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Temporary Utilization Review Nurse Jobs in Rosedale, MD

LifeBridge Health

Nurse

Randallstown, MD · On-site

Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN OTHER 96679 $40.12-$62.19 Experience based Posted: June 3, 2026 Apply Now ...

LifeBridge Health

Nurse

Randallstown, MD · On-site

Utilization Review Nurse RN * Randallstown, MD * NORTHWEST HOSPITAL * NW CARE MANAGEMENT * Full-time - Day shift - 8:00am-4:30pm * RN OTHER * 96679 * $40.12-$62.19 Experience based * Posted: June 3, ...

LifeBridge Health

Nurse

Randallstown, MD · On-site

Utilization Review Nurse RN * Randallstown, MD * NORTHWEST HOSPITAL * NW CARE MANAGEMENT * Full-time - Day shift - 8:00am-4:30pm * RN OTHER * 96679 * $40.12-$62.19 Experience based * Posted: June 3, ...

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LifeBridge Health

Nurse

Randallstown, MD · On-site

Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN OTHER 96679 $40.12-$62.19 Experience based Posted: June 3, 2026 Apply Now ...

LifeBridge Health

Nurse

Randallstown, MD · On-site

Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN OTHER 96679 $40.12-$62.19 Experience based Posted: June 3, 2026 Apply Now ...

LifeBridge Health

Nurse

Randallstown, MD · On-site

Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN OTHER 96679 $40.12-$62.19 Experience based Posted: June 3, 2026 Apply Now ...

LifeBridge Health

Nurse

Randallstown, MD · On-site

Utilization Review Nurse RN Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Full-time - Day shift - 8:00am-4:30pm RN OTHER 96679 $40.12-$62.19 Experience based Posted: June 3, 2026 Apply Now ...

New

LifeBridge Health

Nurse

Baltimore, MD · On-site

Utilization Review Nurse RN * Baltimore, MD * SINAI HOSPITAL * UTILIZATION REVIEW * Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm * RN OTHER * 96812 * $40.12-$62.19 Experience based

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Temporary Utilization Review Nurse information

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How much do temporary utilization review nurse jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for temporary utilization review nurse in Rosedale, MD is $40.55, according to ZipRecruiter salary data. Most workers in this role earn between $32.07 and $46.59 per hour, depending on experience, location, and employer.

What is a Temporary Utilization Review Nurse?

A Temporary Utilization Review Nurse is a registered nurse hired on a short-term basis to assess the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, treatment plans, and insurance coverage to ensure that care meets established guidelines and is cost-effective. These nurses often work with hospitals, insurance companies, or healthcare agencies, typically filling in for permanent staff or handling increased workloads. Their goal is to promote quality care while managing healthcare resources responsibly.

What are the key skills and qualifications needed to thrive as a Temporary Utilization Review Nurse, and why are they important?

To thrive as a Temporary Utilization Review Nurse, you need a registered nursing license, strong clinical judgment, and experience in patient care or case management. Familiarity with utilization review software, electronic health records (EHRs), and knowledge of insurance regulations and medical necessity criteria are typically required. Outstanding analytical thinking, attention to detail, and effective communication skills set individuals apart in this position. These skills ensure accurate evaluation of care appropriateness, support compliance, and facilitate collaboration with healthcare providers for optimal patient outcomes.

What is the difference between Temporary Utilization Review Nurse vs Case Manager?

AspectTemporary Utilization Review NurseCase Manager
CredentialsRN license, certification in utilization review (e.g., CURN)RN license, case management certification (e.g., CCM)
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community health, insurance companies
Employer & IndustryHealthcare providers, insurance firmsHealthcare organizations, insurance providers
Primary FocusReview medical necessity and insurance coverageCoordinate patient care and discharge planning

While both roles require nursing credentials and involve patient-related assessments, the Temporary Utilization Review Nurse primarily focuses on evaluating medical necessity for insurance purposes, whereas the Case Manager concentrates on coordinating patient care and discharge planning. Understanding these differences helps healthcare professionals and employers select the right role for their needs.

How does a Temporary Utilization Review Nurse typically collaborate with other healthcare professionals to ensure proper patient care?

A Temporary Utilization Review Nurse works closely with physicians, case managers, and insurance representatives to review patient records and determine the medical necessity of treatments and services. This collaboration often involves attending interdisciplinary meetings, clarifying clinical information, and providing recommendations for care plans. The role requires effective communication skills to facilitate timely approvals and prevent unnecessary delays in patient care, all while maintaining compliance with regulatory standards. Working as part of a team, the nurse helps bridge the gap between clinical staff and administrative requirements, ensuring optimal outcomes for both patients and the organization.
What are the most commonly searched types of Utilization Review Nurse jobs in Rosedale, MD? The most popular types of Utilization Review Nurse jobs in Rosedale, MD are:
What are popular job titles related to Temporary Utilization Review Nurse jobs in Rosedale, MD? For Temporary Utilization Review Nurse jobs in Rosedale, MD, the most frequently searched job titles are:
What cities near Rosedale, MD are hiring for Temporary Utilization Review Nurse jobs? Cities near Rosedale, MD with the most Temporary Utilization Review Nurse job openings:
Temporary Utilization Review Nurse jobs near you
Infographic showing various Temporary Utilization Review Nurse job openings in Rosedale, MD as of July 2026, with employment types broken down into 2% As Needed, 61% Full Time, 17% Part Time, and 20% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $84,352 per year, or $40.6 per hour.

Utilization Review Nurse RN

LifeBridge Health

Randallstown, MD

Full-time

Re-posted 28 days ago

LifeBridge Health rating

6.2

Company rating: 6.2 out of 10

Based on 79 frontline employees who took The Breakroom Quiz

701st of 890 rated healthcare providers

Job description

The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment. Interfaces with 3rd party payers by providing pertinent, relevant clinical information.

Responsibilities Include:

Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource consumption. Enters clinical reviews into the software program. Maintains close communication with external reviewers/internal financial counselors/patient access personnel and performs certification activities as required by payor.

Monitors and identifies patterns or trends in utilization management. Monitors potential and actual denials and coordinates with nurse Care Manager and/or Social Worker for any follow up necessary. Documents in software program the actions taken to coordinate care and avoid denials. Assists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel.

Coordinates with the Care Manager to achieve optimal and efficient patient outcomes, while decreasing length of stay and avoid delays and denied days. Utilizes Physician Advisor and administrative personnel for unresolved issues. Identifies opportunities for expedited appeals and collaborates with the Care Manager and Physician Advisor to resolve payer issues. Other tasks as assigned.

Sends appropriate referrals/escalations to the physician advisors to review cases not met with criteria

REQUIREMENTS:

  • Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license
  • Associate's Degree in Nursing required; BSN or higher preferred
  • Minimum of 3 years of related experience

What LifeBridge Health employees say

Pay

Benefits

Hours and flexibility

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About LifeBridge Health

Sourced by ZipRecruiter

LifeBridge Health is a $2B, 13,000 team member healthcare system that Cares Bravely for over 1 million patients annually throughout Maryland. We are comprised of 5 main healthcare centers: Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital, and Grace Medical Center as well as several specialty and primary care locations throughout Baltimore.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Baltimore, MD, US

Year founded

1988

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