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

🔥 1 minute ago

🌪️ Oklahoma – Remote

infoinfo

💵 $65k - $88.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛋️ Counselor

Where this job comes from

Posted on Humana's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

Logo of Humana

Humana

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/or 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 • Apply clinical knowledge, communication skills, and independent critical thinking • Understand department, segment, and organizational strategy and operating objectives • Make decisions regarding work methods, including in ambiguous situations, with minimal direction • Follow established guidelines and procedures

🎯 Requirements

• Residence in Oklahoma required • 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 (Social Work, Counseling, Psychology) with a professional license from the state of Oklahoma • Eligible behavioral health 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, navigating multiple systems and platforms, and general technical skills to troubleshoot and resolve issues within a remote environment • Flexibility to accommodate an Eastern Time schedule, as well as occasional weekends and holidays • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Preferred: Behavioral Health UM experience with MCG, ASAM, or InterQual criteria • Preferred: Managed Care or Medicaid experience • Preferred: Health plan experience

🏖️ 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 • Occasional travel to Humana offices for training or meetings may be required

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