Utilization Review LVN/LPT (SCP NUHW)
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At a glance
Job overview
Sutter Health is hiring an Utilization Review LVN/LPT (SCP NUHW). The Utilization Review/Discharge Planner performs chart reviews to assess care appropriateness, coordinates patient care with the health‑care team to develop integrated discharge plans, and communicates promptly with insurance case‑management providers to manage utilization appeals and patient needs.
Key focus areas include Perform chart review to determine appropriateness of care, Coordinate all aspects of patient care to develop integrated discharge plans, and Communicate timely with insurance case‑management providers for utilization appeals.
Preferred (not required): Utilization Review, Discharge Planning, Independent Work, and Problem Solving.
Skills & qualifications
Skills
Qualifications
Full job description
We are so glad you are interested in joining Sutter Health!
Organization:
SCP-Sutter Center for Psychiatry
Position Overview:
The Utilization Review/Discharge Planner (UR/DP) performs chart review to determine the appropriateness of care to ensure effective quality and cost-efficient outcomes, coordinates all aspects of patient care involving all members of the health care team to develop an integrated discharge plan. Uses effective interpersonal skills in managing the complexity of interactions involved with the position. Must be able to communicate in a timely manner to insurance case management providers to assure continued and discharge utilization management appeals to patient care needs.
Job Description :
EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma.
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HS Diploma or equivalent education/experience
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Graduate of an accredited Psychiatric Technician Program/Vocational Nursing Program
CERTIFICATION & LICENSURE
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LVN-Licensed Vocational Nurse
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OR PSYT-Psychiatric Technician
PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:
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Seasoned experience in psychiatric nursing, preferably in an inpatient setting is required.
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Experience working with all age populations is required.
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Demonstrates experience utilizing effective interpersonal communications, organizational and priority setting skills.
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Demonstrates ability to plan, organize and support implementation of a patient focused program in a healthcare setting.
SKILLS AND KNOWLEDGE
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The ability to work independently with a minimum of direction.
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Critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.
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Excellent interpersonal skills and time management skills.
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Effective oral and written communication skills.
These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).
Job Shift:
Days
Schedule:
Per Diem/Casual
Shift Hours:
8
Days of the Week:
Monday - Friday, Variable
Weekend Requirements:
None
Benefits:
No
Unions:
Yes
Position Status:
Non-Exempt
Weekly Hours:
0
Employee Status:
Per Diem/Casual
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $35.96 to $46.03 / 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.
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