Utilization Review Specialist
1 week ago
We are seeking a highly skilled Utilization Review Specialist to join our team at Sutter Health. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the highest quality care while also optimizing resource utilization.
Key Responsibilities- Conduct thorough reviews of patient medical records to ensure accurate and timely documentation of healthcare services.
- Collaborate with healthcare providers, case managers, and other stakeholders to identify opportunities for improving patient care and reducing healthcare costs.
- Develop and implement effective utilization management strategies to ensure that patients receive the most appropriate level of care.
- Provide education and support to patients, families, and healthcare providers on healthcare services and utilization management best practices.
- Stay up-to-date on changing healthcare regulations, policies, and procedures to ensure compliance and optimal patient outcomes.
- Bachelor's degree in Business Administration or related field.
- Equivalent experience will be accepted in lieu of the required degree or diploma.
- Working knowledge of medical terminology, including general knowledge of illnesses, current treatments, and their physical and psychosocial sequelae.
- Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.
- Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other hospital personnel.
This is a per diem/casual position with variable shifts and weekend requirements as needed.
The salary range for this role is $46.29 to $69.44 per hour.
Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
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Utilization Review Specialist
2 weeks ago
Berkeley, California, United States Sutter Health Full timeJob Title: Utilization Review SpecialistSutter Health is seeking a skilled Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary costs.Key Responsibilities:Conduct thorough reviews of patient...
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Utilization Review Specialist
3 weeks ago
Berkeley, California, United States Sutter Health Full timeJob Title: Utilization Review SpecialistSutter Health is seeking a skilled Utilization Review Specialist to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that patients receive the most appropriate level of care while minimizing unnecessary costs.Key Responsibilities:Conduct thorough reviews of patient...
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