Licensed Behavioral Health UM, RN, SW, Counseling, Psychology

🔥 0 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $65k - $88.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛋️ Counselor

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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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 and benefit administration determinations • Interpret behavioral health criteria, policies, and procedures to determine appropriate treatment, care, or services • Coordinate and communicate with providers, members, and other parties to facilitate optimal care and treatment • Exercise independent critical thinking and determine appropriate courses of action • Follow established guidelines and procedures while working with minimal direction • Complete medical necessity reviews against criteria such as MCG, ASAM, and InterQual • Work Tuesday through Saturday, 8:00 AM–5:00 PM Central Time after training and precepting • Complete Monday through Friday, 8:00 AM–5:00 PM Central Time training • Travel occasionally to Humana offices for training or meetings as business needs require

🎯 Requirements

• Must meet one of the following licensure requirements with no history of disciplinary action: Licensed Registered Nurse (RN) – Multi-State Compact; or master's degree in a behavioral health-related field with a professional license from the state of Louisiana • Eligible licenses include LCSW, LMSW, LPC, LMFT, LAC, or Licensed Psychologist • 3+ years of post-degree clinical experience in direct patient care • 3+ years of Behavioral Health experience • Proficient with MS Office • Proficient navigating multiple systems and platforms • General technical skills to troubleshoot and resolve issues within a remote environment • Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information • Self-provided internet with at least 25 Mbps download and 10 Mbps upload speed • Flexibility to accommodate an Eastern Time schedule, occasional weekends, and holidays • Preferred: Behavioral Health UM experience with medical necessity reviews using MCG, ASAM, or InterQual • Preferred: Managed Care or Medicaid experience • Preferred: Health plan experience

🏖️ Benefits

• Bonus incentive plan based upon 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 • Remote work arrangement • Minimal travel for office meetings 1–2 times annually as business needs require