Manager, Utilization Management – Behavioral Health

Humana

Manager, Utilization Management Behavioral Health at Humana utilizing behavioral health for medical services coordination. Collaborating with providers, members, and teams to ensure optimal care and treatment.

Posted 5/14/2026full-timeRemote • Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $86,300 - $118,700 per yearWebsite

About the role

Key responsibilities & impact

Support the coordination, documentation, and communication of medical services and/or benefit administration determinations.
Apply advanced technical knowledge to solve moderately complex problems.
Coordinate and communicate with providers, members, or other parties to facilitate optimal care and treatment.
Conduct briefings and area meetings; maintain frequent contact with other managers across the department.

Requirements

What you’ll need

Degree in nursing or a Master's degree in a behavioral health related field such as social work, counseling, and/or psychology, from an accredited university.
Hold a current, valid, and unrestricted license in the state of Virginia.
3 or more years of post-degree clinical experience in direct patient care required.
2 or more years of utilization management behavioral health (preferred).
1 or more years of clinical supervisory experience required, including personnel management.

Benefits

Comp & perks

Health benefits effective day 1
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 experienceutilization managementpatient carebehavioral health

Soft Skills

coordinationcommunicationproblem-solvingsupervisorypersonnel management

Certifications

nursing licenseMaster's degree in behavioral health