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Remote Behavioral Health Utilization Specialist
Remote / Online - Candidates ideally in
Cumberland, Providence County, Rhode Island, 02864, USA
Listed on 2026-07-31
Cumberland, Providence County, Rhode Island, 02864, USA
Listing for:
Humana
Remote/Work from Home
position Listed on 2026-07-31
Job specializations:
-
Healthcare
Mental Health, Healthcare Administration
Job Description & How to Apply Below
Humana is seeking a Utilization Management Behavioral Health Professional to support coordination, documentation, and determinations for medical services and benefit administration. The role involves interpreting criteria and policies, communicating with providers and members, and making independent determinations in a remote environment.
The position requires licensure (RN with eNLC or LCSW/LPC/LMFT/LCP/psychologist) and clinical experience, plus knowledge of Microsoft Office and managed care.
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