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

Humana

Licensed Behavioral Health UM Professional managing medical service coordination and benefit administration determinations. Requires expertise in behavioral health, clinical experience, and strong communication skills.

Posted 5/6/2026full-timeRemote • Louisiana • 🇺🇸 United StatesMid-LevelSenior💰 $65,000 - $88,600 per yearWebsite

About the role

Key responsibilities & impact

Uses behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations
Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action
Uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members
Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment
Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
Follows established guidelines/procedures

Requirements

What you’ll need

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 Louisiana
Licensed Clinical Social Worker (LCSW)
Licensed Master Social Worker (LMSW)
Licensed Professional Counselor (LPC)
Licensed Marriage and Family Therapist (LMFT)
Licensed Addiction Counselor (LAC)
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 within a remote environment

Benefits

Comp & perks

Paid time off
holidays
volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical knowledgecritical thinkingpatient carebehavioral health experiencedocumentationcommunication skillsinterpretation of policiesdecision making

Soft Skills

independent determinationcoordinationcommunicationproblem-solvingadaptability

Certifications

Licensed Registered Nurse (RN)Licensed Clinical Social Worker (LCSW)Licensed Master Social Worker (LMSW)Licensed Professional Counselor (LPC)Licensed Marriage and Family Therapist (LMFT)Licensed Addiction Counselor (LAC)Licensed Psychologist