit administration determinations • Interpret criteria, policies, and procedures using behavioral health skills and clinical knowledge • Provide appropriate treatment, care, or services for members • Coordinate and communicate with providers, members, and other parties to facilitate optimal care and treatment • Make independent determinations and decisions regarding work methods and courses of action • Follow established guidelines and procedures • Work from a dedicated home workspace and maintain required internet connectivity • Travel occasionally to Humana offices for training or meetings

🎯 Requirements

• Registered Nurse (RN) in Indiana • Minimum of an associate's degree in nursing (ASN) from an accredited university • 1 or more years of post-degree clinical experience in private practice or other patient care • 1 or more year of managed care experience • Must be passionate about contributing to an organization focused on continuously improving consumer experiences • Must reside in the state of Indiana • Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information • Self-provided internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps • BSN preferred • Bachelor's Degree preferred • Experience with utilization review process preferred • Previous experience with MCG, ASAM, and medical policy reviews preferred • Experience with behavioral change, health promotion, coaching and wellness preferred • Experience working with the older adult population preferred • Knowledge of community health and social service agencies and additional community resources preferred • Bilingual English/Spanish preferred

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical, dental and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Personal wellness and smart healthcare decision support • Occasional travel to Humana offices for training or meetings