Utilization Review Tech III

Sutter Health

San Mateo, CA

JOB DETAILS
SALARY
$47.94–$57.52 Per Hour
SKILLS
Billing, Communication Skills, Discharge Plans, Interpersonal Skills, Licensed Practical Nurse/Licensed Vocational Nurse, Nursing Credentials, Presentation/Verbal Skills, Psychiatry and Mental Health, Time Management, Utilization Management, Writing Skills
LOCATION
San Mateo, CA
POSTED
18 days ago

We are so glad you are interested in joining Sutter Health!

Organization:

MPHS-Mills-Peninsula Medical Center

Position Overview:

Acts independently to perform and coordinate all activities related to the billing, denials, and appeals of all types. Reports out monthly (and as needed) on denials and other utilization management subjects.

Job Description:

EDUCATION:

  • Other: Graduate of an accredited Vocational Nursing Program
  • OR Other: Graduate of an accredited Psychiatric Technician Program

CERTIFICATION & LICENSURE:

  • LVN-Licensed Vocational Nurse
  • OR PSYT-Psychiatric Technician

TYPICAL EXPERIENCE:

  • 2 years of recent relevant experience.

SKILLS AND KNOWLEDGE:

  • Ability to work independently with a minimum of direction.
  • Critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.
  • Interpersonal, organizational and time management skills.
  • Effective oral and written communication skills.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Variable

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

32

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $47.94 to $57.52 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

About the Company

S

Sutter Health

Sutter Health has a long history in California. Some of our facilities have been providing care in the communities we serve for more than 100 years. Today, we’re proud to partner with more than 12,000 doctors to care for more than 3 million people.

We’re inspired by our Northern California community and work tirelessly to deliver top-rated, affordable healthcare. Doctors, hospitals, care teams and employees in the Sutter Health network are always looking for new, meaningful ways to care for you and your loved ones. We believe that every moment matters when it comes to helping you live a longer, healthier and happier life.

Our not-for-profit network delivers top-rated, personalized care in more than 100 Northern California communities. Recently ranked among the Top 15 Health Systems in the nation by Truven Health Analytics™, our team of more than 50,000 doctors, employees and volunteers partner to spread innovation, improve access to healthcare services and put our patients’ needs first—all to achieve the highest levels of quality, access and affordability.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
EMPLOYEE BENEFITS
Professional Development, 401K, Flexible Spending Accounts, Retirement / Pension Plans, Tuition Reimbursement, Life Insurance
FOUNDED
1921
WEBSITE
https://jobs.sutterhealth.org/