Utilization Review Tech III

Posted Yesterday
Be an Early Applicant
San Mateo, Rizal, Calabarzon, PHL
In-Office
48K-58K Hourly
Junior
Healthtech
The Role
Performs and coordinates billing, denials, appeals, utilization review and discharge planning for patients with complex needs. Reports monthly on denials and utilization management, working independently and communicating effectively with clinical teams.
Summary Generated by Built In

We are so glad you are interested in joining Sutter Health!

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

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

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.

Skills Required

  • Graduate of an accredited Vocational Nursing Program or Graduate of an accredited Psychiatric Technician Program
  • Licensed Vocational Nurse (LVN) or Psychiatric Technician (PSYT) licensure
  • 2 years of recent relevant experience
  • Ability to work independently with minimal direction
  • Critical thinking skills for utilization review and discharge planning for complex medical, emotional, and social needs
  • Interpersonal, organizational, and time management skills
  • Effective oral and written communication skills

Sutter Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Sutter Health and has not been reviewed or approved by Sutter Health.

  • Healthcare Strength Healthcare coverage is described as comprehensive, with broad networks and strong wellness support. Family coverage is characterized as low-cost or nearly free in some plan options, reinforcing perceived value.
  • Retirement Support Retirement offerings include employer matching and, in some cases, a pension after a tenure threshold. Supplemental protections like life and disability insurance add to the overall financial security package.
  • Leave & Time Off Breadth Paid time off is framed as generous, with examples of sizable PTO allotments early in tenure. Additional supports such as flexible scheduling and leave programs contribute to a sense of time-off breadth.

Sutter Health Insights

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The Company
HQ: Sacramento, CA
68,000 Employees
Year Founded: 1921

What We Do

Sutter Health is one of the nation's leading not-for-profit healthcare networks, which includes award-winning physician organizations, acute care hospitals, surgery centers, medical research facilities and specialty services. Our team of 68,000 doctors, employees and volunteers proudly cares for Northern California. Our facilities and care centers are located in large, urban cities and small, rural communities, from the Pacific Coast to the San Joaquin Valley. You’ll find us in San Francisco, Oakland, Sacramento, the snowy mountains of the Sierra Nevada and Lake Tahoe, Napa Valley, Yosemite and the coastal redwoods. We even have an affiliate in Hawaii. Join us and be part of a dedicated group of professionals committed to putting patients’ needs first and achieving the highest levels of quality, access and affordability.

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