Utilization Management Assistant

HealthCheck360

. Answer first-level calls in Utilization Review for HealthCheck360 participants .

Posted 10/31/2026full-timeRemote • Iowa • United StatesJuniorWebsite

Core Competencies

Role fit

Core 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 patient health support with a focus on accuracy and attention to detail in reviewing medical records and pre-certifications.

Highest-signal resume keywords

Utilization Review ExperienceCNA, LPN, Or Medical Assistant CertificationPatient Health Support BackgroundInterpersonal SkillsAttention To Detail

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills

Medical Record ReviewCertification Request EvaluationInsurance VerificationTriage CallsCost-Effective Care Coordination

Soft Skills

Strong Interpersonal SkillsFriendly DemeanorAbility To Relay Sensitive Information

Certifications & Qualifications

CNALPNMedical Assistant

Industry Keywords

Utilization ReviewHealthcare ProvidersClinical GuidelinesPatient CareInsurance Requirements

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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