Utilization Management Nurse

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n Utilization Management Nursen

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n General Informationn

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n Work Location: Los Angeles, CA, USAn

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n Onsite or Remoten

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n Fully On-Siten

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n Work Schedulen

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n Monday-Friday 8am-4:30pmn

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n Posted Daten

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n 05/15/2026n

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n Salary Range: $74.16 - 107.75 Hourlyn

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n Employment Typen

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n 4 - Staff: Limitedn

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n Durationn

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n 6 monthsn

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n Job #n

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n 30315n

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n Primary Duties and Responsibilitiesn

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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*

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n Job Qualificationsn

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• 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 Officexc2xa0

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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.

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