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Utilization Review Nurse

$74.16 - $107.75 per hour

Veterans in Healthcare

Utilization Review Nurse Work Location: Los Angeles, CA Job #: 30315 Work Hours: Monday-Friday 8am-4:30pm Employment Type: 4 – Staff- Limited Duration: 6 months Salary Range: $74.16–107.75 hourly Posted Date: May 15, 2026 Bargaining Unit: CNA – NX Job Duties The Utilization Review Nurse is part of the Utilization Management Department at the Resnick Neuropsychiatric Hospital, supporting inpatient, partial hospital, and intensive outpatient programs. Performs clinical reviews with third party payors to obtain authorization, supporting the revenue cycle. Acts as a liaison between third party payors and the treatment team. Collaborates with financial counseling and the revenue cycle team. Follows up on payor denials and initiates appeals. Provides consultation to treatment team members regarding payor requirements. Completes required documentation within the electronic health record. Adheres to current organizational performance improvement priorities and takes action to improve practices and policies. #J-18808-Ljbffr Veterans in Healthcare

Vacancy posted 5 days ago
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