Utilization Management Assistant - Remote

Overview

We are seeking a dedicated Utilization Management Assistant to join our healthcare team, ideal for those with a background in patient health support looking to make a meaningful impact.

In Short

• Answer first level calls in Utilization Review for HealthCheck360 participants.
• Evaluate certification requests by reviewing 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 in a fast-paced, professional environment.
• Enjoy daytime office hours with weekends/holidays off.
• Ideal for CNAs, Medical Assistants, or LPNs.
• Strong interpersonal skills are essential.
• Detail-oriented approach to reviewing pre-certifications.

Requirements

• CNA, LPN, or Medical Assistant preferred.
• Background in patient health support or care.
• 1+ years of experience within this field.

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.