Utilization Review Tech III

Sutter HealthSan Mateo, CA
$48 - $58Onsite

About The Position

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.

Requirements

  • Graduate of an accredited Vocational Nursing Program OR Graduate of an accredited Psychiatric Technician Program
  • Licensed Vocational Nurse (LVN) OR Psychiatric Technician (PSYT)
  • 2 years of recent relevant experience
  • 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

Responsibilities

  • Perform and coordinate all activities related to the billing, denials, and appeals of all types.
  • Report monthly (and as needed) on denials and other utilization management subjects.

Benefits

  • Comprehensive benefits package
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