Location Onsite in Dubuque, IA. Also accepting remote applicants.
We are looking for a nurse just like you – a nurse that thrives in a fast‑paced environment, enjoys making a difference for patients, and prefers working in a professional office setting with daytime office hours and weekends/holidays off.
This position is responsible for working telephonically with providers to evaluate and pre‑certify requests such as hospital stays, outpatient surgeries, outpatient tests, and other care services. Requests are matched to evidence‑based guidelines to ensure proper care and that the right service is provided at the right time and is medically necessary. The role requires handling multiple provider phone calls simultaneously in a very fast‑paced environment and working closely with participants for referrals to case‑management and condition‑management services according to referral criteria and health‑plan guidelines.
Qualified candidates will have strong multitasking skills, RN and clinical experience – preferably in ER, ICU, mental health, orthopedics, and/or pain management. Bilingual is also preferred.