HealthCheck360·Dubuque, Iowa
Evaluate and pre-certify medical requests such as hospital stays and surgeries using evidence-based guidelines. Coordinate with providers and participants to ensure medically necessary care and refer patients to case management services.
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, care, etc. Review requests and match up to an evidence-based guideline to ensure proper care and ensure the right service is happening at the right time and is medically necessary. In this position you will be handling multiple provider phone calls at any given time and need to be able to handle a very fast paced environment. You will also work 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. Full-Time 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
Candidates must be a Registered Nurse (RN) with clinical experience, preferably in ER, ICU, mental health, orthopedics, or pain management. Strong multitasking skills are required, and bilingual ability is preferred.
Market context
In Iowa, administration roles in healthcare often draw steady interest because employers look for candidates who can support daily operations while meeting credential requirements. These positions can be competitive when they require a high school diploma, active Iowa CNA certification, BLS within three months, and related experience. On this platform, the job requirements and benefits are AI-summarized from the original posting, helping you review fit faster; if you apply, confirm your CNA status and BLS timeline before submitting.
