The Sierra Vista Hospital location, a 171-bed psychiatric care facility located in south Sacramento, is a full-service mental health facility and a center of support for patients and their families. Since 1986, we have offered our clinical expertise to those suffering from emotional, behavioral and addiction problems.
The utilization Review clinician is responsible to manage pre certification and continued authorization for all patients admitted to a SVH program to maximize profitability and minimize any financial loss to the hospital and the patient. Using an ongoing, systematic process for continued authorizations on every current admission per the payor guidelines and contract.
The Utilization Review Clinician (URC) will review the patient's medical record on specific days to meet continued authorization. Certification of medical necessity is required, including regulatory and corporate audits as indicated. Provide written appeal letters for all of the assigned CM denials.