Utilization Management Assistant

Dubuque, Iowa, United States. Posted 12 months ago

The role

The Utilization Management Assistant answers first level calls in Utilization Review for Health & Wellness participants. They evaluate certification requests, triage calls to nurses, review medical records, and coordinate with healthcare providers.

What you will do

Answer first level calls in Utilization Review
Evaluate certification requests by reviewing group specific requirements
Triage calls to determine if a Utilization Review Nurse is needed
Review medical records
Coordinate with healthcare providers
Ensure patients receive appropriate, cost-effective care

Required qualifications

Background in patient health support or care
1+ years of experience within this field

Nice to have

CNA, LPN, or Medical Assistant
Strong interpersonal skills
Friendly demeanor and understanding
Accuracy and attention to detail

Benefits

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 the company

Cottingham & Butler aims to hire, train, and grow the best professionals in the industry. The culture is guided by the theme of better every day.