Job Closed
This listing is no longer active.
#HealthCheck360 is dedicated to improving the health, well-being, and culture of your company.
Utilization Management CNA
Location
United States
Posted
46 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Utilization Management CNA
HealthCheck360
Role Description Are you passionate about patient care and thrive in a fast-paced, professional environment? We are seeking a dedicated Utilization Management Assistant to join our healthcare team. We are looking for individuals with experience in a medical setting, including but not limited to: - Receptionist - Scheduler - Insurance verification - LPN - CNA - Medical Assistants - Customer service background If you are looking to get into a professional office setting with daytime office hours and weekends/holidays off, this is the role for you! The Utilization Management Assistant answers first level calls in Utilization Review for HealthCheck360 participants. They will: - Evaluate certification requests by reviewing the group specific requirements - Triage the call to determine if a Utilization Review Nurse is needed to complete the call - Review medical records - Coordinate with healthcare providers - Ensure that patients receive appropriate, cost-effective care in accordance with clinical guidelines and insurance requirements Qualifications - CNA, LPN, or Medical Assistant preferred - Background in patient health support or care - 1+ years of experience within this field Requirements - Strong interpersonal skills to connect with patients, doctors, internal team members, and providers - Friendly demeanor and understanding to relay sensitive information to members - Accuracy and attention to detail when reviewing pre-certifications and plans Benefits - Most benefits start day 1 - 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 Company Description HealthCheck 360 was created with the employer's needs and the participant's experience in mind. We focus on reducing medical costs, while increasing employee engagement and productivity. This is accomplished by: - Providing onsite biometric screenings - Engaging participants through technology and programming - Educating the participant with risk-specific targeted communications - Supporting positive behavior change through our Health Coaching and Condition Management programs
Related Guides
Related Categories
Related Job Pages
More Administration Jobs
Role Description We’re looking for an Atlassian Administrator to help us build and maintain effective, scalable solutions within our enterprise Atlassian suite (Jira, Confluence, JSM, etc.). In this critical role, you’ll collaborate with stakeholders across the broader organization, using technology to solve problems, optimize processes, and facilitate seamless collaboration. You will support the PMO by helping teams work efficiently and progress towards strategic objectives through effective use of tools like Jira Service Management, Jira Product Discovery, Statuspage, and Atlassian Goals. You will report to the PMO Director of Delivery. This role is open to remote applicants in Canada (in Provinces where we can hire legally). What You’ll Do - Atlassian Tools Administration & Support: Administer and configure the enterprise Atlassian portfolio, including Jira (Software, Product Discovery), Confluence, Jira Service Management, Statuspage, and Atlassian Goals. - Workflow Optimization: Design and optimize complex Jira workflows, custom fields, and automation rules to align with best practices at scale. - Integration Management: Partner with IT to manage and evaluate Atlassian add-ons and integrations with other enterprise systems (e.g., identity management, CI/CD pipelines). - Governance and Documentation: Collaborate with PMO leadership to enforce governance standards and audit/document existing processes to ensure data integrity and security. - User Support and SLAs: Manage the support queue and provide technical troubleshooting for a diverse user base, adhering to established Service Level Agreements (SLAs). - System Health: Monitor the performance and stability of all products at an enterprise level and assist in planning upgrades and migrations. - Stakeholder Communication: Distill complex technical solutions into layman’s terms for stakeholders across all levels of the organization. Qualifications - Experience: 3+ years of proven experience as an Atlassian Administrator in an enterprise environment. - Education: Bachelor’s degree in Computer Science, IT, Business, or equivalent practical experience. - Certifications (at least one is preferred): Atlassian Certified Jira Administrator, Confluence Administrator, or Jira Service Management Administrator. - Technical Skills: Expertise in Jira Query Language (JQL), advanced reporting, and designing schemes for large user bases. - Methodology Knowledge: Strong understanding of Agile, Scrum, Kanban, and Waterfall frameworks and how Atlassian tools support them at scale. - Scripting: Familiarity with scripting languages (e.g., Groovy, Python) for custom automations is a strong plus. - Process Management: Skilled at defining and managing the processes and timelines necessary to get work accomplished. - Communication: Clearly conveys thoughts, both written and verbally, listening attentively for clarification. Who You Are - Solution seeker: You’re focused on tackling new challenges, solving problems, and moving the business forward—and you don’t wait to be asked. - Lifelong learner: You have a growth mindset – you’re here to learn, experiment, seek, apply, and provide feedback, share what works with your team, and move on from what doesn’t. - Resilient adapter: In the face of change and challenges, you bring a thoughtful, calm approach, and a focus on finding the new opportunity. - Intentional collaborator: You build positive working relationships across the business, bringing people together to foster new opportunities and to facilitate the efficient flow of information. - Critical challenger: You have the trust in your team to ask difficult questions in order to get to the best end result. - Active communicator: You listen actively and communicate ideas and information clearly, inclusively, and proactively. - Integrated thinker: You look beyond your role and responsibilities to understand how your team’s work drives broader organizational goals. - Accountable owner: You take pride in the work you’re responsible for with a mindset of ultimate accountability and reliability for the outcomes. - Bar-raiser: You step up to help your team grow and succeed, even when that means going beyond what might be expected. Salary Range Canada Pay Range For This Role: $68,400 — $95,800 CAD Use of AI in Hiring Hootsuite uses artificial intelligence (AI) to support our recruitment process. These tools may assist with screening and assessing applicants and/or summarizing interview feedback. All final hiring decisions are made by human decision-makers who use their professional judgement to review and evaluate relevant candidate information in addition to AI outputs. For more information about how we use AI and your rights, please see our Careers Privacy Policy.
Informatica Administrator
DMI (Digital Management, LLC)At the Intersection of Public and Private Sectors
• Support a federal government customer's application portfolio. • Own the full lifecycle of the Informatica environment, including server patching, version upgrades, and ETL mapping development and maintenance. • Work closely with a cross-functional application development team. • Manage all day-to-day operations of a production Informatica environment supporting a suite of data-driven government applications. • Plan and execute Informatica server patches and version upgrades including pre-upgrade assessments, regression testing, and post-upgrade validation. • Maintain, modify, and create ETL mappings that support Oracle-backed application workflows. • Conduct environment assessments and document current state, risks, and recommended remediation actions. • Coordinate with application developers on mapping changes driven by schema updates, application modifications, or new feature requests. • Troubleshoot data anomalies across integrated applications when Informatica mappings are a contributing factor. • Document all configuration changes, upgrade activities, and mapping modifications in source control per project standards. • Provide knowledge transfer and technical coaching to government technical staff. • Manage and track work through Jira, contributing to bi-weekly status reporting.
Mullen Coughlin is a highly successful, fast growing multi-country niche law firm focused exclusively on counseling organizations in the context of data privacy, including incident response, regulatory investigations, single-plaintiff and class action litigation, and compliance. Committed to the rapid incident response to incoming client calls, we thrive in a high energy, close-knit, and upbeat office culture. The Firm pays very competitively in the market and offers a full benefit package, including accrued time off, paid maternity and paternity leave, and a generous 401(k) program. At it's headquarters office, located at 426 West Lancaster Ave, Devon, PA, Mullen Coughlin's home office is over fifty-six thousand square feet, boasting the latest in technology and security, accommodating the projected continued growth of the firm, and providing all Mullen Coughlin employees access to amenities and resources to further their professional career, as well as their health and well-being. The Litigation Assistant will work as part of a cohesive administrative team to support Partner and Associate Attorneys in our litigation practice. This is a remote position, however, candidates must reside in the Pacific Time Zone. Sampling of Responsibilities: - Prepare, organize, index, develop, and manage relevant data including electronic court filings, and evidence. - Assist with and organize voluminous discovery projects. - Maintain complex calendars. - Handle and draft professional correspondence. - Review preliminary invoices. - Coordinate travel arrangements. - Answer phones and act as contact to internal and external customers. - Intake new cases. - Collaborate and support the team to provide responsive customer service. - Perform other administrative tasks as assigned. Skills & Qualifications: - Litigation experience, required. - Associate Degree or equivalent training/work experience, required. - 5+ years of legal administrative litigation support experience within a legal department or law firm or an equivalent combination of education and experience. - Experience with professional services billing systems. - ProLaw experience, a plus. - Experience with document management systems and best practices, strongly desired. - Ability to perform multiple tasks simultaneously while maintaining a positive attitude in a fast-paced environment. - Experience with eDiscovery, a plus. - Strong typing skills. - Effective time management and high level of attention to detail skills to balance the workload of Partner and Associate attorneys and efficiently prioritize requests. - Strong communication and interpersonal skills; can collaborate with all levels of staff both orally and in writing. - Good analytical skills. - Ability to resolve issues quickly and efficiently. - Ability to represent a positive and professional image. - Demonstrated proficiency in computer software applications, including MS Office (Word, Excel, and PowerPoint); Outlook for calendaring meetings, events, etc. Ability to learn and use other applications may be necessary, such as ProLaw. - Proven ability to schedule meetings and conference calls with multiple parties and arrange travel. - Advanced level of knowledge of legal terminology. - Strong skills to research and problem-solve to obtain information or data from various sources and materials and organize with excellent attention to detail into a comprehensive package. - Demonstrated knowledge of filing and record tracking systems, both paper and electronic. - Ability to use high level of discretion and maintain all attorney-client confidentiality. - Working knowledge of legal process, protocols and procedures. - Ability to multi-task within demanding time frames despite interruptions. To Apply Please use our online application portal to submit your cover letter and resume. Mullen Coughlin is an Equal Opportunity Employer and believes in strength in diversity. Mullen Coughlin is not accepting resumes from search firms for this position. Relocation assistance is not provided for this position. Applicant must be authorized to work in the United States of America.
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The External Affairs Administrator will inform and execute the OhioRISE Plan’s outreach and engagement activities in priority communities and with priority stakeholders. Responsibilities include: a. Serve as the primary OhioRISE Plan contact for all county and child-serving agencies, promoting alignment between community needs and the OhioRISE Plan and encouraging collaboration amongst local leaders, organizations, stakeholders, CMEs, and the OhioRISE Plan. b. Act as the primary liaison for the OhioRISE Plan in facilitating ODM-approved improvement initiatives that involve community-based organizations and necessitate outreach and engagement efforts that ensure broad participation, foster collaboration, and address community-specific needs effectively. c. Arrange regular, in-person meetings with ODM and other state funded community-based organizations, using these meetings to bolster the presence of the OhioRISE Plan as a trusted collaborative partner, share updates, discuss objectives, and strengthen collaboration. d. Develop and offer resources such as presentations, workshops, forums, and trainings for county or local child serving entities regarding the roles and responsibilities of the OhioRISE Plan. e. Lead internal Regional Teams, including primary responsibility for the development and monitoring of county profiles and all associated reporting. f. Engage with external partners (CMEs; county and child-serving entities; MCO Regional Coordinators) and internal partners (quality, utilization management, care coordination, network, and provider relations) to identify service and resource needs in local communities and collaborate with these partners to address the identified gaps. g. In partnership with ODM, establish stakeholder specific frameworks to include objectives, intended outcomes, and results. h. Facilitate and manage OhioRISE Plan participation at state-wide and community events within identified priority communities and in partnership with priority stakeholders. i. Act as priority system experts, providing specialized guidance and support to both internal and external partner Required Qualifications Must reside in Ohio - At least 5-7 years’ experience in a setting that includes services for or management of multi-system youth, work with local/community systems of care, and knowledge of Ohio’s child-serving systems. - Relevant experience related to child-serving systems and processes, public sector behavioral health care, and networking with experts in these fields. - Demonstrated experience successfully implementing change in complex organizations. - Demonstrated experience with large-scale initiatives with a high degree of complexity. - Knowledge of Ohio’s child-serving systems, including but not limited to public children services agencies, boards of developmental disabilities, county behavioral health authorities, hospitals, the education system, family and children first councils, and the juvenile justice system. - Knowledge of key resources for children, youth and families in the State of Ohio. - Knowledge of the management of multi-system youth. - Relationship management skills - Collaboration and teamwork skills - Time management skills - Data analysis skills - Negotiation/influencing skills - Change management skills - Conflict resolution skills - Critical thinking skills - Oral, written, and presentation communications skills - Customer service skills - Personal computer operations, keyboard navigation, and MS Office Suite applications skills - Ability to work with all levels of management - Ability to complete additional tasks as directed by manager - Ability to demonstrate regular and reliable attendance. - Ability to travel, mostly in-state with personal vehicle. Qualified candidates must have reliable transportation, valid/active driver’s license, and proof of vehicle insurance. Preferred Qualifications - Knowledge and experience with high fidelity wraparound and care coordination preferred. - Knowledge of state Medicaid managed care market, regulations, and practices preferred. - Knowledge of Ohio’s behavioral health system preferred. - Project management skills preferred. - Strategic planning skills preferred. - Regional management/coordination skills preferred. - Experience working within the child welfare or children's behavioral health hospital setting preferred. - Advanced degree Counties that we prefer candidates to live within or be near: - Defiance, Fulton, Henry, Lucas, Mercer, Paulding, Putnam, Van Wert, Williams Education Bachelor’s degree or equivalent work experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,300.00 - $132,600.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 04/18/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.



