Utilization Management Assistant

Utilization Management AssistantDubuque, Iowa, United StatesUtilization Management AssistantLocation: 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 HealthCheck360 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 SkillsCommunication - Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providersCustomer Service - Friendly demeanor and understanding to be able to relay sensitive information to membersDetail Oriented - Accuracy and attention to detail when reviewing pre-certifications and plansQualifications:CNA, LPN, or Medical Assistant preferredBackground in patient health support or care1+ years of experience within this fieldFull-Time Benefits - Most benefits start day 1Medical, Dental, Vision InsuranceFlex Spending or HSA401(k) with company matchProfit-Sharing/Defined Contribution (1-year waiting period)PTO/Paid HolidaysCompany-paid ST and LT DisabilityMaternity Leave/Parental LeaveSubsidized ParkingCompany-paid Term Life/Accidental Death InsuranceAbout HealthCheck360HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by providing onsite biometric screenings, engaging participants through technology and programming, educating the participant with risk-specific targeted communications, and supporting positive behavior change through our Health Coaching and Condition Management programs.