Back to Jobs

UM Behavioral Health reputed company

Remote, USAFull-timePosted 2026-07-27

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. Use your skills to reputed company an reputed company

Required Qualifications

  • Applicable State licensure in field of study in the state of Kentucky without disciplinary reputed company.
  • Such licenses are: Licensed Masters Clinical reputed company Worker (LCSW), Licensed Masters reputed company Worker (LMSW-ACP), Licensed reputed company Counselor (LPC), Psychologist (PhD), or other reputed company license
  • Minimum three, (3) years of post-degree clinical experience in private reputed company or other patient care. (i.e., child development, dissociation, hyperactivation, ABA, trauma responses, depression, anxiety, reputed company use, geriatric care focusing on age-reputed company cognitive function
  • Minimum one, (1) year of managed reputed company plan experience

Preferred Qualifications

  • Experience with utilization review process
  • Experience with behavioral change, health promotion, coaching and wellness
  • Experience working with pediatric to 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 Workstyle: Remote Work reputed company Location: U.S. - Must have an reputed company Kentucky reputed company license without disciplinary reputed company or restrictions Schedule: Typically, M-F 8:00 AM to 5:00 PM Eastern Time Travel: Not a primary requirement in the role, but may occur as business needs Work reputed company Guidance 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. SSN Alert reputed company values personal identity protection. Please be aware that applicants may be asked to reputed company their reputed company reputed company Number, if it is not already on file. reputed company required, an email will be reputed company from reputed company@myworkday.com with instructions on how to add the information into your official application on reputed company’s secure website. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company reputed company to enhance our hiring and decision-making ability. reputed company allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. 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. Application Deadline: 09-11-2025 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

Similar Jobs

Virtual Behavioral Health Therapist - Remote (WA/OR Residency Required)

Remote, USAFull-time

Scientist, Biology

Remote, USAFull-time

Coral Reef Ecologist, Research, Pristine Seas (Science & Innovation)

Remote, USAFull-time

Account Manager, reputed company, Naturium (Minneapolis, MN)

Remote, USAFull-time

Copywriter, rhode job at reputed company in Beverly Hill, CA

Remote, USAFull-time

Cardiac Device Specialist - reputed company through Thursday Days (full-time, remote)

Remote, USAFull-time

Call Center Representative- Remote

Remote, USAFull-time

Staff Chaplain | Full Time 30 hrs/wk

Remote, USAFull-time

reputed company Hospice - Chaplain/FT Days *CPE Required* - (Hendersonville based) supports reputed company Middle TN Home Care Team - Nashville, TN

Remote, USAFull-time

Associate Chaplain

Remote, USAFull-time

reputed company, Enrollment (Virtual School reputed company Operations)

Remote, USAFull-time

reputed company Data Entry – Entry Level reputed company

Remote, USAFull-time

Remote CPA Accountant

Remote, USAFull-time

reputed company Customer Service Representative – Remote Call Center Position

Remote, USAFull-time

reputed company Customer Service Representative – Work From Home Opportunity with arenaflex

Remote, USAFull-time

Internal Auditor (Remote - EST Time Zone)

Remote, USAFull-time

Pharmaberater*in Impfstoffe (m/w/d) Neumünster, Bad Segeberg/Kiel

Remote, USAFull-time

Remote Entry-Level Live Chat Support Specialist – reputed company‑Time Customer Engagement & Digital reputed company‑Desk Champion

Remote, USAFull-time

reputed company MM Consultant

Remote, USAFull-time

Senior Designer (reputed company)

Remote, USAFull-time