RN Utilization Management & Care Coordination

University of Maryland Medical System; Glen Burnie (MD); On-site; USD 56,000 - 84,000; Full time

Job summary

UM Baltimore Washington Medical Center, part of the University of Maryland Medical System, seeks a Utilization Management Coordinator. The role collaborates with hospital teams, insurers, and regulators to ensure compliance with reimbursement requirements.

You will maximize reimbursement and minimize denials, with a focus on high-quality care and accurate documentation. Requires Maryland RN license, BSN preferred, and at least three years of relevant clinical experience.

Qualifications

• Three (3) years of relevant clinical experience required.
• Graduation from an accredited nursing program and Maryland RN license.

Responsibilities

• Collaborate with hospital team, insurance providers, and regulatory agencies to ensure compliance with reimbursement requirements.
• Maximize reimbursement and minimize denials through adherence to utilization guidelines.

Education

RN License (Maryland)

BSN preferred

Job description

UM Baltimore Washington Medical Center, part of the University of Maryland Medical System, seeks a Utilization Management Coordinator. The role collaborates with hospital teams, insurers, and regulators to ensure compliance with reimbursement requirements.

You will maximize reimbursement and minimize denials, with a focus on high-quality care and accurate documentation. Requires Maryland RN license, BSN preferred, and at least three years of relevant clinical experience.