Arrowhead Regional Medical Center is recruiting for Utilization Review Technicians who review and monitor medical records and recommend actions to assure patient care is appropriate, medically necessary and cost effective. Duties include: reviewing medical records to evaluate medical necessity of treatments to identify appropriate diagnosis and/or procedure codes and reimbursement rates for billing; monitoring patient records; analyzing medical reports; reviewing medical charts and preparing summaries and reports to justify services and procedures; and coordinating with and obtaining authorization from third party payers for care.
For more information, refer to the Utilization Review Technician job description.
ARROWHEAD REGIONAL MEDICAL CENTER
Located on a beautiful 70-acre campus in Colton, California (50 miles east of Los Angeles), Arrowhead Regional Medical Center (ARMC) is a state-of-the-art, public/nonprofit, 456-bed, university affiliated teaching hospital licensed by the State of California Department of Public Health and accredited by The Joint Commission. The hospital houses a regional burn center serving four counties (San Bernardino, Riverside, Mono and Inyo), a comprehensive stroke center, level I trauma center and a freestanding in-patient behavioral health center. Additionally, ARMC operates five community-based, primary care clinics and over 40 specialty care outpatient services. ARMC is the primary teaching hospital for the adjacently located California University of Science and Medicine (CUSM), the Inland Empire's newest medical school. To learn more, watch our video at this link!
Shift Availability: If selected, applicants are required to work various shifts, which may include weekends and holidays. Failure to indicate availability for day, swing, night, rotating, weekends and holidays will disqualify applicants from the examination process ARMC is a twenty-four hour facility; applicants must indicate their shift availability in the Supplemental Questionnaire of the application. Shift differentials are provided.
Pre-Employment Process: Applicants must pass a background investigation and medical examination including drug screening.
Vaccination Requirement: Per the December 24, 2021 updated CA State Public Health Officer Order, all workers who provide services or work in facilities described in subdivision (a) of the order, including clinics and doctor offices, must be fully vaccinated for COVID-19. In addition, CDPH Public Health Officer Orders updated on February 22, 2022 requires all workers in health care settings currently eligible for boosters, who provide services or work in the impacted facilities must be “fully vaccinated and boosted” for COVID-19 by March 1, 2022. Workers may be exempt from the vaccination requirements under section (1). View the full order here: https://bit.ly/3k0RNMt
The entire All Facilities Letter notifying of updates to the Public Health Order is available at the following link: AFL 21-34.3 Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP).
Vaccination Exemptions: Upon hire, candidates will be required to submit proof of vaccination including the booster dose or request an exemption from the vaccination and booster requirements based on either religious belief or medical reasons.
Candidates must meet one of the following Experience Options:
Option 1: Six (6) months of experience reviewing patient medical records and obtaining authorization from third party payers in an acute care hospital.
-OR-
Option 2: One (1) year of experience processing justification for referrals in an outpatient specialty clinic setting such as Cardiology, Ophthalmology or Surgery.
Note: Family Practice clinic experience is not considered qualifying experience.
English/Spanish bilingual skills are highly desired. Bilingual positions require that applicants pass written and oral language competency tests in order to be considered for bilingual vacancies.
Application Procedure: Please complete and submit the online employment application and supplemental questionnaire by 5:00PM on Friday, April 19th, 2024. Resumes will not be accepted in lieu of the application and/or supplemental questionnaire.
There will be a competitive evaluation based on a review of the Application and Supplemental Questionnaire. It is to your advantage to include as much relevant and detailed work experience as possible.
To ensure timely and successful submission of your online application, please allow ample time to complete and submit your application before the posted filing deadline. Applicants will be automatically logged-out if they have not submitted the application and all required materials prior to the posted deadline. Once your application has been successfully submitted you will receive an onscreen confirmation and an email. We recommend that you save and/or print these for your records.
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EEO/ADA: San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, committed to providing equal employment opportunity to all employees and applicants.
ADA Accommodation: If you have a disability and require accommodations in the testing process, submit the Special Testing Accommodations Request Form within one week of a recruitment filing deadline.
Veterans’ Preference: Eligible veterans and their spouse or widow(er) who are not current County employees may be awarded additional Veterans’ Preference points. Click HERE for information and instructions to request Veteran's Preference points.
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