Humana

Sponsor pentru viza H1B Asigurare de sănătate Asigurări Asistență medicală

Humana este o companie de servicii medicale și asigurări de sănătate axată pe îmbunătățirea rezultatelor în materie de sănătate pentru persoane, comunități și sistemul de sănătate în ansamblu. Activitatea sa include planuri Medicare Advantage de tip HMO, PPO și PFFS, destinate unor categorii de populație precum persoanele vârstnice și membrii forțelor armate. Humana pune, de asemenea, accent pe un mediu de lucru incluziv, construit pe sentimentul de apartenență, respect reciproc și oportunități pentru angajați de a contribui la misiunea companiei axată pe sănătate.

Locurile de muncă ale companiei

Humana Behavioral Health Utilization Management Clinician - Louisiana Remote

Humana seeks a Louisiana-based behavioral health utilization management clinician for a full-time remote role. The position supports clinical reviews, care coordination, and benefit determinations and is open to qualified RNs and licensed behavioral health professionals.

acum 1 săptămână

Statele Unite ale Americii

Louisiana

65.000 $ – 88.600 $ / an

Remote Normă întreagă Nivel mediu Senior Limbă Obligatorie: engleză Consilier

Descriere

Coordinate, document, and communicate medical services and benefit administration determinations
Interpret behavioral health criteria, policies, and procedures to assess appropriate treatment, care, and services
Communicate with providers, members, and other stakeholders to support effective care and treatment
Use clinical expertise, clear communication, and independent critical thinking in daily decisions
Align work with department, segment, and organizational strategies and operating objectives
Determine work methods independently when situations are occasionally ambiguous and guidance is limited
Perform duties in accordance with established guidelines and procedures
Work remotely, with occasional travel to Humana offices for training or meetings

Cerințe

Must live in Louisiana
Hold either a Licensed Registered Nurse credential under the Multi-State Compact or a Louisiana professional license tied to a master's degree in social work, counseling, psychology, or another behavioral health field, with no disciplinary history
Candidates using the behavioral-health master's-degree pathway must also hold an independent Kentucky license
Accepted licenses include LCSW, LMSW, LPC, LMFT, LAC, and Licensed Psychologist
At least three years of post-degree clinical experience providing direct patient care
At least three years of behavioral health experience
Working knowledge of Microsoft Office, multiple systems and platforms, and basic remote technical troubleshooting
Availability Monday through Friday, 8:00 AM to 5:00 PM Central Time, with flexibility for Eastern Time scheduling and occasional weekends and holidays
Internet connection with minimum speeds of 25 Mbps download and 10 Mbps upload
Dedicated, interruption-free workspace suitable for protecting member PHI and HIPAA information
Preferred experience with behavioral health utilization management using MCG, ASAM, or InterQual criteria
Managed care or Medicaid experience preferred
Health plan experience preferred

Beneficii

Eligibility for a bonus incentive plan tied to company and/or individual performance
Medical, dental, and vision coverage
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short- and long-term disability coverage
Life insurance
Employee-provided internet service for remote work
Occasional travel to Humana offices for training or meetings

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Humana Behavioral Health Utilization Management Clinician - Louisiana Remote

Humana seeks a Louisiana-based behavioral health utilization management clinician for a full-time remote role. The position supports clinical reviews, care coordination, and benefit determinations and is open to qualified RNs and licensed behavioral health professionals.

Descriere

Cerințe

Beneficii

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