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Utilization Management Assistant
Cottingham & Butler. Answer first-level calls in Utilization Review for Health & Wellness participants .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Utilization Review processes, including evaluating certification requests and coordinating with healthcare providers to ensure cost-effective patient care. Strong background in medical settings with a focus on accuracy and attention to detail in reviewing medical records and pre-certifications.
Highest-signal resume keywords
Utilization Review ExperienceMedical Record ReviewPatient Health SupportCNA, LPN, Or Medical Assistant CertificationCustomer Service Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Utilization ReviewMedical Record ReviewCertification EvaluationInsurance VerificationPatient Care Coordination
Soft Skills
Interpersonal SkillsAttention To DetailFriendly Demeanor
Certifications & Qualifications
CNALPNMedical Assistant
Industry Keywords
Health & WellnessClinical GuidelinesCost-Effective CarePatient SupportHealthcare Providers
About the role
Key responsibilities & impact- Answer first-level calls in Utilization Review for Health & Wellness 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
What you’ll need- Experience in a medical setting, including receptionist, scheduler, insurance verification, LPN, CNA, or Medical Assistant experience
- Background in patient health support or care
- 1+ years of experience within this field
- CNA, LPN, or Medical Assistant preferred
- Strong interpersonal skills
- Customer service skills and friendly demeanor
- Accuracy and attention to detail when reviewing pre-certifications and plans
Benefits
Comp & perks- 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
- Daytime office hours and weekends/holidays off