Utilization Review Nurse: Psychiatric Payor Liaison
$74.16 - $107.75 per hourUniversity of California - Los Angeles Health
The University of California - Los Angeles Health is seeking a Utilization Review Nurse to support its Utilization Management Department. This role involves clinical reviews with payors for authorization, acting as a liaison with treatment teams, and ensuring documentation compliance. Candidates must have a BSN or MSN, a valid California RN license, and five years of psychiatric nursing experience. The salary range is $74.16 to $107.75 per hour, and the position may convert to career. #J-18808-Ljbffr University of California - Los Angeles Health
$74.16 - $107.75 per hour
Direct Jobs seeks an experienced Utilization Review Nurse for the Resnick Neuropsychiatric Hospital... ...performing clinical reviews with third party payors and working closely with the... ...RN license, and at least 5 years of psychiatric nursing care experience. Knowledge of...SuggestedWork at office$74.16 - $107.75 per hour
UCLA Health is looking for a Utilization Review Nurse for its Utilization Management Department at... ...conducting clinical reviews with third-party payors to secure authorization and support... ...RN license, and 5 years of psychiatric nursing experience. Knowledge of case...SuggestedWork at office$74.16 - $107.75 per hour
Veterans in Healthcare is looking for a Utilization Review Nurse to work in Los Angeles, CA. This role is part of the Utilization Management... ...candidate will perform clinical reviews, act as a liaison between payors and the treatment team, and complete documentation in the...SuggestedHourly payMonday to Friday$74.16 - $107.75 per hour
UCLA Outpatient Clinics is seeking a Utilization Review Nurse for its Utilization Management Department at the Resnick Neuropsychiatric Hospital... ...programs by performing clinical reviews with third party payors for authorization and managing appeals. Candidates will collaborate...SuggestedHourly pay$264k - $290k
...to the Executive Director of Field Medical Affairs, the Payor and Health Systems Liaison will own and shape the scientific payer/access strategy... ...to support appropriate patient access and evidence‑based utilization for our client’s products. A key aspect of the Payor and...Suggested$74.16 - $107.75 per hour
Description The Utilization Review Nurse is part of the Utilization Management... ...clinical reviews with third party payors in order to obtain... ...the revenue cycle. Acts as a liaison between third party payors... ...or MSN, required 5 years of psychiatric nursing care experience required...Work at office$74.29k - $111.43k
...aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to... ...better care experience for all. Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting real‑time clinical reviews...Work at office$55k - $70k
...Specialty Pharmacy Liaison Los Angeles, CA Job Purpose:... ...medication adherence support by utilizing our various tools and applications... ...an agent of the provider. Review the patients need for... ...reaching out to on-site clinicians, payors, and pharmacies...Work at office$53.25 - $82.68 per hour
...Position Summary The Clinical Liaison RN - PAH is responsible for... ...with hospital service, utilization review/discharge planners/case... ...between patients, families, payors, physicians, Providence discharge... ...patient/family to primary nurse and other members of the hospice...Full timeFlexible hours- ...Clinical Liaison RN - PAH The Clinical Liaison RN - PAH is responsible... ...with hospital service, utilization review/discharge planners/case... ...between patients, families, payors, physicians, Providence discharge... ...patient/family to primary nurse and other members of the...Full time
$115k - $130k
Behavior Frontiers, LLC is seeking a Director of Payor Relations in El Segundo, CA. This role involves developing and managing relationships with commercial and government payors to optimize reimbursement and enhance contract performance for Applied Behavior Analysis services...Contract work$35.06 - $54.43 per hour
...Position Summary The Clinical Liaison serves as the primary... ...patients, families, physicians, payors, Providence discharge... ...the hospital to home, skilled nursing facilities, or assisted living... ...hospital service teams, utilization review/discharge planners, and case...Hourly payFull timeFlexible hours$77.02k - $115.53k
...law. Job Overview The Physician Liaison effectively plans, analyzes, and implements... ...yield, driving process improvement. Utilizes marketing and communication techniques:... ...Develop and implement strategies based on payor opportunities. Analyzes demographic and...Temporary workLocal areaRemote workFlexible hours$35 - $50 per hour
...Job Title : Nurse Chart Reviewer Location : West Hills/Canoga Park 91305 (This role is HYBRID not remote) Overview: The Retro Claims... ...(LVN) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare...Contract workTemporary work$88.85k
...Utilization Management Claims Review Nurse RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 13077 Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $14...Full time$30 - $34 per hour
A health services company is seeking a Utilization Management Review Nurse in Monterey Park, CA. This hybrid role includes conducting reviews for inpatient admissions and outpatient procedures, ensuring compliance with regulations, and working collaboratively with the team...Hourly payWeekend work$34 - $47 per hour
Astrana Health, Inc. seeks a CA-licensed UM Review Nurse to work remotely, approving or denying outpatient services based on medical necessity. Candidates need at least one year of outpatient UM experience and must reside in California. This full-time position involves...Remote jobHourly payFull timeFlexible hours$34 - $47 per hour
Astrana Health is seeking a CA-licensed Utilization Review Nurse for remote work. This role involves using clinical judgment to approve or deny outpatient medical services based on Medical Necessity Criteria. Candidates must have at least one year of outpatient UM experience...Remote jobHourly payShift work$34 - $47 per hour
Astrana Health Management is seeking a Utilization Review Nurse (LVN) to work remotely in California. You will utilize your clinical judgment to approve or deny outpatient medical services. Candidates must have a CA LVN license and at least one year of outpatient UM experience...Remote jobHourly payFull timeShift work- ...Practice Liaison Kindbody's mission is to make fertility and family-building care affordable... ...Patient Assessments and expand services utilized Effectively manage territory,... ...meetings with provider & office teams to review results and discuss upcoming activity and...Work at officeLocal areaNight shiftWeekend work
$22 per hour
...Culture Liaison Location: Los Angeles, CA Reports to: Dean of Culture Category: Classified Fair Labor Standards Act (FSLA) Status... ...disability (physical, intellectual/developmental, or mental health/psychiatric.), exercising the right to family care and medical leave...Hourly payFull timeRemote work$175 per hour
...diem / moonlighting) in Emergency Psychiatry and Consultation-Liaison Psychiatry in the Department of Psychiatry and Behavioral Neurosciences... ...in team-based settings. Responsibilities include provision of psychiatric consultations in the Emergency Department and Medical Center....Hourly payDaily paidContract workFreelanceNight shiftDay shift- ...compassion to their loved ones. Role Description This is a full-time, on-site role in North Coumty San Diego for a Hospice Liaison. The Hospice Liaison will work with healthcare providers to establish and maintain relationships, educate the community about...Full time
$100k
...FULLTIME HospiceSales and Marketing CommunityEducation Liaison San Gabriel Valley and IE Areas Base compensation plus bonuses... ...work in the field, promoting, encouragingand establishing utilization of hospice and palliative care services. The CEL should have...Full time$25 - $28 per hour
Member Outreach And Retention Specialist Responsible for member outreach and retention, overall patient experience and acts as a resource for members. Is available to help patients understand the medical group practice as well as select the appropriate primary care ...Hourly payFull timeCasual workWork at officeRelocation packageFlexible hours$110k - $120k
..., benefits, and growth opportunities. We're hiring aHospice Liaison - a dynamic and compassionate professional who builds relationships... ...documentation is maintained by Silverado and is available for review upon request to ensure compliance with California law. To...Flexible hours- ...about URI go to Summary of the Position The URI Global Youth Liaison is a vital member of the Growth Learning and Impact Team, as part... ...Sheets, Email, Drive, etc.), WhatsApp and Jér Zoom. Experience utilizing social media and an ability to use the URI Connect app to...Work at officeLocal areaRemote workNight shift
- ...Responsibilities: Be compassionate in every interaction Utilize your existing network to generate high-quality referrals for our... ...strong relationships with healthcare professionals, hospitals, nursing homes, assisted living facilities, and other potential referral...Local area
$20.36 - $25.14 per hour
...Camp Community Liaison Pay Range: $20.36 – $25.14 Status: Part-time, Non-Exempt Schedule: 20-25 hours/week, shifts vary by location and may include evenings, weekends, and required trainings. Reports to: Camp Coordinator Program hours of operation: 8:00...Part timeSummer workInternshipWork at officeShift workAfternoon shift- ...You will visit 6-10 hospitals, skilled nursing facilities, nursing homes, assisted living... ...referral sources You will serve as a liaison with hospital planners to ensure smooth transition... ...laws. For further information, please review the Know Your Rights notice from the...Flexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Review Nurse: Psychiatric Payor Liaison. Be the first to apply!
- remote utilization review nurse part time Los Angeles, CA
- psychiatric nurse practitioner pmhnp Los Angeles, CA
- registered mental nurse rmn Los Angeles, CA
- registered mental health nurse Los Angeles, CA
- psychiatric nurse practitioner Los Angeles, CA
- bank mental health nurse Los Angeles, CA
- psychiatric nurse Los Angeles, CA
- community mental health nurse Los Angeles, CA
- marketing liaison Los Angeles, CA
- clinical liaison Los Angeles, CA


