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Utilization Management AssistantVirtualVocations • San Buenaventura, California, United States
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Utilization Management Assistant

Utilization Management Assistant

VirtualVocations • San Buenaventura, California, United States
20 days ago
Job type
  • Full-time
Job description
Passionate about patient care, the full-time Utilization Management Assistant will evaluate certification requests, review medical records, and coordinate with healthcare providers to ensure appropriate care while working onsite in Dubuque, IA, or remotely. Key responsibilities Answer first-level calls in Utilization Review and triage requests to determine the need for a Utilization Review Nurse Review medical records and group-specific requirements to assess certification requests Ensure patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements Required qualifications CNA, LPN, or Medical Assistant preferred Background in patient health support or care 1+ years of experience in a medical setting or related field
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Utilization Management Assistant • San Buenaventura, California, United States

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