• Provide patient-centered, coordinated access to the network of facilities, institutes, and clinics. • Foster and nurture relationships with existing patients and those seeking treatment. • Function as an entry point and informational resource for patients into the health system. • Provide high-touch, personalized assistance to patients across regions and provider networks.

• Perform admission screening for patients in a bed for medical necessity • Perform concurrent reviews for appropriateness of utilization to optimize clinical and financial outcomes • Communicate with physicians, patients, members of the Healthcare team, Coordinated Business Office staff, Denial Management staff, and third-party payors to justify the admission or continued stay • Notify appropriate staff members of any admission, service, length of stay, lack of medical necessity criteria, as well as denials/appeals and issuing of letters to patients • Provide Physician, Patient, Family, Staff and Student education • Act as a resource person for the case management department regarding payer rules, regulations, policies and procedures, and utilization issues • Perform admission necessity screening using criteria as established by the various federal, state and private sector programs

• Aids patients in obtaining the correct level of care with the appropriate provider at the right time • Provides advance clinical telephone support to Sutter Health patients, other callers, in-basket and other remote support for physicians, and limited in-clinic support • Uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations • Assesses patients' needs, appropriately dispositions cases, collaborates with clinic and hospital-based providers to renew electronic prescriptions, identifies hospital/community resources, consultations/referrals, and performs nursing follow-up activities • Clinical support includes assisting physician partners with message management and other communications within the electronic medical record (EMR) system

Role Description This position is responsible for validating scanned utility invoices. This position is a work from home opportunity with 19-29 hours per week and could follow the school year schedule if desired. Employee must provide high-speed internet, PC and corresponding hardware. - Validate information on scanned utility invoices - Resolve invoice information by correcting invalid fields - Examine current processes and recommend any process improvement efficiencies - Identify recurring problem invoices and route for correction Qualifications - Ability to work independently - Strong Ten Key preferred - Moderate Computer Skills including e-mail, internet browsing and Adobe Reader Requirements - Detail Orientated - Accuracy - Multi-tasking - Time Management - Self-Motivation - Excellent Problem Solving Skills - Organizing and Prioritizing