Utilization Review Technician III
Acts independently to perform and coordinate all activities related to the billing, denials, and appeals of all types.
- Shift and hours
- 8-hour shifts · Days Shift Hours: 8 Job Shift: Days40 hours a week
- Unit and setting
- ABSMC-Alta Bates Herrick Campus
- License
- LVN licenseLVN-Licensed Vocational Nurse
- Term
- PermanentFull time
Do you qualify?
- License
- LVN-Licensed Vocational Nurse
- License
- PSYT-Psychiatric Technician OR PSYT-Psychiatric Technician
- Experience
- 2 years of recent relevant experience 2 years of recent relevant experience.
- Also asks
- Graduate of an accredited vocational nursing program Other: Graduate of an accredited Vocational Nursing Program
- Also asks
- Graduate of an accredited psychiatric technician program OR Other: Graduate of an accredited Psychiatric Technician Program
- Also asks
- Ability to work independently with minimum direction Ability to work independently with a minimum of direction.
- Also asks
- Interpersonal, organizational and time management skills Interpersonal, organizational and time management skills.
- Also asks
- Effective oral and written communication skills Effective oral and written communication skills.
What it pays
- Eligibility
- Eligible positions include a comprehensive benefits package
- Pay reviews
- Range may vary by geographic location where filled The compensation range may vary based on the geographic location where the position is filled.
- Pay reviews
- Pay considers experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs
Benefits
- BenefitsComprehensive benefits packageEligible positions also include a comprehensive benefits package.
The role and schedule
- Union
- Non-union
- Day to day
- Perform and coordinate billing, denials, and appeals activities Acts independently to perform and coordinate all activities related to the billing, denials, and appeals of all types.
- Day to day
- Report monthly and as needed on denials and utilization management Reports out monthly (and as needed) on denials and other utilization management subjects.
- Day to day
- Provide utilization review/discharge planning for patients with complex needs Critical thinking skills necessary to provide utilization review/discharge planning services appropriate to patients with complex medical, emotional and social needs.
- Weekends
- No weekend requirement Weekend Requirements: None
- Details
- Non-exempt position Position Status: Non-Exempt
- Details
- Regular employee status Employee Status: Regular
The workplace
Worth asking
- Can you walk me through base pay range and differentials?
- What should I expect for holiday, call, and rotation?
More questions to askFewer questions
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Ask Mira
Your fit
On your path
Case Management is a specialty you move into. Bedside years first. That experience is what gets you in.
Original listing
Read full text
We are so glad you are interested in joining Sutter Health!
Organization
ABSMC-Alta Bates Herrick Campus
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
Monday - Friday
Weekend
Requirements
None
Benefits
Yes
Unions
No
Position Status
Non-Exempt
Weekly Hours
40
Employee Status
Regular
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.
What's around it?
Berkeley, CA
Living costs about 11% above the US average