Behavioral Health Utilization Reviewer

Blue Cross and Blue Shield of Louisiana

5 days ago

LouisianaFull TimeHealthcare Administration

✓ No Call✓ No Weekends

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Job Description

About the Role

Join Blue Cross and Blue Shield of Louisiana as a Behavioral Health Utilization Reviewer – Remote Possible in United States. We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Key Responsibilities

as assigned, within your scope of responsibilities.

Job duties are performed in a normal and clean office environment with normal noise levels.

Work is predominately done while standing or sitting.

The ability to comprehend, document, calculate, visualize, and analyze are required.

Requirements

Participate in audits, training, and quality improvement initiatives.

Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities.

Work Schedule

Full-Time position.

No explicit call, weekend, or night shift information provided.

Apply to join Blue Cross and Blue Shield of Louisiana as a Behavioral Health Utilization Reviewer – Remote Possible.

Key Skills

Clinical reviewUtilization managementBehavioral healthMedical necessityInterQualCase managementClinical assessmentCritical thinkingCommunicationTeamworkRegulatory complianceElectronic health recordsCPT codingAppeals processing

HealthcareSocial ServicesAdministrativevia Workday

Position Insights

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Behavioral Health Utilization Reviewer at Blue Cross and Blue Shield of Louisiana a 4.0 out of 10 for work-life balance — classified as below average. This places the position in the average range of all Healthcare Administration healthcare professional listings evaluated on our platform. Contributing factors include no on-call duties, no weekend requirements.

Candidates should carefully assess workload expectations and scheduling demands before applying.

Healthcare Administration — healthcare professional Career Context

This Healthcare Administration position at Blue Cross and Blue Shield of Louisiana is open to healthcare professional candidates.

Location & Logistics

This position is based in Louisiana.

Why This Position Stands Out

No on-call requirements — clinicians are completely off-duty after hours
No weekend shifts — preserving personal and family time

Skills, Responsibilities & Benefits

Key skills and qualifications: Clinical review, Utilization management, Behavioral health, Medical necessity, InterQual, Case management, Clinical assessment, Critical thinking. Candidates with experience in these areas may be especially well-suited for this Healthcare Administration role.

Core responsibilities: The Behavioral Health Utilization Reviewer conducts clinical reviews of service requests, claims, and appeals to ensure medical necessity and appropriate care. They collaborate with medical directors and communicate decisions to providers and members while maintaining compliance with regulatory stan...

Benefits package: Health resources, Professional development, Local community service. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.

About WeekdayDoc

WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Healthcare Administration healthcare professional jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.