Utilization Management Assistant

Trinity Health • Des Moines, IA

2d

About The Position

The Utilization Management Assistant provides administrative and clinical support for utilization review activities, working closely with UM nurses, physicians, and care teams. This role helps ensure timely authorizations, accurate documentation, and coordination of high‑quality, cost‑effective patient care.

Requirements

• 1–2 years’ experience as an LPN, Medical Assistant, CNA, or similar healthcare role.
• Required: MA or CNA certification or LPN license (active, unrestricted).
• High school diploma or GED (for MA/CNA roles).
• Strong computer skills, including Microsoft Excel, Word, and electronic systems.
• Excellent communication, organization, and attention to detail.
• Mandatory Reporter training within 3 months of hire.

Nice To Haves

• Experience with utilization management, concurrent review, or discharge coordination preferred.

Responsibilities

• Initiate and process authorizations for admissions and medical services.
• Review medical records and extract key information to support utilization review.
• Assist with communication to internal and external providers regarding benefits, approvals, denials, and care processes.
• Notify external entities of discharges and post‑acute transitions.
• Support quality and performance improvement initiatives.
• Gather documentation for service denials and escalate concerns appropriately.
• Collaborate with Care Management and Population Health teams on process improvements.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED