Utilization Review Tech III

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.