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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in behavioral health treatment and care coordination, with strong communication and documentation skills. Proficient in utilizing electronic information systems and Microsoft Office tools to support optimal member care and adhere to established guidelines.
Highest-signal resume keywords
Master's Level ClinicianIndependent Licensure in LouisianaManaged Care ExperienceProficiency with Microsoft Office ToolsExperience with MCG and ASAM Criteria
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Behavioral Health KnowledgeTreatment CoordinationClear Narrative DocumentationUtilization ManagementPrior AuthorizationHealth PromotionCoachingWellnessKeyboard SkillsWeb Navigation
Soft Skills
Exceptional CommunicationInterpersonal AbilitiesCritical ThinkingRapport Building
Tools & Technologies
Electronic Information SystemsMicrosoft WordMicrosoft OutlookMicrosoft Excel
Certifications & Qualifications
LCSWLPCLMFTLAC
Industry Keywords
MedicareMedicaidTANFCHIPCommunity HealthSocial Service AgenciesBehavioral Change
About the role
Key responsibilities & impact- Apply behavioral health knowledge, communication skills, and independent critical thinking to interpret criteria, policies, and procedures
- Determine appropriate treatment, care, or services for members
- Coordinate and communicate with providers, members, and other parties to facilitate optimal care and treatment
- Support coordination, documentation, and communication of medical services and benefit administration determinations
- Follow established guidelines and procedures
- Document, communicate, and collaborate using electronic information systems and Microsoft Office tools
- Provide clear narrative documentation and build rapport with members and internal partners
- Cover a weekend and on-call rotation as needed to meet business needs
Requirements
What you’ll need- Master's level clinician with independent licensure in Louisiana, such as LCSW, LPC, LMFT, or LAC
- 1+ year of managed care experience
- Experience utilizing MCG and American Society of Addiction Medicine Criteria
- Proficiency with electronic information systems and Microsoft Office tools, including Word, Outlook, and Excel
- Strong keyboard and web navigation skills
- Ability to provide clear narrative documentation
- Exceptional communication and interpersonal abilities
- Availability for a 40-hour work week, Monday–Friday, 8:00 AM–5:00 PM CST
- Must reside in Louisiana and perform work within the state
- Minimum home internet speed of 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
- Preferred: 2 years of direct care experience in an acute or outpatient behavioral health setting
- Preferred: Experience with Utilization Management or Prior Authorization
- Preferred: Experience with behavioral change, health promotion, coaching, and wellness
- Preferred: Experience serving Medicare, Medicaid, TANF, and/or CHIP populations
- Preferred: Knowledge of community health and social service agencies and additional community resources
- Preferred: Bilingual English/Spanish ability
Benefits
Comp & perks- Bonus incentive plan
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Home-based work arrangement
- Potential for overtime
- Occasional travel to Humana offices for training or meetings