Utilization Review Technician jobs in San Bernardino, CA
Utilization Review Technician conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Technician reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Technician consults with nurses and physicians as needed. Position is non-RN. May require an associate degree or its equivalent. Typically reports to a supervisor. May require Registered Health Information Technician (RHIT). The Utilization Review Technician gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Utilization Review Technician typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Recently Added Utilization Review Technician jobs
Utilization Review Technician
- San Bernardino County
-
Colton, CA
FULL_TIME
-
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 CENTERLocated 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!CONDITIONS OF EMPLOYMENTShift 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.If you require technical assistance, please click HERE to review the Government Jobs online application guide, or contact their Toll-Free Applicant Support line at (855) 524-5627. Please note that Human Resources is not responsible for any issues or delays caused by the computer or browser used to submit the application.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.Please click HERE for important Applicant Information and the County Employment Process.
- 1 Day Ago
Utilization Review Nurse
- Desert Oasis Healthcare
-
Palm Springs, CA
FULL_TIME
- Conducts review of prospective requests and supporting documentation for authorization of Specialty Referrals. Responsible for making judgments utilizing established protocols and the DOHC Utilization...
- 24 Days Ago
Travel Utilization Review Registered Nurse
- Aya Healthcare
-
Apple Valley, CA
FULL_TIME,CONTRACTOR,TEMPORARY
- Aya Healthcare has an immediate opening for the following position: Utilization Review Registered Nurse in Apple Valley, California. This is a 13-week contract position that requires at least one year...
- 11 Days Ago
Utilization Review RN - Case Management
- Providence Health
-
Apple Valley, CA
FULL_TIME
- Description Provide prospective, retrospective and concurrent utilization review for St. Mary Medical Center. Provide clinical reviews and medical records daily during admission for all payers as requ...
- 6 Days Ago
Utilization Management Authorization Assistant
- Redlands Community Hospital - UTILIZATION...
-
Redlands, CA
FULL_TIME
- Position Details: Salary: 20.24 - 29.35 Hourly Shift: Days, 8-hour shifts Status: PRN Reporting to the Director of Social Services, this position keeps records, authorizations and paperwork for the de...
- 7 Days Ago
Utilization Management Authorization Assistant
- Redlands Community Hospital - UTILIZATION MANAGEMENT SUPPORT
-
Redlands, CA
FULL_TIME
- Position DetailsSalary: 20.24 - 29.35 HourlyShift: Days, 8-hour shiftsStatus: PRNReporting to the Director of Social Services, this position keeps records, authorizations and paperwork for the departm...
- 7 Days Ago
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0 Utilization Review Technician jobs found in San Bernardino, CA area
Technical Specialist I - Skateboarding Instructor
- City of Pomona, CA
-
Pomona, CA
- Salary: $20.00 - $25.00 Hourly Location : Pomona, CA Job Type: Part-Time Job Number: 24-XTS1SI/1 Department: Community S...
- 4/19/2024 12:00:00 AM
Maintenance Technician
- Hiring Now!
-
Rialto, CA
- At Niagara, we re looking for Team Members who want to be part of achieving our mission to provide our customers the hig...
- 4/19/2024 12:00:00 AM
Tire Technician
- California Wheel Dis
-
San Bernardino, CA
- Job Description Job Description Benefits/Perks Careers Advancement Opportunities Flexible Scheduling Competitive Compens...
- 4/18/2024 12:00:00 AM
Lube Technician
- Martin Automotive Group
-
San Bernardino, CA
- Job Description Job Description Martin Automotive Group is looking for Lube Technicians to join our team at Volkswagen o...
- 4/18/2024 12:00:00 AM
Behavior Technician
- Intercare Therapy
-
San Bernardino, CA
- Job Description Job Description INTERCARE is now HIRING for ENTRY LEVEL positions in the greater Inland Empire! ENJOY FL...
- 4/17/2024 12:00:00 AM
Maximo Technical Specialist
- Harvest Technical Services, Inc.
-
La Verne, CA
- Job Description Job Description *This position is hybrid in La Verne, CA Job Description: We’re looking for someone who ...
- 4/15/2024 12:00:00 AM
Behavior Technician
- Communication A to Z Inc
-
San Bernardino, CA
- Job Description Job Description We have openings in several areas Providing support to clients living in residential hom...
- 4/15/2024 12:00:00 AM
Technician
- National Seating & Mobility
-
Anaheim, CA
- What is it like to work at NSM? National Seating & Mobility (NSM) serves a special mission. We provide each team member ...
- 4/15/2024 12:00:00 AM
About San Bernardino, California
According to the United States Census Bureau, the city has a total area of 59.6 square miles (154 km2), of which 59.2 square miles (153 km2) is land and 0.4 square miles (1.0 km2), or 0.74%, is water.
The city lies in the San Bernardino foothills and the eastern portion of the San Bernardino Valley, roughly 60 miles (97 km) east of Los Angeles. Some major geographical features of the city include the San Bernardino Mountains and the San Bernardino National Forest, in which the city's northernmost neighborhood, Arrowhead Springs, is located; the Cajon Pass adjacent to the northwest border; City...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Technician jobs
$66,459 to $92,733
San Bernardino, California area prices
were up 3.0% from a year ago
were up 3.0% from a year ago
What does a Utilization Review Technician do?
Utilization Review Technician in Winston Salem, NC
When considering cost of living, this places Durham, NC as 3rd out of the 4 largest nearby metros in terms of quality of life for Utilization Review Technicians**.
January 02, 2020
Utilization Review Technician in Fairbanks, AK
Current National Pharmacy Technician Certification (PTCB, ExCPT or NCCT) required.
February 03, 2020
Utilization Review Technician in Little Rock, AR
Based on our compensation data, the estimated salary potential for Utilization Review Technician will increase 16 % over 5 years.
February 07, 2020