Utilization Review Nurse
$74.16 - $107.75 per hourUCLA Outpatient Clinics
Description 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 in order 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. Salary Range: $74.16- $107.75 This position may covert to career #J-18808-Ljbffr UCLA Outpatient Clinics
$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...SuggestedFull time$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...SuggestedContract workTemporary work$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...SuggestedHourly payWeekend work$74.29k - $111.43k
...we are committed to transforming healthcare and creating a better care experience for all. Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting real‑time clinical reviews to ensure the medical necessity and appropriateness of healthcare...SuggestedWork at office$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...SuggestedRemote 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$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 Department at the Resnick Neuropsychiatric Hospital and supports various treatment programs. The ideal candidate will perform clinical...Hourly 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 in Los Angeles, California. This role supports inpatient, partial hospital, and intensive outpatient programs by performing...Hourly pay$74.16 - $107.75 per hour
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...Hourly pay- ...every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered... ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed...Temporary workFlexible hours
- ...every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered... ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed...
- ...Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic... ...describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes...
- ...every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered... ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed...
- ...every day. Works Under The Supervision Of The Nurse Manager/Clinical Coordinator. The Registered... ...For Customer Service, Teamwork, Resource Utilization, And Staff And Self Development As Outlined In Performance Review. # Performs Other Duties As Assigned Or Directed...
- ...strict safety and regulatory standards. Essential Work Functions: Conduct assessment of patients prior to procedures, including reviewing medical history and performing physical exams Assist in positioning patients correctly for the procedure and ensure EKG...Temporary workImmediate start
$1,633 - $3,160 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Los Angeles, CA Agency: job.com Pay: $1,633 to $3,160 per week Shift Information: Days - 5 days x 12 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position TravelNurseSource...Weekly payFull timeContract workImmediate startShift work$2,001 - $2,885 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Los Angeles, CA Agency: job.com Pay: $2,001 to $2,885 per week Shift Information: Days - 3 days x 10 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Registered...Weekly payFull timeContract workImmediate startShift work$2,337 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Gardena, CA Agency: Health Advocates Network Pay: $2,337 per week Shift Information: Days - 5 days x 8 hours Start Date: ASAP About the Position RN – Wound Care Registered Nurse - Health Advocates...Daily paidFull timeImmediate startShift workDay shift$2,525 - $2,822 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Los Angeles, CA Agency: Prime Time Healthcare Pay: $2,525 to $2,822 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Job Description Now...Weekly payFull timeContract workImmediate startFlexible hoursShift work$2,009 - $3,158 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Los Angeles, CA Agency: job.com Pay: $2,009 to $3,158 per week Shift Information: Nights - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Registered...Weekly payFull timeContract workImmediate startShift workNight shift$1,872 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Inglewood, CA Agency: GQR Healthcare Pay: $1,872 per week Shift Information: Days Contract Duration: 52 Weeks Start Date: ASAP About the Position TravelNurseSource is working with...Full timeContract workImmediate startShift work$2,062 - $2,215 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Los Angeles, CA Agency: Host Healthcare Pay: $2,062 to $2,215 per week... ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country...Full timeContract workLocal areaImmediate startShift work$1,872 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Inglewood, CA Agency: GQR Healthcare Pay: $1,872 per week Shift Information: Days Contract Duration: 52 Weeks Start Date: ASAP About the Position GQR Healthcare is representing...Full timeContract workImmediate startShift work$2,409 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Los Angeles, CA Agency: Magnet... ...necessary and as per facility protocols, utilizing safe and effective methods (e.g., autolytic... ...improvement initiatives, such as audits, peer reviews, and training, to improve the quality of...Full timeContract workFlexible hoursShift work$2,400 - $2,600 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Los Angeles, CA Agency: job.com Pay: $2,400 to $2,600 per week Shift... ...based on experience Kindly share your updated resume for a quick review and consideration. About job.com Enhancing Healthcare...Weekly payFull timeContract workLocal areaImmediate startShift workDay shift$2,212 - $2,365 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Los Angeles, CA Agency: Host Healthcare Pay: $2,212 to $2,365 per... ...was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country...Full timeLocal areaImmediate startShift work$2,212 - $2,365 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Los Angeles, CA Agency: Host Healthcare Pay: $2,212 to $2,365 per week Shift Information: Days Start Date: ASAP About the Position Host Healthcare is an award-winning travel healthcare...Full timeImmediate startShift work$1,958 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Lynwood, CA Agency: Lancesoft Inc Pay: $1,958 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 52 Weeks Start Date: ASAP About the Position We are currently seeking...Full timeContract workImmediate startShift work$1,907 - $2,002 per week
...Registered Nurse (RN) | Wound/Ostomy Location: Los Angeles, CA Agency: GQR Healthcare Pay: $1,907 to $2,002 per week Shift Information: Days Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W2 Wound Care Registered...Hourly payWeekly payFull timeContract workTemporary workImmediate startShift work
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