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Utilization Management CNA

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 Assistants)
  • 1+ years of experience in patient health support or care
  • 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 preferred
  • Background in customer service
What the job really is

The Utilization Management Assistant role involves answering calls related to Utilization Review for HealthCheck360 participants, evaluating certification requests, and triaging calls to determine if further assistance from a Utilization Review Nurse is needed. The position requires reviewing medical records, coordinating with healthcare providers, and ensuring patients receive appropriate care according to clinical guidelines and insurance requirements, all within a professional office environment with standard daytime hours.

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
Things to weigh
  • Onsite position in Dubuque, IA, but remote applicants are accepted
  • Fast-paced environment may not suit everyone
  • Role involves significant interaction with healthcare providers and patients, which may be stressful
Job score3.4/5
Benefits5/5
Freshness5/5
Career value3/5
Role clarity4/5
Pay transparency0/5

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