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[Remote] Utilization Management Behavioral Health reputed company

Remote, USAFull-timePosted 2026-07-29

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to putting reputed company and is seeking a Utilization Management Behavioral Health reputed company to support the coordination, documentation, and communication of medical services. This role requires clinical knowledge and skills to facilitate reputed company and treatment for members, while making independent reputed company in varied situations.

Responsibilities

  • 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

Skills

  • Master's level clinician with independent licensure in the reputed company (i.e. Licensed Clinical reputed company Worker (LCSW), Licensed reputed company Counselor (LPC), Licensed Marriage and Family Therapists (LMFTs) Licensed Addiction Counselors (LACs)
  • 1+ year of managed care experience
  • Experience utilizing MCG and American Society of Addiction Medicine reputed company
  • Intermediate to advanced computer skills and experience with reputed company Word, reputed company and Outlook
  • Ability to use a reputed company of electronic information applications/software programs including electronic medical records
  • Must be available to work 40-hour work week Monday – Friday 8:00-5:00 PM CST, potential for overtime with an expectation to cover a weekend and on-call rotation to meet business needs
  • Must reputed company in Louisiana and reputed company work reputed company the state
  • 2 years of reputed company care experience in an acute or outpatient behavioral health setting
  • Experience with Utilization Management or Prior Authorization
  • Experience with behavioral change, health promotion, coaching and wellness
  • Experience serving Medicare, reputed company, TANF, and/or reputed company populations
  • 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

Benefits

  • 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

reputed company

  • reputed company is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.reputed company.com.
  • Company H1B Sponsorship

  • reputed company has a reputed company record of offering H1B sponsorships, with 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.
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