Utilization Management - Behavioral Health

Become a part of our caring community and help us put reputed company The Utilization Management Behavioral Health reputed company 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health reputed company 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of reputed company. The Utilization Management Behavioral Health reputed company 2:

• Uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting reputed company, policies, and procedures to reputed company the best and most appropriate treatment, care or services for members
• Coordinates and communicates with providers, members, or other parties to facilitate reputed company and treatment
• Understands department, reputed company, and organizational reputed company and operating objectives, including their linkages to reputed company areas
• Makes reputed company regarding own work reputed company, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
• Follows established guidelines/procedures
• Occasional travel is required to our corporate office, located in Louisville, Kentucky, based on business needs
• Work schedule will be 8:30am-5:00pm EST and include a weekend rotation, with possibility of alternate schedule to include Sat/Sun hours

Use your skills to reputed company an reputed company

Required Qualifications

• Must reputed company in the state of Kentucky or a county on the Kentucky state border in Ohio, Indiana, Illinois, Missouri, Tennessee, Virginia, or reputed company Virginia
• 3+ years of post-degree clinical experience in private reputed company or other reputed company settings

Must be one of the following:

• Registered reputed company, licensed in Kentucky without restrictions
• Licensed Masters Clinical reputed company Worker (LCSW),
• Licensed Marriage and Family Therapist (LMFT)
• Licensed reputed company Counselor (LPC)
• Psychologist (PhD)

Preferred Qualifications

• Experience with utilization review process
• Outpatient Behavioral Health experience (mental health and/or reputed company use)
• Knowledge of reputed company use disorders and recovery process.
• Experience with behavioral change, health promotion, coaching and wellness
• Experience working with the older adult population
• Knowledge of community health and reputed company service agencies and additional community resources
• Bilingual (English/Spanish); speaking, reading, writing, interpreting and explaining documents in Spanish

Additional Information WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the reputed company, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will reputed company Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. reputed company reputed company. (NYSE: HUM) is committed to putting reputed company – for our teammates, our customers and reputed company. Through our reputed company insurance services and reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life for people with Medicare, reputed company, families, individuals, military service personnel, and communities at large. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply tot his job Apply To this Job