Utilization Management Rn (remote) | Baltimore, Md | Category Location Baltimore, Md

Morgan Stephens

Baltimore, MD, US
Base: $85k + ; bonus/equity: not specified; benefi...
Remote
Active unrestricted rn license in maryland or compact state
Experience with mcg or interqual clinical guidelines
Prior authorization and concurrent review experience
This role plays a critical part in ensuring healthcare services are delivered with quality, cost efficiency, and full regulatory compliance through ongoing clinical reviews

Job Summary

  • This role plays a critical part in ensuring healthcare services are delivered with quality, cost efficiency, and full regulatory compliance through ongoing clinical reviews.
  • The position offers a fully remote opportunity for candidates residing in Maryland or holding a compact license with a fast interview process.
  • Benefits include competitive compensation, a full benefits package, 401(k) with match, paid time off, and continuing education support.

Matching Summary

This role plays a critical part in ensuring healthcare services are delivered with quality, cost efficiency, and full regulatory compliance through ongoing clinical reviews.

Salary

Base: $85K+; Bonus/Equity: Not specified; Benefits: Full benefits package, 401(k) with match, PTO, CE support

Skills & Requirements

Must-have

  • Active unrestricted RN license in Maryland or compact state
  • Experience with MCG or InterQual clinical guidelines
  • Prior authorization and concurrent review experience

Nice-to-have

  • Strong critical thinking and organizational skills
  • Ability to work independently in a remote environment
  • Proficiency in EMR systems and Microsoft Office

Key Requirements

  • Minimum 2+ years in Utilization Management or Case Management
  • Bachelor's degree in Nursing (BSN preferred)
  • Utilization Management or Case Management certification (CCM, ACM) preferred

Work Rights

Must reside in Maryland or hold compact license

Tailored Resume

Cover Letter