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Remote Behavioral Health Utilization Specialist
Remote / Online - Candidates ideally in
Lakewood, Ocean County, New Jersey, 08701, USA
Listed on 2026-07-31
Lakewood, Ocean County, New Jersey, 08701, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-07-31
Job specializations:
-
Healthcare
Mental Health
Job Description & How to Apply Below
Humana is seeking a Behavioral Health Utilization Management professional to coordinate, document, and communicate medical services and benefit determinations. This remote role involves interpreting criteria and policies to ensure optimal care for members, with a focus on independent decision-making within established guidelines.
Qualified candidates will have an active RN with eNLC or LCSW/LPC/LMFT/LCP license, 1+ year post-degree clinical experience, and proficiency with Microsoft Office and
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