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Utilization Review RN (Hybrid) - Medical Necessity Expert

State of Maryland

State of Maryland, MDH, Maryland Healthcare System in Catonsville, MD, seeks a nurse reviewer to conduct admissions, continuation of care reviews, and readmissions, while managing the denial process. This role addresses the MDH waitlist by identifying patients who no longer meet medical necessity criteria. Reviews are independent of treatment teams with objective feedback to hospitals. The position is hybrid with teleworking options and contributes to reporting that identifies care-improvement #J-18808-Ljbffr State of Maryland

Vacancy posted 4 days ago
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