Better Every Day
Utilization Management CNA
Location
United States
Posted
8 days ago
Salary
Not specified
No structured requirement data.
Job Description
Utilization Management Assistant
Location: Onsite in Dubuque, IA. Also accepting remote applicants.
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. We are looking for individuals with experience in a medical setting, including but not limited to a receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistants, or individuals with a background in customer service 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!
The Utilization Management Assistant answers first level calls in Utilization Review for our Health & Wellness 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 be able to connect with patients, doctors, internal team members, and providers
- Customer Service - Friendly demeanor and understanding to be able 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
Full-Time Benefits - Most benefits start day 1
- Medical, Dental, Vision Insurance
- 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
- Subsidized Parking
- Company-paid Term Life/Accidental Death Insurance
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.
Want to learn more? Follow us on www.CottinghamButler.com | LinkedIn | Facebook
Related Guides
Related Categories
Related Job Pages
More Administration Jobs
SecureDoc Enterprise Server Administrator
A.C.Coy CompanyStaffing and consulting firm specializing in IT, Accounting & Finance, Engineering and Sales placements.
WinMagic SecureDoc Enterprise Server Administrator supporting U.S. Government client
Utilization Management LVN (Remote, Texas-based)
Harbor HealthWelcome to Harbor Health, an entirely new multi-specialty clinic group in Austin, TX.
The Utilization Management LVN supports prior authorization and utilization review activities, collaborating with the team, providers, and members to facilitate authorization and coordinate clinical information for medical necessity determinations. This role also provides ongoing communication and coordination support for high-need and high-cost members to promote appropriate utilization and continuity of care.
Administrative Services Manager
24-MAGThis opportunity is available through a leading AI-driven work platform.
This role involves supporting a leading AI research lab working on next-generation machine learning systems by applying real-world administrative management expertise. Create structured deliverables based on common requests within the administrative services and operations manage...
Trading Operations Support Analyst (Overnight hours)
PEAK6PEAK6 is not your typical investment firm. Here, we build and invest in businesses that span from finance and insurance to esports and education — and we're always seeking new opportunities. We're not defined by one industry or market. We activate "what is" into "what ought to be" through world-class technology, operational excellence, and purposeful design. We're in the business of doing, creating, and building the world with innovation and democratization in mind. Our team of opportunistic thinkers are generating new ideas while constantly improving, refining, and activating past ones. At PEAK6, it's not just our investments that make use great, but our people that make us valuable.
Provide overnight operational and technical support for trading systems: monitor systems and risk limits, troubleshoot disruptions, coordinate with traders, engineers, and vendors, perform root cause analysis, adjust limits per policy, and maintain detailed operational documentation.