Utilization Management Assistant - Remote

Overview

We are seeking a dedicated Utilization Management Assistant to join our healthcare team, ideal for CNAs, Medical Assistants, LPNs, or individuals with a background in patient health support.

In Short

• Passionate about patient care in a fast-paced environment.
• Responsible for answering first level calls in Utilization Review.
• Evaluate certification requests based on group specific requirements.
• Triage calls to determine if a Utilization Review Nurse is needed.
• Review medical records and coordinate with healthcare providers.
• Ensure patients receive appropriate, cost-effective care.
• Work during daytime office hours with weekends/holidays off.
• Full-time role with benefits starting day 1.
• Ideal for candidates with relevant healthcare experience.
• Company culture focused on growth and improvement.

Requirements

• CNA, LPN, or Medical Assistant preferred.
• Background in patient health support or care.
• 1+ years of experience in the field.
• Strong interpersonal communication skills.
• Friendly demeanor for customer service.
• Attention to detail for accuracy in reviews.

Benefits

• Medical, Dental, Vision Insurance.
• Flex Spending or HSA.
• 401(k) with company match.
• Profit-Sharing/Defined Contribution.
• PTO/Paid Holidays.
• Company-paid Short and Long Term Disability.
• Maternity Leave/Parental Leave.
• Subsidized Parking.
• Company-paid Term Life/Accidental Death Insurance.