Utilization Management Nurse

Cottingham & Butler

. Work telephonically with providers to evaluate and pre-certify requests such as hospital stays, outpatient surgeries, outpatient tests, and care .

Posted 11/11/2026full-timeRemote • Iowa • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates clinical expertise as an RN with experience in evaluating and pre-certifying medical requests, ensuring adherence to evidence-based guidelines and health plan criteria. Proficient in multitasking and managing provider communications in a fast-paced environment.

Highest-signal resume keywords

RN LicenseClinical ExperienceMultitasking SkillsBilingualExperience in ER, ICU, Mental Health, Orthopedics, or Pain Management

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft Skills

Strong Communication SkillsAbility to Handle Multiple Calls

Industry Keywords

Evidence-Based GuidelinesMedical NecessityCare ManagementCondition ManagementReferral Criteria

About the role

Key responsibilities & impact

Work telephonically with providers to evaluate and pre-certify requests such as hospital stays, outpatient surgeries, outpatient tests, and care
Review requests against evidence-based guidelines
Ensure proper care, appropriate timing, and medical necessity of services
Handle multiple provider phone calls simultaneously in a fast-paced environment
Work closely with participants for referrals to case management and condition management services according to referral criteria and health plan guidelines

Requirements

What you’ll need

RN and clinical experience
Strong multitasking skills
Clinical experience preferably in ER, ICU, mental health, orthopedics, and/or pain management
Bilingual is preferred

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
Daytime office hours
Weekends/holidays off