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
$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$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...SuggestedWork at office$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$74.29k - $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 to...SuggestedWork at office- 360 Behavioral Health is seeking an organized Authorizations Coordinator in Los Angeles to manage insurance authorizations and ensure clients receive uninterrupted services. This full-time role supports the client Access team and involves collaboration with internal and...Full time
$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
$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...Hourly payWeekend work$88.85k
...income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Utilization Management (UM) Claims Review Nurse RN II is responsible for conducting clinical review of medical claims to ensure services were medically...Full time$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- ...you will do The Patient Access Liaison (PAL) is a field‑based... ...offices and sites of care in reviewing denied claims and identifying... ...Clinical background such as nursing or allied health Understanding... ...including prior authorization, appeals, and denied claims management...Work at officeLocal areaRemote workFlexible hoursNight shift
- Astrana Health Management is seeking a CA-licensed UM Review Nurse to review outpatient medical services. Candidates should have 1+ years of outpatient Utilization Management experience, work remotely, and maintain availability for shifts 8 AM - 8 PM PST, Monday through...Remote jobShift work
- ...Clinical Rehab Liaison Career Opportunity Appreciated for your Clinical Rehab Liaison... ...family members, physicians, ICU and floor nurses, discharge planners, case managers and payer... ...our hospital programs and services. Utilize market analysis to identify new opportunities...Full timePart timeFlexible hours
$180k - $220k
...alignment and final territory will be determined based on candidate location and business need. SUMMARY The Senior Medical Science Liaison (Sr MSL), Movement Disorders provides advanced, field-based medical and scientific leadership in support of Lundbeck’s NeuroRare focus...Local areaFlexible hours- ...Otsuka Pharmaceutical Co., Ltd is seeking a Medical Science Liaison for Southern California and Southern Nevada. This full-time position involves engaging key healthcare stakeholders, providing clinical information, and supporting patient outcomes. The ideal candidate...Full timeRemote work
$140.5k - $223.6k
...A leading global healthcare company is seeking a Senior Medical Science Liaison based in Los Angeles. The role requires building long-term relationships with healthcare providers and stakeholders while disseminating scientific data related to their products. Candidates...$190k - $197.5k
...These qualities position you for success as a Medical Science Liaison with Syneos Health. Responsibilities The Medical Science Liaison... ...clinical expertise through continuous learning, scientific literature review, and awareness of emerging data and treatment trends...Flexible hours- ...DBA-Verwaltungs-Gmbh is seeking a Medical Science Liaison who will play a key role in supporting medical affairs. The candidate will develop relationships with KOLs and provide critical insights on company products. Requirements include a doctorate level degree and at...
$140k - $233k
...Medical Science Liaison, US CNS Oncology Field-Based, Western Region U.S. / Full Time / Exempt / Permanent WHAT YOU'LL DO Provide field-based medical information, scientific data, and education to healthcare professionals on Novocure's FDA-approved and pipeline products...Permanent employmentFull timeWork at officeLocal areaRemote workFlexible hours3 days per week- ...application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Clinical Service Liaison EMPACT Active Regular Full-Time Glendale, AZ, US 6 days ago Requisition ID: 3946 Who we are: EMPACT- Suicide Prevention Center,...Hourly payFull timeTemporary workLocal areaFlexible hours
$110.52k - $138.15k
...Clinical Trial Liaison ICON plc is a world‑leading healthcare intelligence and clinical research organization. We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical...Work experience placementLocal areaFlexible hours- ...Serving as a field resource for our client's medical affairs team, the Medical Science Liaison (MSL) will support company's Ophthalmology and Neurology pipeline therapeutic areas, responsible for engaging external experts, referral networks, and healthcare professionals...Full timeAfternoon shift
$22 per hour
...Position Overview: 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...Hourly payFull timeRemote work- ...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
$55 - $62 per hour
...Overview Clinical Liaison VIPC, Inpatient Hospice Admissions RN Location: Cedars Sinai Hospital Position: Full Time Salary: $55 - $62 /... ...into hospice services. In this role, you’ll need the heart of a nurse and a polished business savvy to interact with physicians and healthcare...Full timeRotating shift$268k - $295k
...planning and execution. We are seeking a highly motivated and experienced leader to join our team as a Sr. Director of Medical Science Liaisons . Key aspects of this front-line manager role will include: developing, mentoring, and coaching a team of MSL direct reports...$140k - $210k
...US Position Overview The Medical Science Liaison (MSL) plays an important role in Medical... ...thought leaders (physicians, pharmacists and nurses) whose opinions and treatment regimens... ...performance feedback and annual compensation review US-based employees may be eligible for...Temporary workLocal areaHome office$146.25k - $211.25k
...Medical Science Liaison, Dermatology Dupilumab Location: Los Angeles, CA About the job... ...the HCPs therapeutic goals. Effectively utilizes the Scientific Engagement Model to plan... ...Regulatory, etc. to facilitate diligence reviews, medical and safety evaluation, product...Local areaFlexible hours$151.5k - $244.2k
...Initial Therapeutics, Inc. seeks a Medical Science Liaison (MSL) to join our team in Los Angeles, focusing on cardiometabolic health. The ideal candidate will provide scientific support to healthcare professionals and manage customer engagements effectively. A PhD or equivalent...
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