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)
GENERAL REQUIREMENTS: Ability to work well with others in a team environment
Ability to follow verbal and written instructions
Ability to work quickly and accurately
Ability to diagnose and solve mechanical problems
JOB RESPONSIBILITIES:
Equipment operation and repair.
Includes: operating production machines and equipment to maximum efficiency; trouble-shooting equipment problems; performing change-overs on machines; keeping equipment operating to maximum efficiency; ensuring all guards, shields, and safety functions are in place and working properly
Maintaining accurate and complete records.
Includes: filling out machine reports for each machine and for auxiliary equipment; reporting equipment and quality problems to supervisor and to oncoming shift; completion of production reports, as needed organizing and ensuring the proper storage and availability of spare equipment and department supplies; assisting with the proper storage, inventory, mixing, application, and clean-up
Controlling materials.
Includes: mixing resins, color concentrates and supplies to supply the machines with correct material mixtures; ensuring each machine is running the correct materials; keep areas clean and organized; sorting, cleaning, and controlling rejected product to maximize reuse and minimize loss; cleaning out machines
Supply and organization of production materials.
Includes: making readily available the supplies needed for each order; returning unused supplies to their proper locations; accounting for supplies
Delivery of finished product to storage locations.
Includes: preparing and delivering finished product to storage locations according to instructions; keeping accurate count of product put into storage; responding to queries and resolving discrepancies regarding production quantities; loading trailers according to instructions; accurately marking rows on trailers
Address Minor Product defects.
Includes: removing flash and extraneous pieces from bottles, both manually and by operating or feeding semi-automatic trimming machines, printing or coating defects that can be addressed, inform supervision of items that cannot be resolved.
Inspecting and packing product.
Includes: performing on-line visual inspections of product; conducting on-line quality testing; rejecting product that does not conform to quality expectations; printing, coating, affixing sleeves, labels, and stickers to finished product, as required; packing bottles according to instructions in the product book; keeping pace with the flow of product
Quality control.
Includes: minimizing the number of bottles rejected due to machine or process problems
Reports.
Includes: keeping maintenance records for all machines; communicating necessary machine information to supervisors, operators, and the Department Manager
Production.
Includes: performing the duties of a others in the department, as assigned.
Housekeeping.
Includes: keeping work area clean and organized; keeping excess plastic and rejected product clean for reprocessing; reprocessing rejected product
Miscellaneous.
Includes: filling in as team leader, as needed; performing other duties, as assigned.
PHYSICAL REQUIREMENTS: Employees must be able to:
Lift approximately 20 pounds regularly
Lift up to 40 pounds occasionally
Lift up to 75 pounds rarely
Stand for extended periods of time
Bend, lift and reach on a regular basis
Use both hands to grasp, twist, pull and manipulate parts
Tolerate hot and dusty environments
Tolerate loud noise
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