Nurse Care Management LPN (Virtual)

Utilization Management Assistant
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 our Health & Wellness 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.
Communication - Strong interpersonal skills to be able to connect with patients, doctors, internal team members, and providers
Customer Service - Friendly demeanor and understanding to be able to relay sensitive information to members
CNA, LPN, or Medical Assistant preferred

• Background in patient health support or care
• 1+ years of experience within this field

Full-Time Benefits - Most benefits start day 1

• Medical, Dental, Vision Insurance
• PTO/Paid Holidays
• Company-paid ST and LT Disability
• Company-paid Term Life/Accidental Death Insurance

At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance.