Utilization Management Assistant

🔥 13 hours ago

🌾 Iowa – Remote

🌾 Iowa – Remote

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

👻 Ghost score 12%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HealthCheck360

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2007

🏥 Healthcare

💼 Consulting

🍽️ Food & Beverage

Healthcare • Consulting • Food & Beverage

HealthCheck360 is a provider of integrated health and wellness solutions aimed at enhancing employee well-being and managing chronic conditions. The company offers a variety of services including health coaching, biometric screenings, and technology-based programs that support personalized health management. By combining advocacy, care management, and engaging reward systems, HealthCheck360 seeks to transform healthcare experiences and foster a vibrant workplace culture.

📋 Description

• Answer first-level calls in Utilization Review for HealthCheck360 participants • Evaluate certification requests by reviewing group-specific requirements • Triage calls to determine whether a Utilization Review Nurse is needed • Review medical records • Coordinate with healthcare providers • Ensure patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements

🎯 Requirements

• Experience in a medical setting, including receptionist, scheduler, insurance verification, LPN, CNA, or Medical Assistant experience, or a customer service background • CNA, LPN, or Medical Assistant preferred • Background in patient health support or care • 1+ years of experience within this field • Strong interpersonal skills to connect with patients, doctors, internal team members, and providers • Friendly demeanor and ability to relay sensitive information to members • Accuracy and attention to detail when reviewing pre-certifications and plans

🏖️ Benefits

• Daytime office hours and weekends/holidays off • 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 • Most benefits start day 1

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