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Utilization Review Jobs in Baltimore

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Search Results - Utilization Review Jobs in Baltimore
apartmentGQR HealthcareplaceBaltimoreevent_available
week  •  Shift: 12 hours, days  •  Employment Type: Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Baltimore, Maryland Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Hospital Estimated...
apartmentLifeBridge HealthplaceBaltimoreevent_available
Utilization Review Nurse RN  •  Baltimore, MD  •  SINAI HOSPITAL  •  UTILIZATION REVIEW  •  Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm  •  RN OTHER  •  96812  •  $40.12-$62.19 Experience based  •  Posted:July 2, 2026 Apply Now Save Job Saved...
apartmentAmerican TravelerplaceBaltimoreevent_available
for this role American Traveler Job ID #P-734327. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case...
placeBaltimorelanguagemedstarhealth.orgevent_available
Strong knowledge of case management, utilization review, regulatory standards, denials management, observation medicine, and length of stay  •  Familiarity with MCG and InterQual clinical criteria Licensure/Certification:  •  Current medical license...
apartmentLifeBridge Health, Inc.placeBaltimoreevent_available
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial...
apartmentLifeBridge HealthplaceRandallstown, 17 mi from Baltimoreevent_available
Include: Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Enters clinical reviews into the software program. Maintains close communication with external reviewers/internal...
apartmentCenterWell Home HealthplaceTowson, 14 mi from Baltimoreevent_available
evaluation, coaching, and corrective action for clinical staff. /n  •  Conduct ongoing staff education based on documentation review, utilization review findings, and performance improvement data. /n  •  Coordinate communication among physicians, team members...
apartmentLifeBridge Health, Inc.placeBaltimoreevent_available
Work Schedule: This is an EVERY Saturday and Sunday role Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention...
placeClinton (MD), 36 mi from Baltimorelanguagemedstarhealth.orgevent_available
About this Job: Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the Utilization Review Team. Manages daily assignment...
apartmentLifeBridge HealthplaceBaltimoreevent_available
Summary JOB SUMMARY: Conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Interfaces with 3rd...

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