Utilization Review Assistant at UnityPoint Health

Cedar Rapids, Iowa, United States -

Full Time

Start Date

Immediate

Expiry Date

03 Jul, 26

Salary

0.0

Posted On

04 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Utilization review, Documentation management, Resource allocation, Interdepartmental communication, Payer correspondence, Data collection, Clinical resource tracking, HIPAA compliance, Case management, Revenue cycle support, Patient throughput, Audit readiness

Industry

Description

Overview The Utilization Review Assistant NE supports the operational execution of the utilization review process, with responsibilities that include documentation coordination, resource allocation tracking, interdepartmental communication, and payer correspondence. This role contributes to timely authorization of services, efficient use of clinical resources, and alignment with internal policies and regulatory standards. The Utilization Review Assistant works closely with clinical, care management, and administrative teams to help ensure patients receive the appropriate level of care, while supporting data collection and process continuity across the review function. Why UnityPoint Health? At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities Review Coordination & Documentation Management Submit clinical documentation for authorization and continued stay reviews according to payer guidelines and organizational timelines Maintain and update patient review records in designated systems, ensuring completeness and accuracy for audit readiness Coordinate internal review workflows by tracking pending cases, flagging documentation gaps, and aligning with daily review priorities Monitor and respond to payer correspondence regarding review outcomes, status updates, or documentation requests Assist in preparing documentation for second-level reviews and case escalations Enter key utilization metrics and outcomes into health record and review platforms to support data accuracy and reporting for utilization review process. Resource Allocation & Interdepartmental Coordination Support daily bed and level-of-care tracking by monitoring patient census reports and assisting in prioritization of review queues Communicate with departments to confirm patient placement, discharge planning progress, and readiness for continued stay reviews Assist in coordinating review scheduling based on staff availability and clinical resource capacity Collaborate with revenue cycle, admissions, and care management to ensure alignment on authorization status and level of care determination Maintain awareness of patient throughput goals and contribute to efficient allocation of clinical resources Compliance, Reporting & Operational Support Maintain confidentiality and data integrity in all review-related activities in compliance with HIPAA and internal policy Prepare routine utilization summaries or case tracking reports for internal leadership or quality review Maintain working templates, logs, and tools used in the daily execution of review processes Recommend improvements to documentation, handoff, or tracking procedures to enhance review team efficiency Qualifications High school graduate required IA Child Abuse Mandatory Reporter Training in state(s) where providing care. IA Adult Dependent Abuse Mandatory Reporter Training in state(s) where providing care

Responsibilities

The Utilization Review Assistant supports the utilization review process by managing documentation, tracking resource allocation, and coordinating with clinical and administrative teams. They ensure timely authorization of services and maintain compliance with regulatory standards and internal policies.