Utilization Review Nurse: Payor Liaison & Appeals
$74.16 - $107.75 per hourUCLA Outpatient Clinics
UCLA Outpatient Clinics is seeking a Utilization Review Nurse for its Utilization Management Department at the Resnick Neuropsychiatric Hospital in Los Angeles, California. This role supports inpatient, partial hospital, and intensive outpatient programs by performing clinical reviews with third party payors for authorization and managing appeals. Candidates will collaborate with treatment teams and financial counseling, ensuring adherence to payor requirements. This position offers a salary range of $74.16 to $107.75 per hour, and may convert to a career position. #J-18808-Ljbffr UCLA Outpatient Clinics
$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
...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...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... ...payor denials and initiates appeals. Provides consultation to treatment...Suggested$35 - $50 per hour
...Job Title : Nurse Chart Reviewer Location : West Hills/Canoga Park 91305 (This role is HYBRID... ...(RN) with hands-on experience in Utilization Management (UM) and a strong understanding... ...projects related to claim denials and appeals Required Qualifications: • Active...SuggestedContract workTemporary work$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
...continuum of medication adherence support by utilizing our various tools and applications.... ...authorizations (PAs) as an agent of the provider. Review the patients need for financial... ...comfortable reaching out to on-site clinicians, payors, and pharmacies telephonically, highly...Work at officeLocal area$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- ...Amgen Patient Access Liaison Join Amgen's Mission of Serving Patients... ...offices and sites of care in reviewing denied claims and identifying... ...Clinical background such as nursing or allied health ~... ...including prior authorization, appeals, and denied claims management...Work at officeLocal areaWorldwideNight shift
$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$215k - $235k
...pathways from day one. The Patient Access Liaison (PAL) is a field‑based, high‑touch role... ...prior authorization, medical exceptions, appeals, affordability programs, and adherence to... ...readiness activities and ongoing business reviews. Operational Excellence & Data Reporting...Work at office$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$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 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$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, 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$17.99 - $21.99 per hour
Job Title Job Overview: Pay Range: $17.99hr - $21.99hr Responsibilities Serves as the primary point of contact for access to academic medical centers and health sciences campus. Answers, screens, and directs incoming and outgoing telephone calls, electronic...- ...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: Non-Exempt Pay Cycle: 11 months Hourly Range: Starting at $22/hour commensurate with experience Benefits: Full-time employees of ICEF Public...Hourly payFull timeRemote work$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$24.39 - $32.2 per hour
...Participant Experience Liaison The WelbeHealth PACE program helps seniors stay in their homes and communities by providing medical care and community-based services. We provide all-inclusive care for seniors including medical, dental, physical therapy, and much more...$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
$144.72k - $217.08k
...we would love to have you join us! The Role The Medical Science Liaison (MSL/Sr. MSL) of US Medical Affairs Solid Tumor Head & Neck... ...aspects of investigator sponsored trials (ISTs), from submission, review and approval, through study activation/completion Collaborate effectively...Fixed term contractRemote work- ...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
- ...Myriad Genetics is seeking a Medical Science Liaison (MSL) to support the Somatic / Tumor... ...interpretation, therapy alignment, and clinical utility. Delivering clinical and scientific... ...discussions, and PLR (Promotional Literature Review) activities as appropriate. Partnering...Work at officeWork from homeHome office
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