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Insurance Companies Rn Jobs in Maryland (NOW HIRING)

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Insurance Companies Rn information

What is the difference between Insurance Companies Rn vs Insurance Adjuster?

AspectInsurance Companies RnInsurance Adjuster
Required CredentialsRN license, possibly certifications in insurance or healthcareAdjuster license, certifications like AIC or CPCU
Work EnvironmentHospitals, clinics, insurance companies' health departmentsFieldwork, claims offices, or remote
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, third-party claims firms
Common Search & ComparisonInsurance Companies Rn vs Insurance Adjuster

Insurance Companies Rn and Insurance Adjusters both work within the insurance industry but serve different roles. RNs focus on health-related assessments and patient care within insurance companies, requiring nursing credentials. Adjusters evaluate insurance claims, often in property or casualty insurance, requiring licensing and claims-specific certifications. Understanding these differences helps job seekers identify the right career path based on credentials, work environment, and industry functions.

What cities in Maryland are hiring for Insurance Companies Rn jobs? Cities in Maryland with the most Insurance Companies Rn job openings:
Insurance Companies Rn jobs near you
Infographic showing various Insurance Companies Rn job openings in Maryland as of June 2026, with employment types broken down into 67% Full Time, 19% Part Time, and 14% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.
Utilization Review, RN Flex

Utilization Review, RN Flex

University of Maryland Medical System

Towson, MD • On-site

Full-time

Posted 24 days ago

Job description

Job Requirements
Job Summary
A Utilization Review (UR) Nurse is a registered nurse who bridges the gap between healthcare providers and insurance companies. They evaluate patient medical records to ensure treatments, procedures, and hospital stays are clinically necessary, cost-effective, and meet established insurance guidelines.
  • Medical Necessity Reviews: They verify that admissions, surgeries, and treatments are medically necessary by comparing patient charts to standardized, evidence-based guidelines like Milliman Care Guidelines (MCG) or InterQual.
  • Concurrent & Retrospective Reviews: They review ongoing hospital stays (concurrent) to authorize continuing care, and review charts after discharge (retrospective) to prevent claim denials and ensure accurate billing.
  • Insurance Liaison: They act as a go-between, submitting clinical data to insurance companies to secure prior authorizations and ongoing approvals so the hospital gets properly reimbursed.
  • Resource Optimization: They monitor the patient's progress to ensure they are in the appropriate level of care (e.g., observation vs. inpatient) and help coordinate discharges to lower levels of care.

Work Experience
Education
* 4 year/ Bachelor's degree in Nursing (Required)
Master's Degree in Nursing (Preferred)
Experience and Skills
Required Skills: Strong Verbal Communications Skills, Strong Written Communications Skills, Excel Intermediate Level, PowerPoint - Intermediate Level, MS Word - Intermediate Level, Excellent Organizational Skills

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