Utilization Review Tech III
Sutter Bay Hospitals
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Organization:
MPHS-Mills-Peninsula Medical CenterPosition 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:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
VariableWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
32Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $48.91 to $68.47 / hourThe 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.
Summary
Perform billing, denials, appeals, and utilization review for complex patients
Job title
Utilization Review Tech III
Experience level
2+ years
Minimum experience
2+ years exp
Industry
healthcare
Location requirements
San Mateo, no remote work allowed
Salary
$5k–$7k
Visa sponsorship
H-1B sponsor history
Management role
No
Required skills
Preferred skills
Specializations
Structured locations inferred from the posting.
San Mateo, CA, USA