Job Type
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Utilization Review Nurse Jobs in Hanover, MD

1,666 Jobs

  • 3.7
    Piper Companies – Glen Burnie, MD
    9 days ago 9d
    Responsibilities for the Outpatient UtilizationReviewNurse: · Responsible for the utilization management and review of outpatient services… motivated Outpatient UtilizationReviewNurse in Baltimore, MD to support a local health system with utilization management and coordination…
  • 3.5
    Johns Hopkins Hospital – Baltimore, MD
    HOT
    groundbreaking medical research. The UtilizationReviewNurse performs utilizationreview of all patients presenting for hospitalization… all hospitalizations, inpatient or outpatient. The UtilizationReviewNurse collaborates with physicians, the health care team…
  • 3.4
    Washington Hospital Center – Washington, DC
    NEW
    Appeals assists in the administration of utilization functions, the UtilizationReviewNurse, assesses patient insurance/status to… to facilitate appropriate completion of utilizationreview using payer specific criteria; uses Interqual and MCG to determine medical…
  • 3.2
    Howard County General Hospital – Columbia, MD
    8 days ago 8d
    The UtilizationReview (UR) Nurse is responsible to the Manager, Utilization Management. This individual performs UR and Payor… other weekend Work Location: Utilization Management Graduate of an accredited school of nursing. BSN or Bachelors degree…
  • 3.9
    Greater Baltimore Medical Center – Baltimore, MD
    30+ days ago 30d+
    the maximum reimbursement for the hospital through the utilizationreview process. Responsible for discharge planning and coordination… Two (2) years of Case Management which includes UtilizationReview, Discharge Planning and working with Re-Admission Initiatives…
  • 3.7
    Piper Enterprise Solutions – Baltimore, MD
    5 days ago 5d
    Responsibilities for the Outpatient UtilizationReviewNurse: Provide utilizationreview and coordination to a wide variety… Outpatient, utilizationreview, RN, registered nurse, acute care, medical, healthcare, concurrent review, health insurance, nurse, Advantage…
  • 3.7
    Piper Enterprise Solutions – Baltimore, MD
    13 days ago 13d
    Responsibilities for the Inpatient UtilizationReviewNurse: Responsible for the utilization management and review of inpatient services… motivated Inpatient UtilizationReviewNurse in Baltimore, MD to support a local health system with utilization management and coordination…
  • 2.9
    HCR ManorCare – Baltimore, MD
    $54k-$72k(Glassdoor est.)
    Today 4hr
    leading provider of home health care, hospice care, skilled nursing, memory care and post-acute care. As a RN Case Manager,… family intervention are feature assets for this high-profile nursing position. In addition to excellent written/verbal communication…
  • 2.9
    HCR ManorCare – Baltimore, MD
    $54k-$72k(Glassdoor est.)
    Today 4hr
    leading provider of home health care, hospice care, skilled nursing, memory care and post-acute care. As a RN Case Manager,… family intervention are feature assets for this high-profile nursing position. In addition to excellent written/verbal communication…
  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    $58k-$72k(Glassdoor est.)
    23 days ago 23d
    medical issues; and utilization management and quality improvement processes. Current Registered Nurse licensure in the state… in Case Management (CCM) or Utilization Management preferred Minimum of three years of nursing experience which includes a minimum…
  • 2.9
    HCR ManorCare – Towson, MD
    $52k-$68k(Glassdoor est.)
    Today 4hr
    therapy. The RN - Nurse Supervisor is responsible for supervising nursing personnel to deliver nursing care and within scope… HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation…
  • 3.4
    Trinity Health – Silver Spring, MD
    5 days ago 5d
    management/utilization goals by developing, coordinating, supporting and evaluating utilization management and third party review activities… Bachelor’s degree in health related field. Master’s Degree in nursing or other clinical or quality related discipline preferred.…
  • 3.0
    Intrastaff – Baltimore, MD
    22 days ago 22d
    groundbreaking medical research. The UtilizationReviewNurse performs utilizationreview of all patients presenting for hospitalization… all hospitalizations, inpatient or outpatient. The UtilizationReviewNurse collaborates with physicians, the health care team…
  • 4.0
    Johns Hopkins University – Columbia, MD
    30+ days ago 30d+
    healthcare field. The UtilizationReview (UR) Nurse is responsible to the Manager, Utilization Management. This individual… weekend Work Location: Utilization Management Graduate of an accredited school of nursing. BSN or Bachelors degree…
  • 3.3
    Aerotek – Linthicum, MD
    NEW
    License with a minimum of 1 year of utilizationreview experience and 2+ years of clinical nursing experience. About Aerotek:… currently hiring for a Concurrent ReviewNurse. Concurrent ReviewNurse Perform on-site review of emergent/urgent and continued…
  • 2.8
    MHN – Linthicum Heights, MD
    NEW
    continued stay reviews. Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred… level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case…
  • 4.4
    Quadrant – Glen Burnie, MD
    5 days ago 5d
    Registered NurseUtilizationReview Appeals Analyst Glen Burnie MD MUST: 2 years Registered Nurse experience Appeals… Analyst UtilizationReview Must have current Inpatient experience Hospital setting experience Valid Registered Nurse License…
  • 4.0
    Johns Hopkins University – Columbia, MD
    30+ days ago 30d+
    healthcare field. The UtilizationReview (UR) Nurse is responsible to the Manager, Utilization Management. This individual… weekend Work Location: Utilization Management Graduate of an accredited school of nursing. BSN or Bachelors degree…
  • 3.0
    Centene – Linthicum Heights, MD
    NEW
    continued stay reviews. Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred… level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case…
  • 3.6
    The Judge Group, Inc. – Linthicum, MD
    6 days ago 6d
    Judge Healthcare is actively seeking a Concurrent ReviewNurse in Linthicum Heights, MD. PLEASE SEND YOUR RESUME TO… Accredited School of Nursing, BSN preferred RN, LPN, or LVN License 2+ years of clinical nursing experience STRONG…
  • 3.7
    Florida Hospital – Baltimore, MD
    $60k-$77k(Glassdoor est.)
    5 days ago 5d
    Qualifications Less than one year of nursing experience Graduated from an accredited school of nursing (CCNE or ACEN preferred) within… January 31st from 9am to noon We're looking for passionate nurses to join us on January 31. Hiring managers will be on-site to…
  • 4.1
    Healthcare Support – Linthicum Heights, MD
    NEW
    Requirements as Concurrent Review LPN / RN : RN or LVN licensure in the state of Maryland 2+ years of nursing experience 1+ year… year of concurrent review, utilization management, or discharge planning experience Shift: Monday-Friday, 8:00am-5:00pm…
  • 3.3
    State of Maryland – Baltimore, MD
    13 days ago 13d
    decision when reviewing cases for acute hospital inpatient stays. The reviews are done by using clinical nursing knowledge and… is to monitor the utilizationreview activities for the Maryland Medicaid Program completed by the Utilization Control Agent (UCA…
  • 3.5
    Aureus Medical Group – Glen Burnie, MD
    NEW
    information. As always, there is never a fee for candidates to utilize our services.…
  • 2.8
    LiveHealthier – Linthicum Heights, MD
    NEW
    continued stay reviews. Education/Experience: Graduate from an Accredited School of Nursing. Bachelor’s degree in Nursing preferred… level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case…
  • 3.3
    Kindred at Home – Columbia, MD
    $63k-$77k(Glassdoor est.)
    NEW
    medicare, Nurse, Nurse Care Manager, Nurse Job, Nurse Jobs, oncology RN, oncology nurse, oncology registered nurse, palliative… care, Admissions Nurse, Admission Nurse, BLS, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac…
  • 3.7
    Piper Enterprise Solutions – Glen Burnie, MD
    7 days ago 7d
    Responsibilities for the Medical Appeals ReviewNurse: Responsible for the utilization management and review of inpatient and outpatient… Appeals ReviewNurse: 3+ years of nursing experience in an acute care hospital setting Experience with utilization review…
  • 3.3
    Anne Arundel Medical Center – Annapolis, MD
    $66k-$82k(Glassdoor est.)
    Today 11hr
    accredited School of Nursing. Two years of related clinical nursing experience. Required Licensure: Registered Nurse license issued… questions, medication inquiries, etc. Handles DME and Home Nursing Orders. Completes patient FMLA and Return to Work forms.…
  • 3.3
    Anne Arundel Medical Center – Annapolis, MD
    $66k-$82k(Glassdoor est.)
    Today 11hr
    Graduate of an accredited School of Nursing. Two years of related clinical nursing experience. Required License/Certifications… effectively triage incoming calls and provide a variety of nursing treatment functions, including assessment of symptoms, prioritizing…
  • 3.5
    Johns Hopkins Health Care – Glen Burnie, MD
    NEW
    years of acute care nursing experience Knowledge of Interqual Milimen & Roberts or other utilizationreview tools; knowledge of… accredited school of nursing with current Maryland registration as a Nurse Bachelor’s Degree of Nursing preferred Demonstrated…
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