Utilization Management Assistant - Remote-friendly CNA/LPN

Cottingham & Butler; Dubuque (IA); Hybrid; USD 38,000 - 52,000; Full time

Benefits offered by this job

PTO & Holidays

Disability insurance (short & long)

Maternity/Parental leave

401(k) with company match

Profit sharing

Job summary

Cottingham & Butler is seeking a dedicated Utilization Management Assistant to join our healthcare team in Dubuque, IA. The role involves handling first-level Utilization Review calls, reviewing medical records, and coordinating with providers to ensure cost-effective, guideline-conformant patient care.

Flexible to remote applicants, with day hours and weekends/holidays off in this role. Experience in medical settings such as receptionist, scheduler, insurance verification, LPN, CNA, or Medical

Qualifications

• CNA, LPN, or Medical Assistant preferred.
• Background in patient health support or care.
• 1+ years of experience within this field.
• Flex Spending or HSA.
• 401(k) with company match.
• Profit-Sharing/Defined Contribution (1-year waiting period).
• PTO/Paid Holidays.
• Company-paid ST and LT Disability.
• Maternity Leave/Parental Leave.

Responsibilities

• Answers first-level calls in Utilization Review for Health & Wellness participants.
• Evaluates certification requests by reviewing group-specific requirements.
• Triages calls to determine if a Utilization Review Nurse is needed.
• Reviews medical records and coordinates with healthcare providers.
• Ensures patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements.

Skills

Communication

Customer Service

Detail oriented

Education

CNA/LPN/Medical Assistant preferred

Job description

Cottingham & Butler is seeking a dedicated Utilization Management Assistant to join our healthcare team in Dubuque, IA. The role involves handling first-level Utilization Review calls, reviewing medical records, and coordinating with providers to ensure cost-effective, guideline-conformant patient care.

Flexible to remote applicants, with day hours and weekends/holidays off in this role. Experience in medical settings such as receptionist, scheduler, insurance verification, LPN, CNA, or Medical