Utilization Management - Behavioral Health Professional - Remote

Overview

Become a part of our caring community and help us put health first. The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations.

In Short

• Utilizes behavioral health knowledge for service coordination.
• Requires independent determination of appropriate actions.
• Coordinates with providers and members for optimal care.
• Must have Master's level clinician with independent licensure in Louisiana.
• 1+ year of managed care experience required.
• Intermediate to advanced computer skills required.
• Available to work 40 hours per week, with potential overtime.
• Must reside in Louisiana.
• Experience with Utilization Management preferred.
• Bilingual skills in English/Spanish are a plus.

Requirements

• Master's level clinician with independent licensure (LCSW, LPC, LMFT, LAC).
• 1+ year of managed care experience.
• Experience with MCG and ASAM criteria.
• Strong communication and critical thinking skills.
• Ability to work with electronic medical records.
• Experience in acute or outpatient behavioral health settings preferred.
• Knowledge of community health agencies is a plus.
• Bilingual (English/Spanish) preferred.
• Ability to work from a dedicated space at home.
• Must meet internet service requirements for remote work.

Benefits

• Competitive benefits supporting whole-person well-being.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off and holidays.
• Short-term and long-term disability benefits.
• Life insurance options.
• Bonus incentive plan based on performance.
• Opportunities for personal wellness and healthcare decision support.
• Support for work-life balance.
• Company commitment to diversity and equal opportunity.