Utilization Mgmt Assistant (CNA/LPN) - Day Hours Remote

HealthCheck360; Dubuque (IA); Hybrid; USD 25,000 - 39,000; Full time

Benefits offered by this job

401(k) with company match

PTO/Paid Holidays

Disability (ST & LT)

Job summary

HealthCheck360 is seeking a dedicated Utilization Management Assistant to join our healthcare team in Dubuque, IA. The role involves handling first-level calls, reviewing certifications, and coordinating with providers to ensure appropriate, cost-effective care according to clinical guidelines.

You will work in a professional office setting with daytime hours and occasional remote options, contributing behind the scenes to improve patient outcomes and healthcare efficiency.

Qualifications

• Strong interpersonal communication to connect with patients, doctors, and team members.
• Friendly, empathetic approach for sensitive information.
• Accurate, detail-focused review of pre-certifications and plans.

Responsibilities

• Answer first-level calls in Utilization Review.
• Review patient medical records and coordinate with providers.
• Triage calls to determine need for Utilization Review Nurse.
• Help ensure cost-effective, guideline-compliant patient care.

Skills

Communication

Customer Service

Detail Oriented

Education

CNA

LPN

Medical Assistant

Job description

HealthCheck360 is seeking a dedicated Utilization Management Assistant to join our healthcare team in Dubuque, IA. The role involves handling first-level calls, reviewing certifications, and coordinating with providers to ensure appropriate, cost-effective care according to clinical guidelines.

You will work in a professional office setting with daytime hours and occasional remote options, contributing behind the scenes to improve patient outcomes and healthcare efficiency.