Utilization Review Specialist

1 week ago


Berkeley, California, United States Sutter Health Full time
Job Summary

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.
Requirements
  • 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.
Working Conditions

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.



  • Berkeley, California, United States Sutter Health Full time

    Job 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...


  • Berkeley, California, United States Sutter Health Full time

    Job 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...

  • Payroll Specialist

    3 weeks ago


    Berkeley, California, United States LHH Recruitment Solutions Full time

    Job Title: Payroll SpecialistLHH Recruitment Solutions is partnering with a client to hire a Payroll Specialist for a contract opportunity in Berkeley, California.Job Summary:This role involves overseeing the end-to-end payroll process, ensuring accurate and timely compensation for all employees. The ideal candidate will have expertise in UKG software to...


  • Berkeley, California, United States ProCare Therapy Full time

    Job OpportunityProCare Therapy is seeking a qualified Deaf and Hard of Hearing Teacher to join our team for the upcoming school year.Position OverviewWe are looking for a dedicated professional to provide instruction and support to students with hearing impairments. The ideal candidate will have a strong understanding of Deaf Education and be proficient in...

  • Payroll Specialist

    1 week ago


    Berkeley, California, United States LHH Recruitment Solutions Full time

    Job Title: Payroll SpecialistLHH Recruitment Solutions is partnering with a client to hire a Payroll Specialist for a contract opportunity in Berkeley, California.Job Summary:This role involves overseeing the end-to-end payroll process, ensuring accurate and timely compensation for all employees. The successful candidate will have expertise in UKG software...


  • Berkeley, California, United States Sun Light & Power Full time

    About the RoleSun Light & Power is seeking a highly skilled Solar Commercial Interconnection Specialist to join our team. As a key member of our design and project management team, you will be responsible for applying for project interconnection to utilities for solar commercial projects. This role requires excellent communication skills, both verbal and...


  • Berkeley, California, United States Belcan Full time

    Job Title: LIMS Master Data SpecialistBelcan is seeking a highly skilled LIMS Master Data Specialist to join our team. As a key member of our data management team, you will be responsible for coordinating with LIMS / LabVantage / MODA Admins to put together and route Master Data change requests for LabMiddleWare LIMS systems.Responsibilities:Execute or...

  • IT Support Specialist

    3 weeks ago


    Berkeley, California, United States Valor Compounding Pharmacy, Inc. Full time

    Job Title: IT & Software Support SpecialistAt Valor Compounding Pharmacy, we are seeking a highly skilled IT & Software Support Specialist to join our team. As a key member of our IT department, you will be responsible for maintaining and improving our technical systems to ensure seamless operations and data security.Key Responsibilities:Collaborate with...


  • Berkeley, California, United States Insight Global Full time

    Employee Relations SpecialistInsight Global is seeking an Employee Relations Specialist to join a healthcare client of ours in California.The Employee Relations Specialist is responsible for fostering a positive work environment by addressing employee concerns, resolving conflicts, and ensuring compliance with company policies and employment laws.This role...

  • Behavioral Specialist

    3 weeks ago


    Berkeley, California, United States Sunbelt Staffing Full time

    Job OpportunitySunbelt Staffing is seeking a dedicated Behavioral Specialist to contribute to our mission of empowering individuals and their families through evidence-based interventions. This position is conveniently located near Berkeley, CA.Responsibilities:Conduct comprehensive functional behavior assessments (FBAs) and craft individualized behavior...

  • Behavioral Specialist

    3 weeks ago


    Berkeley, California, United States Sunbelt Staffing Full time

    Job OpportunitySunbelt Staffing is seeking a dedicated Behavioral Specialist to join our team and contribute to our mission of empowering individuals and their families through evidence-based interventions.Responsibilities:Conduct comprehensive functional behavior assessments (FBAs) and develop individualized behavior intervention plans (BIPs).Oversee the...


  • Berkeley, California, United States Rad Power Bikes Full time

    Job Title: Retail Specialist, BerkeleyBerkeley, CA / Sales Retail / Full-Time - HourlyRad Power Bikes is a leading consumer direct ebike manufacturer specializing in high quality yet affordable electric bikes for weekend warriors, hardcore commuters, and family cyclists.We are seeking a full-time Retail Specialist to join our team. If you enjoy working in a...


  • Berkeley, California, United States The Boeing Company Full time

    Job DescriptionAt The Boeing Company, we innovate and collaborate to make the world a better place. From the seabed to outer space, you can contribute to work that matters with a company where diversity, equity and inclusion are shared values.We're committed to fostering an environment for every teammate that's welcoming, respectful and inclusive, with great...

  • IT Support Specialist

    2 months ago


    Berkeley, California, United States HTC America Full time

    About HTC America HTC America is dedicated to building a future where technology and humanity converge to unlock our collective imagination. We believe that VIVERSE, the fusion of virtual and augmented reality, high-speed connectivity, AI, and blockchain accessible on any device, anytime, anywhere, will revolutionize every industry and shape human...


  • Berkeley, California, United States The Boeing Company Full time

    About the RoleThe Boeing Company is seeking a highly skilled Shipside Operations Specialist to join our team in Berkeley, MO. As a key member of our Paint Operations team within Air Dominance, you will play a critical role in aligning the Operations Team with Program Leadership, customer counterparts, and cross-functional partners to remove roadblocks and...


  • Berkeley, California, United States Wrench Science Inc. Full time

    Job DescriptionWe are seeking a highly skilled Data Entry Specialist with a passion for cycling to join our team at Wrench Science Inc. in Berkeley, CA. As a key member of our team, you will be responsible for accurate data management, ensuring seamless operations and customer satisfaction.Responsibilities:Enter a variety of data using our WS Admin system,...


  • Berkeley, California, United States On-Site Health & Safety Full time

    Job Title: Mobile Injury Response Technician Emergency Medical ResponderAre you a skilled EMT looking for a new challenge? Do you want to utilize your medical expertise to make a difference in the lives of workers? We have an exciting opportunity for a Full-Time Mobile Technician to join our team at On-Site Health & Safety.Job Summary:We are seeking a highly...


  • Berkeley, California, United States American Association of Collegiate Registrars and Admissions Officers Full time

    About the RoleWe are seeking an Admissions and Marketing Specialist to join our team at the Haas School of Business. As a key member of our admissions team, you will play a critical role in developing and implementing programs for student outreach and recruitment, while continually uplifting the admissions process for the M.E.T....


  • Berkeley, California, United States Boeing Full time

    Job DescriptionThe Boeing Defense, Space, & Security organization has an exciting opportunity for an experienced Shipside Operations Specialist to join the F/A-18 Production Operations team in Berkeley, MO. This position will work in our fast-paced and dynamic production environment to align the Operations Team with Program Leadership, Customer counterparts,...

  • Assistant Manager

    3 weeks ago


    Berkeley, California, United States Perfect Day Full time

    Assistant Manager - People & Culture SpecialistPerfect Day is a company that's on a mission to make all the incredible dairy products you love while making the world a kinder, greener place. Our team brings their diverse experiences to the table every day to make better products without compromise. We believe in the limitless potential of what we're working...