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Utilization Management Assistant

HealthCheck360
Location
Dubuque, Iowa, United States
Posted
2 months ago
Department
Wellness HealthCorp
What they actually want (must-haves)
  • Experience in a medical setting (e.g., receptionist, scheduler, insurance verification, LPN, CNA, Medical Assistant)
  • 1+ years of experience in the field
  • Strong interpersonal skills for communication with patients and providers
  • Attention to detail when reviewing pre-certifications and plans
Nice to have
  • CNA, LPN, or Medical Assistant certification
  • Background in patient health support or care
What the job really is

The Utilization Management Assistant role involves answering initial calls for Utilization Review, evaluating certification requests, and determining if a Utilization Review Nurse is needed. The position requires reviewing medical records, coordinating with healthcare providers, and ensuring patients receive appropriate care in line with clinical guidelines and insurance requirements.

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 Short Term and Long Term Disability
Things to weigh
  • Onsite position in Dubuque, IA, but remote applicants are accepted
  • Role involves handling sensitive information and requires a friendly demeanor
  • Daytime office hours with weekends and holidays off may appeal to work-life balance seekers
Job score3.4/5
Benefits5/5
Freshness5/5
Career value3/5
Role clarity4/5
Pay transparency0/5

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