UCLA Health

Utilization Review Nurse

UCLA Health  •  Onsite  •  2 days ago
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Job Description


General Information

Work Location: Los Angeles, CA, USA
Onsite or Remote
Fully On-Site
Work Schedule
Monday-Friday 8am-4:30pm
Posted Date
05/15/2026
Salary Range $74.16 - 107.75 Hourly
Employment Type
4 - Staff: Limited
Duration
6 months
Job #
30315


Primary Duties and Responsibilities

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*


Job Qualifications

  • BSN or MSN, required
  • 5 years of psychiatric nursing care experience required.
  • Current valid CA RN license, required
  • BLS from the ARC or AHA, required.
  • Prior case management experience, highly desired
  • Proficient in Microsoft Office


As a condition of employment
, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.
Current/former UC employees are subject to a personnel file review.

UCLA Health

About UCLA Health

For more than half a century, UCLA Health has provided the best in healthcare and the latest in medical technology to the people of Los Angeles and throughout the world.

Comprised of Ronald Reagan UCLA Medical Center, UCLA Medical Center Santa Monica, Resnick Neuropsychiatric Hospital at UCLA, UCLA Mattel Children's Hospital, UCLA West Valley Medical Center and the UCLA Medical Group with its wide-reaching system of primary-care and specialty-care offices throughout the region, UCLA Health is among the most comprehensive and advanced healthcare systems in the world.

Our physicians are world leaders in the diagnosis and treatment of complex illnesses, and our hospitals are among the best in the country. Consistently ranked one of the top ten hospitals in the nation and the best medical center in the western United States by U.S. News & World Report, Ronald Reagan UCLA Medical Center is at the cutting edge of biomedical research, and our doctors and scientists are leaders in performing pioneering work across an astounding range of disciplines, from organ transplantation and cardiac surgery to neurosurgery and cancer treatment, and bringing the latest discoveries to virtually every field of medicine.

Industry
Healthcare & Social Services
Company Size
10,000+ employees
Headquarters
Los Angeles, CA
Year Founded
1955
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