Sutter Health

Utilization Review Tech III

Sutter Health$99K — $119K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Graduate of an accredited Vocational Nursing Program or Psychiatric Technician Program
  • LVN-Licensed Vocational Nurse or PSYT-Psychiatric Technician certification
  • 2 years of recent relevant experience
  • Strong critical thinking abilities for complex case management
  • Effective interpersonal and communication skills

Responsibilities

  • Perform and coordinate billing, denials, and appeals independently
  • Report monthly on denials and utilization management topics
  • Conduct utilization review and discharge planning services
  • Manage complex patient cases with medical, emotional, and social needs
  • Coordinate effectively with other healthcare professionals

Benefits

  • Comprehensive benefits package
  • Full-time schedule with consistent working hours
  • Variable days of the week for flexibility
  • No weekend requirements
  • Regular employment status
Full Job Description
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

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 Sutter Health

Sutter Health is a not-for-profit health system in Northern California, headquartered in Sacramento. It includes doctors, hospitals and other health care services in more than 100 Northern California cities and towns. Major service lines of Sutter Health-affiliated hospitals include cardiac care, women’s and children’s services, cancer care, orthopedics and advanced patient safety technology.
Learn more about Sutter Health
Size
58,000 employees
Industry
Founded
1981

Similar Jobs

More Jobs at Sutter Health

More Healthcare Jobs

Find similar Utilization Review Tech III jobs: