Utilization Review Nurse (RN)

Company Description

When you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare professionals means you’ll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade ‘A’ hospital and by U.S. News & World Report as #3 in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland. In addition, we’ve been consistently recognized as a top employer by Baltimore magazine. 

Job Description

Work Schedule * 8:00am - 4:30pm - Full time hybrid position with weekend rotation required.

The Utilization Review Nurse (RN) coordinates the care and service of selected patient populations across the continuum. He/ she works collaboratively with physicians and other members of the health care team to achieve the highest quality clinical outcomes with the most cost effective use of available resources. The Utilization Review Nurse (RN) assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors and measures the effectiveness of interventions to meet patients’ treatment and transitional needs.

Qualifications

Education

• * 2 year / Associate’s Degree (Required)
• * High School Diploma or GED (Required) 4 year / Bachelor’s Degree (Preferred)

Certification / Licensure / Registration

• *State Registered Nurse License (Required)
• MCG Or InterQual experience (Preferred)
• CCM Case Management Certification (Preferred) Experience and Skills
• *2 - 4 years Familiarity with health care reimbursement systems (Required)
• *4 - 6 years Acute care hospital or similar venue. (Required) 2 - 4 years Case management, discharge planning or utilization management (Preferred)

Required Skills: Strong Verbal Communications Skills, Strong Written Communications Skills, Excellent Interpersonal Skills, Medical Terminology

Additional Information

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

Compensation:
Pay Range: $39.52 - $50.65
Other Compensation (if applicable): N/A
Review the 2025-2026 UMMS Benefits Guide

Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at [email protected].