ZipRecruiter

Log In

1

Temporary Utilization Review Nurse Jobs in Rosedale, MD

RELI GROUP INC

Medical Review Nurse III

Baltimore, MD · Remote

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... A minimum of three (3) or more years' experience in medical/utilization medical record review ...

RELI Group Inc.

Medical Review Nurse III

Baltimore, MD · On-site +1

$80K - $95K/yr

Registered Nurse, with a current unobstructed license to practice nursing in the United States ... A minimum of three (3) or more years' experience in medical/utilization medical record review ...

LifeBridge Health, Inc.

Case Manager RN

Randallstown, MD · On-site

$40.12 - $62.19/hr

This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator or RN Case Manager. Credentials: Essential: Registered ...

LifeBridge Health, Inc.

Case Manager RN

Randallstown, MD · On-site

$40.12 - $62.19/hr

This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator or RN Case Manager. Credentials: Essential: Registered ...

LifeBridge Health, Inc.

Case Manager RN

Randallstown, MD · On-site

$40.12 - $62.19/hr

This requirement will be lifted for LBH candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient Care Integrator or RN Case Manager. Essential: Registered Nurse License ...

Prime Staffing

Travel Case Manager RN

Randallstown, MD · On-site

Strong assessment, discharge planning, and utilization review skills Description: The RN Case ... We offer a wide range of staffing services including temporary, temp-to-perm, and direct hire ...

New

previous pagenext page

Showing results 21-40

All JobsUtilization Review Nurse JobsTemporary Utilization Review Nurse JobsTemporary Utilization Review Nurse Jobs in Rosedale, MD

Temporary Utilization Review Nurse information

See Rosedale, MD salary details

$20

$40

$66

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

As of Sep 5, 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.

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 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 to get into utilization review as a temporary utilization review nurse?

To become a temporary utilization review nurse, candidates typically need a registered nurse (RN) license and experience in case management or clinical review. Gaining knowledge of insurance policies, medical coding, and utilization review processes, along with familiarity with electronic health records (EHR) systems, can improve job prospects. Temporary roles often require flexibility and the ability to adapt to different healthcare settings or insurance companies.

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 job categories do people searching Temporary Utilization Review Nurse jobs in Rosedale, MD look for?

The top searched job categories for Temporary Utilization Review Nurse jobs in Rosedale, MD 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 August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $84,352 per year, or $40.6 per hour.

Utilization Management Specialist

System One

Baltimore, MD • Remote

Contractor

Medical, Dental, Vision, Life, Retirement

Re-posted 14 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

System One logo

About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

View All System One Jobs