Utilization Management CoordinatorNE at University of Maryland Medical System in Glen Burnie, Maryland

Job Description

Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory agencies to assure compliance with regulatory and reimbursement requirements. The position is goal-oriented with a high level of accountability correlated to maximizing reimbursement and minimizing denials.

All employees are responsible for extending the mission and values of Baltimore Washington Medical Center by dedicating oneself to providing the highest quality healthcare services to the communities we serve.

Reports to the Director of Care Management.

Qualifications

Education: Graduation from an accredited nursing education program approved by the Board of Nursing or found to be substantially equivalent to the programs in Maryland. Currently licensed as a Registered Nurse in the State of Maryland required, BSN preferred.

Experience: Three (3) years of relevant clinical experience required. Ongoing education, certification, and self development to remain current with industry standards and business objectives related to hospital utilization and case management.

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:

• Pay Range: $40.61 - $60.96
• Other Compensation (if applicable): Review the 2025-2026 UMMS Benefits Guide

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