Utilization Review Denial Nurse — Hybrid/Remote Job at UCLA Health, Los Angeles, CA

  • UCLA Health
  • Los Angeles, CA

Job Description

UCLA Health in Los Angeles hires a Denial Nurse Reviewer to support high-quality, cost-effective care by applying clinical knowledge, policies, and regulatory guidelines to review and process adverse organization determinations. Responsibilities include reviewing denials for proper documentation, applying review hierarchy, collaborating with Denial Coordinators, Prior Authorization teams, Medical Directors, and leadership to support accurate denial determinations, and monitoring turnaround times #J-18808-Ljbffr UCLA Health

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