Utilization Review Nurse

Utilization Review Nurse - - 30401 - UCLA Health

Skip to content

UCLA Health Home Page

Main menu. Press enter or space keys to expands and escape key to collapse

• Search jobs

• Employee Resources

• Employee Referral Program

• For Employees

• Employee Onboarding

• Log In

Utilization Review Nurse

General Information

Press space or enter keys to toggle section visibility

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

Press space or enter keys to toggle section visibility

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

Press space or enter keys to toggle section visibility

• 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.

Apply Now

Apply as Internal/Current Employee

Refer a Friend

• Back to Search Results

UCLA Health

Privacy policy