Upper Marlboro, MD · Remote
$150 - $200/hr
... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...
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Upper Marlboro, MD · Remote
$150 - $200/hr
... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...
Lexington Park, MD · Remote
$150 - $200/hr
... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...
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Lexington Park, MD · Remote
$150 - $200/hr
... making rather than scheduling, insurance verification, or chasing records. Clinical ... Document within our behavioral health EMR to the standard required for payer review * Escalate ...
Director, Affordability Alpine Physician Partners | Remote-Flexible The Role This role is ... utilization. Partner with Market CMOs and clinic teams to implement referral integrity review at ...
Director, Affordability Alpine Physician Partners | Remote-Flexible The Role This role is ... utilization. Partner with Market CMOs and clinic teams to implement referral integrity review at ...
Bel Air, MD · On-site +1
Remote/Hybrid (Bel Air, MD office) WHAT YOU'LL DO: * Provide technical oversight of complex auto ... Actively coordinate claim file reviews with insured and agent. * Provide mentorship and guidance to ...
Bel Air, MD · On-site +1
Remote/Hybrid (Bel Air, MD office) WHAT YOU'LL DO: * Provide technical oversight of complex auto ... Actively coordinate claim file reviews with insured and agent. * Provide mentorship and guidance to ...
Prepare and review financial reports, forecasts, staffing plans, and resource allocation strategies ... insurance and matching 401(k) contribution. Equal Opportunity Employer/Protected Veterans ...
Prepare and review financial reports, forecasts, staffing plans, and resource allocation strategies ... insurance and matching 401(k) contribution. Equal Opportunity Employer/Protected Veterans ...
Rockville, MD · On-site +1
$95K - $135K/yr
Prepare and review financial reports, forecasts, staffing plans, and resource allocation strategies ... insurance and matching 401(k) contribution. Equal Opportunity Employer/Protected Veterans ...
Rockville, MD · On-site +1
$95K - $135K/yr
Prepare and review financial reports, forecasts, staffing plans, and resource allocation strategies ... insurance and matching 401(k) contribution. Equal Opportunity Employer/Protected Veterans ...
Baltimore, MD · Remote
$80K - $100K/yr
Review study protocols, informed consent documents, investigator brochures, and sponsor ... Medical, dental, and vision insurance * Paid time off and holidays * 401(k) with company match
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Baltimore, MD · Remote
$80K - $100K/yr
Review study protocols, informed consent documents, investigator brochures, and sponsor ... Medical, dental, and vision insurance * Paid time off and holidays * 401(k) with company match
Baltimore, MD · Remote
$80K - $100K/yr
Review study protocols, informed consent documents, investigator brochures, and sponsor ... Medical, dental, and vision insurance * Paid time off and holidays * 401(k) with company match
Quick apply
Baltimore, MD · Remote
$80K - $100K/yr
Review study protocols, informed consent documents, investigator brochures, and sponsor ... Medical, dental, and vision insurance * Paid time off and holidays * 401(k) with company match
Columbia, MD · Remote
$90K - $105K/yr
This full-time remote position is ideal for a licensed professional who seeks to make a meaningful ... Engage with insurance companies for pre-certification and utilization management tasks to ...
Columbia, MD · Remote
$90K - $105K/yr
This full-time remote position is ideal for a licensed professional who seeks to make a meaningful ... Engage with insurance companies for pre-certification and utilization management tasks to ...
Bel Air, MD · On-site +1
$95K - $136K/yr
Remote/Hybrid (Bel Air, MD office) WHAT YOU'LL DO: * Provide technical oversight of complex auto ... Actively coordinate claim file reviews with insured and agent. * Provide mentorship and guidance to ...
Bel Air, MD · On-site +1
$95K - $136K/yr
Remote/Hybrid (Bel Air, MD office) WHAT YOU'LL DO: * Provide technical oversight of complex auto ... Actively coordinate claim file reviews with insured and agent. * Provide mentorship and guidance to ...
Columbia, MD · Remote
This full-time remote position offers the opportunity to provide critical mental health support to ... insurance companies to manage pre-certification processes and ongoing utilization management ...
Columbia, MD · Remote
This full-time remote position offers the opportunity to provide critical mental health support to ... insurance companies to manage pre-certification processes and ongoing utilization management ...
Annapolis, MD · Remote
$58K - $77K/yr
... insurances to ensure that our services are accessible to all. Work Environment This position is ... Strong familiarity with community resources and their utilization in the context of behavioral ...
Annapolis, MD · Remote
$58K - $77K/yr
... insurances to ensure that our services are accessible to all. Work Environment This position is ... Strong familiarity with community resources and their utilization in the context of behavioral ...
Suitland, MD · Remote
$63 - $82.50/hr
... reviews, recertification, cleanup, and decommissioning. * Install, configure, maintain, patch ... remote users, certificates, authentication policies, availability, utilization, and user access ...
Suitland, MD · Remote
$63 - $82.50/hr
... reviews, recertification, cleanup, and decommissioning. * Install, configure, maintain, patch ... remote users, certificates, authentication policies, availability, utilization, and user access ...
Provide deep subject matter expertise in all areas of Utilization Management (UM), including pre-service, concurrent review, and inpatient management, with a specific focus on optimizing end-to-end ...
Provide deep subject matter expertise in all areas of Utilization Management (UM), including pre-service, concurrent review, and inpatient management, with a specific focus on optimizing end-to-end ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...
Waldorf, MD · On-site +1
$90K - $104K/yr
Insurance coverage tailored for therapists, safeguarding your professional practice ... Utilization of an advanced therapist dashboard to streamline scheduling and session management.
Waldorf, MD · On-site +1
$90K - $104K/yr
Insurance coverage tailored for therapists, safeguarding your professional practice ... Utilization of an advanced therapist dashboard to streamline scheduling and session management.
Waldorf, MD · Remote
Engage with insurance providers to facilitate pre-certification and utilization management ... Familiarity with telehealth platforms and remote engagement strategies to maintain connectivity ...
Waldorf, MD · Remote
Engage with insurance providers to facilitate pre-certification and utilization management ... Familiarity with telehealth platforms and remote engagement strategies to maintain connectivity ...
Work Environment This position is structured as a remote role, enabling flexibility while ensuring ... Insurance Coordination: Engage with insurance companies for pre-certification and utilization ...
Work Environment This position is structured as a remote role, enabling flexibility while ensuring ... Insurance Coordination: Engage with insurance companies for pre-certification and utilization ...
Ellicott City, MD · Remote
$90K - $104K/yr
Therapist insurance coverage offering protection and peace of mind in your professional practice ... Utilization of a state-of-the-art therapist dashboard, streamlining case management and session ...
Ellicott City, MD · Remote
$90K - $104K/yr
Therapist insurance coverage offering protection and peace of mind in your professional practice ... Utilization of a state-of-the-art therapist dashboard, streamlining case management and session ...
S.. This is a fully remote position so you will have a home-based office. In this role, you will ... Review contracts, invoices, payment applications, project records and other claim related ...
S.. This is a fully remote position so you will have a home-based office. In this role, you will ... Review contracts, invoices, payment applications, project records and other claim related ...
| Aspect | Remote Insurance Utilization Review | Remote Claims Reviewer |
|---|---|---|
| Credentials | Typically requires nursing or healthcare-related certifications, such as RN or licensed healthcare professional | Usually requires insurance or claims processing knowledge, sometimes with certifications like CPC or CPC-H |
| Work Environment | Remote, healthcare or insurance company settings, reviewing medical necessity and appropriateness of services | Remote, insurance companies or third-party administrators, reviewing claims for accuracy and compliance |
| Industry Usage | Commonly used in healthcare insurance to evaluate medical necessity | Used across insurance sectors to process and validate claims |
Remote Insurance Utilization Review focuses on assessing the medical necessity of services, often requiring healthcare credentials. Remote Claims Reviewers handle claims processing and validation, emphasizing insurance knowledge. Both roles are remote and industry-specific but differ in their primary responsibilities and required qualifications.
The most popular types of Insurance Utilization Review jobs in Maryland are:
For Remote Insurance Utilization Review jobs in Maryland, the most frequently searched job titles are:
The top searched job categories for Remote Insurance Utilization Review jobs in Maryland are:
Cities in Maryland with the most Remote Insurance Utilization Review job openings:
$150 - $200/hr
Part-time
Posted 8 days ago
Location: Remote (United States) Type: 1099 Independent Contractor, Part-Time or Full-Time Compensation: $150–$200 per hour, or $1,500–$2,000 per 8-hour shift
About the RoleOur client is expanding its behavioral health capacity and hiring board-certified psychiatrists to deliver virtual psychiatric care. The work is primarily diagnostic evaluation and ongoing medication management for an adult outpatient population.
You'll work with a full intake and assessment team, so your time goes to clinical decision-making rather than scheduling, insurance verification, or chasing records.
Clinical ResponsibilitiesConduct comprehensive initial psychiatric evaluations via video
Provide ongoing medication management and titration across mood, anxiety, ADHD, and substance use presentations
Prescribe controlled substances in accordance with federal and state law, including current telehealth prescribing rules
Coordinate with therapists, care navigators, and primary care where indicated
Document within our behavioral health EMR to the standard required for payer review
Escalate acute safety concerns per protocol, with 24/7 crisis-team backup
Full admissions and assessment support on every case
Average of [XX] encounters per shift, with protected documentation time
Flexible scheduling, including evening and weekend availability
Malpractice coverage provided
No inpatient responsibility, no call
MD or DO with completion of an ACGME-accredited psychiatry residency
Board certified or board eligible in Psychiatry by the ABPN
Active, unrestricted medical license and DEA registration authorizing all applicable schedules
2+ years of outpatient psychiatric practice post-residency
Comfort with telepsychiatry workflows and remote medication management
Active, unrestricted medical licensure in a minimum of three U.S. states
Professional working proficiency in Spanish, sufficient to conduct a complete clinical encounter without an interpreter
Subspecialty training in child and adolescent psychiatry or addiction medicine is welcome but not required
