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
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Review Nurse in Los Angeles, CA vacancy
$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...SuggestedFull timeL.A. Care Health Plan
Los Angeles, CA5 days ago$74.16 - $107.75 per hour
...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...SuggestedHourly payMonday to FridayVeterans in Healthcare
Los Angeles, CA1 day ago$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...SuggestedHourly payWeekend workAstrana Health
Monterey Park, CA1 day ago$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...SuggestedHourly payUCLA Outpatient Clinics
Los Angeles, CA5 days ago- 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...SuggestedRemote jobShift work
$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$2,190 per week
Vetted is seeking a RN - Med Surg for a travel job in Winston-Salem, North Carolina . Must have 2+ years of experience. This contract pays approximately $9,489/month gross. Assignment details: Contract length: 13 weeks Shift length: 12 hour shifts ...Hourly payWeekly payContract workImmediate startShift workVetted Health
Burbank, CA9 days ago$100k
...If you've built your life around caring for others — as a nurse, social worker, mother, or in another helping profession — surrogacy offers a powerful way to extend that calling. As a gestational surrogate with Surrogacy Plus, the world's largest international surrogacy...Start working today$100k
...If you've built your life around caring for others — as a nurse, social worker, mother, or in another helping profession — surrogacy offers a powerful way to extend that calling. As a gestational surrogate with Surrogacy Plus, the world's largest international surrogacy...Start working today- Full-time, Part-time, Contract, Temporary In-Office | Glendale, CA, United States The Opportunity You’re the kind of person who is always looking to learn. You want to grow into something greater and you’re looking for an employer that encourages and supports your professional...Full timeContract workTemporary workPart timeWork at office
TEEMA Solutions Group
Glendale, CA5 days ago $46 - $47 per hour
...Are You Ready to Make a Difference in Healthcare? We are currently seeking a Registered Nurse (RN) to join our exceptional healthcare team! Salary Range: $46.00-$47 per hour. We are passionate about providing high-quality care and fostering a compassionate, family‑oriented...Hourly payLocal areaPlaya Del Rey Center
Los Angeles, CA2 days ago- ...crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. Job Summary The Registered Nurse (RN) works as part of a multidisciplinary team and is responsible for all nursing care provided to their assigned patients. The RN...
Community Bridges
Glendale, CA5 days ago $500 per month
...supplemental staff who seamlessly integrate into clients' existing workforce to efficiently deliver high quality healthcare solutions. From nurse staffing to the recruitment of other healthcare specialists, we help clients manage costs without sacrificing performance by...Weekly payDaily paidPermanent employmentFlexible hours24-Hour Medical Staffing Services, LLC
Los Angeles, CA1 day ago$41 - $56 per hour
...Posting Date 06/17/2026 950 South Eastern Ave, Los Angeles, California, 90022, United States of America Position: Registered Nurse (RN) - Dialysis (ICHD) Employment Type: Full-Time Shift: Three (3) Days Per Week, 12 Hour Shifts (Monday/Wednesday/Friday) Start Time: 5:0...Hourly payFull timeMonday to FridayFlexible hoursShift workDay shiftAfternoon shift3 days per weekDaVit
Commerce, CA4 days ago$74 per hour
...Health Advocates Network is currently seeking a Registered Nurse to work at a facility in Los Angeles, California. These are registry positions with our company. Pay Rate $74 / hour Shifts Available 36 hours per week 12 hours Days weekends and holidays Nursing Specialty...Local areaMonday to FridayShift workWeekend workHealth Advocates Network
Los Angeles, CA3 days ago- ...OR Circulator RN to assist in clinical operations at our high-performing endoscopy center. This is an exceptional opportunity for a nurse who is driven and passionate about surgical excellence, as well as delivering outstanding patient care in an outpatient environment....Local areaImmediate start
Beverly-Hills-Endosurgical-Center
Beverly Hills, CA2 days ago $47.2 - $63.45 per hour
.... Join an award‑winning team of dedicated professionals committed to compassion, quality, and service! Responsibilities Registered nurses (RNs) perform basic duties that include treating patients, educating patients about mental and medical conditions, and providing advice...Full timePart timeLocal areaShift workSt. Francis Medical Center
Lynwood, CA2 days ago- ...St. Vincent Eye Surgery Medical Center, located in Los Angeles, CA., is hiring a Full-time Charge Nurse (RN) to join our dedicated team. Under general direction from Center Manager, the Charge Nurse provides professional nursing care through assessment, planning, treatment...Full time
USPI, INC.
Los Angeles, CA14 hours ago $63.68 - $82.01 per hour
...needs of the department. Is a staff role model for professional nursing practice. May recommend to management in efficient resource... ...following skills, competencies, and behaviors: Leadership: Directs reviews, assigns and organizes the work of at least three (3) or more...Hourly payFull timeWork experience placementWork at officeLocal areaShift workKaiser Permanente
Los Angeles, CA5 days ago$35 - $65 per hour
...Pay Range $35-$65/hour Job Description We are seeking a skilled, compassionate, and dedicated Registered Nurse (RN) to join our healthcare team. In this role, you will deliver high-quality, patient-centered nursing care to individuals with a wide range of medical and surgical...Full timeFlint Services
Glendale, CA5 days ago- ...Sunray Healthcare Center POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your supervisors. The Registered...Local areaImmediate start
Sunray Healthcare Center
Los Angeles, CA14 hours ago $2,014.09 per month
...- Thunderbird Job Type Travel Offering Nursing Profession RN Specialty CVOR Job... ...services delivered directly or through others under supervision, utilizing specialized knowledge, judgment, and nursing skills....Weekly payFull timeContract workPart timeReliefLocal areaShift workDCH Regional Medical Center
Glendale, CA6 days ago$1,825 per week
...CA About the facility State CA City Santa Monica Check Out These Reviews FROM REAL HOST HEALTHCARE TRAVELERS: "Host is the best travel... ...above and beyond for us with every assignment!!" Arika - Registered Nurse Has traveled with Host 4 times "I worked with Ryan from Host...Daily paidContract workImmediate startShift workHost Healthcare
Santa Monica, CA1 day ago- ...open to flexible shifts and days. POSITION SUMMARY The purpose of your job position is to provide each resident with routine daily nursing care in accordance with current federal, state, and local standards that govern the facility and as directed by your supervisors. ESSENTIAL...Local areaImmediate startFlexible hours
Valley Palms Care Center
Los Angeles, CA14 hours ago - ...position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordancewith standards of professional nursing practice utilizing the framework for professional nursing practice and development...Temporary workWork at office
PSNYC , INC.
Glendale, CA14 hours ago - ...Overview Registered Nurse (RN) needed for premier nursing facility. Full-time and Part-time PM and AM shift; SNF experience required.... ...treatments in accordance with physician orders and patient needs Reviews nurses’ notes to ensure they are accurate/descriptive of the nursing...Full timePart timeShift work
Workstream
Los Angeles, CA1 day ago - Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates Referral opportunities ? Refer a friend & Cash in! Travel reimbursement and per diem allowances Employee discounts Educational opportunities...Daily paidLocal area
HAN Staff
Santa Monica, CA1 day ago $35 - $59 per hour
...Major holidays off. No prior dialysis experience required; 12 weeks of paid and structured training with an assigned Preceptor and Nurse Educator. Purpose and Scope Registered Professional Nurse Home Therapies RN CAP 1 is an entry-level designation in the Clinical Advancement...Hourly payMonday to FridayNight shiftWeekend workFresenius Medical Care
Beverly Hills, CA2 days ago- ...compliance with all healthcare regulations and organizational policies. Utilize strong problem-solving and communication skills to resolve... ...as assigned. Required Qualifications Bachelor’s degree in Nursing (BSN) preferred. Basic Life Support (BLS) and Advanced Life Support...Work at officeLocal areaFlexible hours
TEEMA Solutions Group
Los Angeles, CA2 days ago - ...healthcare offers healthcare professionals new career opportunities that involve travel, growth, and excitement. At Host Healthcare, we are dedicated to providing travel nurses, travel therapists, and travel allied professionals with the assignment of their dreams....
Host Healthcare
Burbank, CA5 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Utilization Review Nurse. Be the first to apply!
Related searches