Utilization Review Nurse

UCLA Health

Los Angeles, CA, United States
Base: $74.16 - $107.75 hourly; bonus/equity: not s...
On-site
Third party payor clinical reviews
Revenue cycle support and appeals
Electronic health record documentation
The Utilization Review Nurse supports inpatient, partial hospital, and intensive outpatient programs at the Resnick Neuropsychiatric Hospital

Job Summary

  • The Utilization Review Nurse supports inpatient, partial hospital, and intensive outpatient programs at the Resnick Neuropsychiatric Hospital.
  • This role acts as a critical liaison between third-party payors and the treatment team to secure authorizations and manage denials.
  • The position offers a potential conversion to a career role within the UCLA Health system.

Matching Summary

The Utilization Review Nurse supports inpatient, partial hospital, and intensive outpatient programs at the Resnick Neuropsychiatric Hospital.

Salary

Base: $74.16 - $107.75 Hourly; Bonus/Equity: Not specified; Benefits: Not specified

Skills & Requirements

Must-have

  • Third party payor clinical reviews
  • Revenue cycle support and appeals
  • Electronic health record documentation

Nice-to-have

  • Prior case management experience
  • Financial counseling collaboration
  • Performance improvement initiatives

Key Requirements

  • BSN or MSN degree required
  • 5 years psychiatric nursing care experience
  • Current valid CA RN license
  • BLS certification from ARC or AHA

Work Rights

Not specified

Tailored Resume

Cover Letter