Utilization Review Tech III
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At a glance
Requirements
Credentials this posting asks for.
Job overview
The Utilization Review Tech III works independently to manage billing, denials, and appeals, coordinating related activities and reporting monthly on utilization management topics. The role supports discharge planning for patients with complex medical, emotional, and social needs while adhering to Sutter Health’s standards and policies.
Skills & qualifications
Skills
Qualifications
Full job description
We are so glad you are interested in joining Sutter Health!
Organization: SMPMC-Sutter 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: 0 Employee Status: Per Diem/Casual Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $48.91 to $68.47 / 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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