What are the responsibilities and job description for the Utilization Review Nurse position at UCLA Health System?
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*
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
$74.16-107.75 Hourly Monday-Friday 8am-4:30pm
Salary : $74 - $108