Utilization Review Nurse Jobs in Hanover, MD | Glassdoor
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Utilization Review Nurse Jobs in Hanover, MD

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  • 4.1
    Delmarva Foundation – Baltimore, MD
    16 days ago 16d
    years claims review experience required. Experience that demonstrates expertise in conducting utilization reviews, ICD-9/10 coding… NBI MEDIC) has the perfect opportunity for an experienced Nurse Reviewer to join it Baltimore based team. The NBI MEDIC is responsible…
  • 2.9
    Centene – Linthicum Heights, MD
    21 days ago 21d
    an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience. Knowledge of… level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case…
  • 3.2
    HealthCare Scouts – Linthicum Heights, MD
    2 days ago 2d
    with a Managed Care Organization in search of a Utilization Review / UR Nurse with the ideal candidate also having prior authorization… determine medical necessity. REQUIREMENTS: The ideal Utilization Review / UR Nurse will bring passion to the position as well as:…
  • Intrastaff – Baltimore, MD
    4 days ago 4d
    groundbreaking medical research. The Utilization Review Nurse performs utilization review of all patients presenting for hospitalization… all hospitalizations, inpatient or outpatient. The Utilization Review Nurse collaborates with physicians, the health care team…
  • 3.1
    Howard County General Hospital – Columbia, MD
    5 days ago 5d
    healthcare field. The Utilization Review (UR) Nurse is responsible to the Manager, Utilization Management. This individual… prospective and/or retrospective chart and clinical systems review to measure UR issues that effect reimbursement for the patient's…
  • 4.3
    CareNational – Baltimore, MD
    EASY APPLY
    9 days ago 9d
    Utilization Review Nurse (RN or LPN) - Managed Care Baltimore, MD Your Job Summary: The Utilization Review Nurse is responsible… responsible for utilization management and utilization review for prospective, concurrent, or retrospective review. The UR Nurse will performs…
  • 3.8
    Johns Hopkins University – Columbia, MD
    30+ days ago 30d+
    the healthcare field. The Utilization Review (UR) Nurse is responsible to the Manager, Utilization Management. This individual… EDUCATION & EXPERIENCE: * Graduate of an accredited school of nursing. * BSN or Bachelors degree in Health Care Related Field…
  • 3.2
    MHN – Linthicum Heights, MD
    10 days ago 10d
    an Accredited School of Nursing. Bachelor’s degree in Nursing preferred. 2 years of clinical nursing experience. Knowledge of… level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case…
  • 3.4
    Johns Hopkins Hospital – Baltimore, MD
    26 days ago 26d
    groundbreaking medical research. The Utilization Review Nurse performs utilization review of all patients presenting for hospitalization… all hospitalizations, inpatient or outpatient. The Utilization Review Nurse collaborates with physicians, the health care team…
  • 3.0
    Recruitment Specialists, Inc – Glen Burnie, MD
    20 days ago 20d
    Utilization Review Nurse - Insurance Setting 3 - 6 month Assignment Monday - Friday / 40 hours a week For more details… Midas, Acute Care, RN, Interqual Licensed Registered Nurse 2-3 Years of recent CM/UR experience InterQual Knowledge…
  • 4.0
    Nurse Management – Glen Burnie, MD
    Est. Salary $31k-$49k
    2 days ago 2d
    patients. The Case Manager will be responsible for the complete nursing process in the delivery of patient care, which includes assessment…
  • 4.2
    Professional Services Network, Inc. – Columbia, MD
    Est. Salary $50k-$68k
    30+ days ago 30d+
    We are seeking experiences utilization review nurses (RN) for immediate full time assignments expected to last three to four months… Friday from 9:00 AM to 5:00 PM. UR Nurses are needed to perform two types of inpatient reviews: medical medical/behavioral Experience…
  • MJ Morgan Group – Timonium, MD
    26 days ago 26d
    The Utilization Review Nurse will support the clinical review operations needed to assist its membership. This role evaluates… and facilities. Duties and Responsibilities of the Utilization Review Nurse: Coordinate with the appropriate managers on a daily…
  • 3.2
    Johns Hopkins Health Care – Glen Burnie, MD
    Est. Salary $56k-$72k
    7 days ago 7d
    medical issues; and utilization management and quality improvement processes. Current Registered Nurse licensure in the state… Certification in Case Management (CCM) or Utilization Management preferred Minimum of three years of nursing experience which includes a minimum…
  • 3.1
    Howard County General Hospital – Columbia, MD
    26 days ago 26d
    healthcare field. The Utilization Review (UR) Nurse is responsible to the Manager of Utilization Management. This individual… prospective and/or retrospective chart and clinical systems review to measure UR issues that effect reimbursement for the patient's…
  • 3.8
    Johns Hopkins University – Columbia, MD
    30+ days ago 30d+
    healthcare field. The Utilization Review (UR) Nurse is responsible to the Manager of Utilization Management. This individual… Location: Case Management 1.Graduate of an accredited school of nursing. 2.BSN or Bachelors degree in Health Care Related Field…
  • 3.0
    Recruitment Specialists, Inc – Baltimore, MD
    19 days ago 19d
    Case Manager/Utilization Review RN Acute Care Setting Contractual Assignment - 3 months For more details please contact… 800-787-9669 www.rsirecruit.com key words: registered nurse, UR, CM, Case Management, Interqual, milliman Maryland…
  • 2.6
    Genesis Healthcare – Catonsville, MD
    Est. Salary $52k-$69k
    3 days ago 3d
    patient outcomes; 4. Reviews and revises service plan as indicated; Implementing Care: 1. Performs nursing functions and provides… the RN Nursing Supervisor, Resident Care Director, the Registered Nurse (RN) delivers efficient and effective nursing care while…
  • Addison Kenway. – Glen Burnie, MD
    Est. Salary $52k-$82k
    1 days ago 22hr
    Utilization Management Nurse RN Opportunity Glen Burnie, Maryland Job #9368095 Perform telephonic review of prior authorization… management systems Bachelors degree in Nursing preferred. 2+ years of clinical nursing experience Knowledge of healthcare and…
  • 3.6
    Anne Arundel Medical Center – Annapolis, MD
    Est. Salary $45k-$69k
    13 days ago 13d
    Description: Utilization Review/Case Manager - Pathways Job Code: 000648 FLSA: Exempt Reports to: Nurse Manager, Pathways… concurrent utilization review and case referrals on pathways patients, consistent with the approved CPI and Utilization Review Plans…
  • 3.8
    Johns Hopkins University – Glen Burnie, MD
    3 days ago 3d
    minimum of three years of acute care nursing experience. Knowledge of utilization management tools such as Milliman or InterQual… of the health field and pre-authorization review with two or more years of utilization management experience. Also, requires a minimum…
  • 2.6
    Genesis Healthcare – Baltimore, MD
    Est. Salary $52k-$69k
    3 days ago 3d
    patient outcomes; 4. Reviews and revises service plan as indicated; Implementing Care: 1. Performs nursing functions and provides… the RN Nursing Supervisor, Resident Care Director, the Registered Nurse (RN) delivers efficient and effective nursing care while…
  • 3.2
    Johns Hopkins Health Care – Glen Burnie, MD
    5 days ago 5d
    minimum of three years of acute care nursing experience. Knowledge of utilization management tools such as Milliman or InterQual… of the health field and pre-authorization review with two or more years of utilization management experience. Also, requires a minimum…
  • 3.1
    The Judge Group – Linthicum Heights, MD
    19 days ago 19d
    Judge Healthcare is actively seeking Concurrent Review Nurses for multiple positions in the Linthicum, MD area. MUST BE ABLE… not limited to: • Utilization management for medical necessity across the care continuum • Review urgent requests and requests…
  • 2.6
    Genesis Healthcare – Baltimore, MD
    Est. Salary $50k-$69k
    3 days ago 3d
    orientation of newly hired nursing staff; o Demonstrates, teaches and evaluates nursing skills utilized in direct patient care of… Care (PCC) is utilized according to the Business Processes; o Encourages communication between licensed nursing staff and CNAs…
  • 3.0
    Fresenius Medical Care – Odenton, MD
    Est. Salary $82k-$116k
    1 days ago 19hr
    the Pl-17 inventory supply use analysis. Reviews and approves facility payroll. Reviews profit and loss statements with Area Manager… materials. EDUCATION: Graduate of an accredited School of Nursing (RN). Current appropriate state licensure. Advanced education…
  • 3.3
    University of Maryland Medical System – Baltimore, MD
    12 days ago 12d
    Professional Utilization Reviewer(CPUR) and RN is highly desired Job Summary Under general supervision, provides utilization review… through the MD Board of Nursing, is preferred. 2.One year of experience in case management or utilization management with knowledge…
  • 2.4
    Sava Senior Care – Catonsville, MD
    Est. Salary $57k-$72k
    11 days ago 11d
    RN Qualifications Graduate of an accredited school of Nursing. Valid State licensure as an RN. Current CPR certification…
  • 3.7
    Integrity Staffing Solutions, Inc – Linthicum Heights, MD
    Est. Salary $62k-$95k
    20 days ago 20d
    to review inpatient denied days on appeal Skills: Must be a Registered Nurse in MD Previous Medical Records review required… Date: 5/27/2017 12:00:00 AM Utilization Management Nurse Associate needed in Linthicum, MD Integrity Staffing Solutions is…
  • 3.4
    GBMC HealthCare – Towson, MD
    Est. Salary $56k-$75k
    4 days ago 4d
    Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention.… registration with the Maryland State Board of Examiners of Nurses as a registered nurse. · Completion of "Healthcare Provider" CPR course…
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