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Internship Remote Utilization Review Jobs in Baltimore, MD

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Specialist

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Utilization Management Specialist (UM / Utilization Review Nurse) -- Remote Location: 100% Remote (U.S.) -- Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension ...

System One

Utilization Management Coordinator

Baltimore, MD · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Review incoming authorization requests for initial determination and/or triage items for clinical ...

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Internship Remote Utilization Review information

See Baltimore, MD salary details

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$19

$29

How much do internship remote utilization review jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for internship remote utilization review in Baltimore, MD is $19.19, according to ZipRecruiter salary data. Most workers in this role earn between $16.01 and $20.77 per hour, depending on experience, location, and employer.

What are the main challenges interns face when working remotely in utilization review, and how can they overcome them?

Remote Utilization Review interns often encounter challenges in balancing independent work with effective communication, especially when collaborating with clinical teams or supervisors. Staying organized and proactively reaching out for guidance can help bridge gaps caused by remote settings. Utilizing available digital tools, attending virtual meetings, and participating in team chats fosters connection and learning. Setting a structured daily schedule and seeking regular feedback ensures that interns stay aligned with team goals and develop their review skills efficiently.

What is a remote utilization review internship?

A Remote Utilization Review Internship is a temporary position, often for students or recent graduates, that allows individuals to work remotely while learning about utilization review processes in healthcare. Interns assist in evaluating medical records, ensuring that healthcare services provided to patients are medically necessary and meet established guidelines. They work under the supervision of licensed professionals, gaining experience in medical documentation, insurance policies, and healthcare regulations. This role is ideal for those interested in healthcare administration, nursing, or case management.

What is the difference between Internship Remote Utilization Review vs Utilization Review Specialist?

AspectInternship Remote Utilization ReviewUtilization Review Specialist
CredentialsTypically pursuing or holding relevant certifications (e.g., CCM, RN)Requires active certification and experience in utilization review
Work EnvironmentRemote, internship setting, often part-time or supervisedFull-time, remote or onsite, with more independent responsibilities
Industry UsageEntry-level, training phase within healthcare and insurance sectorsProfessional role with established responsibilities in healthcare management

In summary, an Internship Remote Utilization Review is a training position for individuals gaining experience in utilization review, often with supervision and limited responsibilities. A Utilization Review Specialist is a fully qualified professional responsible for evaluating healthcare services, requiring certifications and more independence in their role.

What are the key skills and qualifications needed to thrive as a remote utilization review intern?

To thrive as a Remote Utilization Review Intern, you need a foundational understanding of healthcare processes, medical terminology, and insurance guidelines, often supported by a relevant degree or coursework in nursing, health administration, or a related field. Familiarity with electronic medical record (EMR) systems, utilization review software, and HIPAA compliance is typically required. Strong attention to detail, analytical thinking, and effective written communication are standout soft skills in this role. These abilities are crucial for accurately reviewing patient cases, ensuring regulatory compliance, and supporting efficient healthcare delivery from a remote setting.

What are the most commonly searched types of Remote Utilization Review jobs in Baltimore, MD?

The most popular types of Remote Utilization Review jobs in Baltimore, MD are:

What are popular job titles related to Internship Remote Utilization Review jobs in Baltimore, MD?

For Internship Remote Utilization Review jobs in Baltimore, MD, the most frequently searched job titles are:

What job categories do people searching Internship Remote Utilization Review jobs in Baltimore, MD look for?

The top searched job categories for Internship Remote Utilization Review jobs in Baltimore, MD are:

Internship Remote Utilization Review jobs near you
Infographic showing various Internship Remote Utilization Review job openings in Baltimore, MD as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $39,919 per year, or $19.2 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 23 days ago

Job description

Utilization Management Specialist (UM / Utilization Review Nurse) — Remote

Location: 100% Remote (U.S.) — Maryland compact/eligibility required Type: Contract (approx. 3 months; potential extension) Schedule: Mon–Fri, 8:00am–5:00pm ET (1-hour lunch) - Flex after ramp-up start time between 7:00am–9:00am ET Pay (W2): USD 51.00/H

Job overview

In this role, you’ll use your clinical background and utilization management experience to review requests for care and determine medical necessity, appropriateness, and benefit coverage. You’ll work fully remote and leverage MCG, medical policy, and regulatory guidelines while collaborating with Medical Directors and internal teams to support timely, accurate authorization decisions.

What you’ll do

  • Perform prospective, concurrent, and retrospective utilization reviews (medical + behavioral health).
  • Make medical necessity / appropriateness determinations and support prior authorizations.
  • Use clinical criteria and policy resources daily (including MCG / Milliman Care Guidelines).
  • Review clinical documentation, benefits, and mandates to ensure services align with coverage and guidelines.
  • Research diagnoses/treatments and high-cost services; summarize findings and escalate complex cases to Medical Directors as needed.
  • Collaborate with internal partners and providers to support benefit application and appropriate levels/settings of care.
  • Maintain accurate documentation and protect PHI while managing a busy caseload.

Required qualifications

  • Active RN or LPN license (RN preferred) — Maryland compact/eligibility required
  • 5+ years clinical nursing experience
  • 2+ years care management / utilization management experience
  • MCG experience (required)
  • Experience supporting Commercial/FEP/Medicare lines of business and applying medical policy/regulatory standards
  • Strong critical thinking, written communication, and ability to work independently in a remote setting
  • Comfortable with web-based tools + Microsoft Office (Word/Excel/PowerPoint)
  • Guiding Care and FACETS (required)

Nice to have

  • Critical Care or ER clinical background
  • Experience with LCD/NCD, Medicare guidelines, ASAM, or other authorization criteria sets

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-1 #LI-AJ1 Ref: #851-Rockville-S1