Utilization Management CNA

Cottingham & Butler; Dubuque (IA); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

Flex Spending or HSA

401(k) with company match

Profit-Sharing/Defined Contribution

PTO/Paid Holidays

Company-paid ST and LT Disability

Maternity Leave/Parental Leave

Job summary

A healthcare solutions provider is seeking a dedicated Utilization Management Assistant in Dubuque, IA. This position is ideal for CNAs, Medical Assistants, or LPNs looking to thrive in a professional environment. Responsibilities include answering calls for Utilization Review, evaluating certification requests, and coordinating care to ensure patients receive appropriate services. Benefits include Flex Spending, 401(k) matching, and PTO. Join our team with weekday hours and weekends off for a fulfilling career behind the scenes.

Qualifications

• CNA, LPN, or Medical Assistant preferred.
• Background in patient health support or care.
• 1+ years of experience within this field.

Responsibilities

• Evaluate certification requests in Utilization Review.
• Review medical records and coordinate with healthcare providers.
• Ensure patients receive appropriate, cost-effective care.

Skills

Communication

Customer Service

Detail Oriented

Education

CNA, LPN, or Medical Assistant preferred

1+ years of experience within this field

Job description

Location

Onsite in Dubuque, IA. Also accepting remote applicants.

Overview

Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. This role is ideal for CNAs, Medical Assistants, LPNs, or individuals with a background in patient health support who are looking to make a meaningful impact behind the scenes. If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off, this is the role for you!

Responsibilities

The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will evaluate certification requests by reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will be responsible for reviewing medical records, coordinating with healthcare providers, and ensuring that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements.

Preferred Skills

• Communication – Strong interpersonal skills to connect with patients, doctors, internal team members, and providers
• Customer Service – Friendly demeanor and understanding to relay sensitive information to members
• Detail Oriented – Accuracy and attention to detail when reviewing pre-certifications and plans

Qualifications

• CNA, LPN, or Medical Assistant preferred
• Background in patient health support or care
• 1+ years of experience within this field

Benefits

• 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

About Cottingham & Butler

At Cottingham & Butler, we sell a promise to help our clients through life’s toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday – that’s who we are and what we believe in.

As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day.

Referrals increase your chances of interviewing at Cottingham & Butler by 2x.