Utilization Management Nurse

Cottingham & Butler; Dubuque (IA); Hybrid; USD 65,000 - 80,000; 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 professional healthcare company is seeking a nurse in Dubuque, IA, to provide telephonic support for providers, ensuring evidence-based guidelines. Candidates must possess strong multitasking skills and RN experience, preferably in critical care settings. The role offers a full-time schedule with benefits and the potential for remote work.

Qualifications

• Experience in ER, ICU, mental health, orthopedics, or pain management.
• Ability to handle multiple provider phone calls.
• Thrives in a fast-paced environment.

Responsibilities

• Work telephonically with providers to evaluate and pre-certify requests.
• Review requests to ensure medically necessary services.
• Collaborate closely with participants for referrals.

Skills

Strong multitasking skills

Bilingual preferred

Education

RN and clinical experience

Clinical experience in ER, ICU, mental health, orthopedics, pain management

Job description

We are looking for a nurse just like you - a nurse that thrives in a fast‑paced environment, enjoys making a difference for patients, and prefers working in a professional office setting with daytime office hours and weekends/holidays off.

Location: Onsite in Dubuque, IA. Also accepting remote applicants.

Responsibilities

This position is responsible for working telephonically with providers to evaluate and pre‑certify requests such as hospital stays, outpatient surgeries, outpatient tests, care, etc. You will review requests and match them to evidence‑based guidelines to ensure proper and timely care. You will handle multiple provider phone calls at any given time in a fast‑paced environment and work closely with participants for referrals to case management and other services according to referral criteria and health plan guidelines.

Qualifications

Qualified candidates will have strong multitasking skills, an RN license, and clinical experience preferably in ER, ICU, mental health, orthopedics, and/or pain management. Bilingual is preferred.

Benefits

• Flex Spending or HSA
• 401(k) with company match
• Profit‑Sharing/Defined Contribution (1‑year waiting period)
• PTO/Paid Holidays
• Company‑paid Short‑Term and Long‑Term 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, who are committed to growing, and who 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.

Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook