Strategic Utilization & Reimbursement Coordinator

University of Maryland Medical System; Glen Burnie (MD); On-site; USD 55,944 - 83,978; Full time

Job summary

University of Maryland Medical System (UMMS) is seeking an Utilization Management Coordinator to support care management. The role collaborates with hospital teams, insurers, and regulators to ensure regulatory compliance and maximize reimbursement while minimizing denials.

The ideal candidate is a Maryland-licensed registered nurse with BSN preferred and at least three years of relevant clinical experience.

Qualifications

• Education: Graduation from an accredited nursing education program approved by the Board of Nursing or substantially equivalent in Maryland; Currently licensed as a Registered Nurse in Maryland.
• Experience: Three (3) years of relevant clinical experience required; ongoing education and certification to stay current with hospital utilization and case management.

Responsibilities

• Collaborate with the hospital team, the insurance provider, and regulatory agencies to ensure compliance with regulatory and reimbursement requirements and maximize reimbursement while minimizing denials.

Education

Maryland Registered Nurse license

BSN (preferred)

Job description

University of Maryland Medical System (UMMS) is seeking an Utilization Management Coordinator to support care management. The role collaborates with hospital teams, insurers, and regulators to ensure regulatory compliance and maximize reimbursement while minimizing denials.

The ideal candidate is a Maryland-licensed registered nurse with BSN preferred and at least three years of relevant clinical experience.