About the role
We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-ValleyPosition Overview:
Processes referral requests for patients to achieve timely and accurate determinations. Works within scope of practice to complete or forward requests as appropriate to Managed Care physicians and/or nurses as per the Utilization Management (UM) protocols. Maintains required turnaround times for referral completion. Assists providers and patients with referral status questions. Participates in development and implementation of improvements to the referral process and workflows.Job Description:
EDUCATION:
- HS Diploma or GED
- Medical terminology knowledge preferred.
SKILLS AND KNOWLEDGE:
- Medical terminology, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS)/International Classification of Diseases (ICD)-9 coding knowledge.
- Competency in using MS Office Excel and Word, other Managed Care programs.
- Ability to identify, understand and solve problems related to claims and referrals.
- Communication skills, including understanding of medical concepts, ability to organize thoughts, and communicate issues concisely and effectively.
- Proven ability to quickly adjust to changing projects and priorities and to multi-task.
- Organizational skills.
Job Shift:
DaysSchedule:
Full TimeShift Hours:
8Days of the Week:
Monday - FridayWeekend Requirements:
NoneBenefits:
YesUnions:
NoPosition Status:
Non-ExemptWeekly Hours:
40Employee Status:
RegularSutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $26.19 to $32.73 / hourThe 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.
Aplyr's read
Sutter Health is a leading not-for-profit healthcare system in Northern California, known for its comprehensive services and commitment to community health.
What's promising
- •Sutter Health offers a wide range of specialized healthcare services across Northern California.
- •The organization is not-for-profit, reinvesting in community health and patient care.
- •Sutter Health provides opportunities in diverse roles, from clinical to administrative positions.
What to watch
- •Sutter Health has faced criticism for high healthcare costs in some regions.
- •The organization has been involved in legal disputes regarding pricing practices.
- •Limited public information about employee satisfaction and internal culture.
Why Sutter Health
- •Sutter Health integrates a comprehensive network of hospitals and outpatient services.
- •The organization emphasizes innovation in healthcare delivery and patient care.
- •Sutter Health's not-for-profit status focuses on community health improvement.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Sutter Health
Sutter Health is a not-for-profit health care system in Northern California, providing a range of health services including hospitals, outpatient care, and home health services.