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Utilization Case Manager Jobs in Nottingham, MD (NOW HIRING)

MedStar Health

Director of Case Management

Baltimore, MD · On-site

$58.03 - $104.12/hr

About the Job General Summary of Position Plans organizes coordinates and directs the Utilization Case Management and Discharge Planning Programs. Monitors discharge planning services and counseling ...

ATC Travelers A

Case Manager

Baltimore, MD · On-site

$19.75 - $25.50/hr

A Case Manager at Johns Hopkins Medicine facilitates the coordination of care for patients with ... Conducting utilization reviews to ensure that patient stays meet medical necessity criteria as ...

ATC Travelers A

Case Manager

Baltimore, MD · On-site

$19.75 - $25.50/hr

A Case Manager at Johns Hopkins Medicine facilitates the coordination of care for patients with ... Conducting utilization reviews to ensure that patient stays meet medical necessity criteria as ...

ATC Travelers A

Case Manager

Baltimore, MD · On-site

$19.75 - $25.50/hr

A Case Manager at Johns Hopkins Medicine facilitates the coordination of care for patients with ... Conducting utilization reviews to ensure that patient stays meet medical necessity criteria as ...

ATC Travelers A

Case Manager

Baltimore, MD · On-site

$19.75 - $25.50/hr

A Case Manager at Johns Hopkins Medicine facilitates the coordination of care for patients with ... Conducting utilization reviews to ensure that patient stays meet medical necessity criteria as ...

ATC Travelers A

Case Manager

Baltimore, MD · On-site

$19.75 - $25.50/hr

A Case Manager at Johns Hopkins Medicine facilitates the coordination of care for patients with ... Conducting utilization reviews to ensure that patient stays meet medical necessity criteria as ...

ceiwc

Nurse Case Manager

Towson, MD · On-site

Follows established precertification and utilization review policies and protocols. * Acts as ... Provides specialized case management services such as catastrophic case management or similar type ...

GQR Healthcare

Travel Case Manager

Baltimore, MD · On-site

$1.7K - $1.8K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Baltimore, Maryland Start Date: September 15, 2026 Profession: Registered Nurse (RN) Facility: Short Term ...

GQR

RN - Case Manager

Baltimore, MD · On-site

$1.7K - $1.8K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Baltimore, Maryland Start Date: September 15, 2026 Profession: Registered Nurse (RN) Facility: Short Term Acute ...

GQR Healthcare

Travel RN Case Manager

Baltimore, MD · On-site

$1.5K - $1.6K/wk

Travel Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Baltimore, Maryland Start Date: August 31, 2026 Profession: Registered Nurse (RN) Facility: Hospital ...

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Nottingham, MD

Utilization Case Manager information

See Nottingham, MD salary details

$16

$36

$59

How much do utilization case manager jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for utilization case manager in Nottingham, MD is $36.31, according to ZipRecruiter salary data. Most workers in this role earn between $29.42 and $38.27 per hour, depending on experience, location, and employer.

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

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

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What are popular job titles related to Utilization Case Manager jobs in Nottingham, MD? For Utilization Case Manager jobs in Nottingham, MD, the most frequently searched job titles are:
What job categories do people searching Utilization Case Manager jobs in Nottingham, MD look for? The top searched job categories for Utilization Case Manager jobs in Nottingham, MD are:
What cities near Nottingham, MD are hiring for Utilization Case Manager jobs? Cities near Nottingham, MD with the most Utilization Case Manager job openings:
Utilization Case Manager jobs near you
Infographic showing various Utilization Case Manager job openings in Nottingham, MD as of August 2026, with employment types broken down into 85% Full Time, and 15% Contract. Highlights an 82% In-person, and 18% Remote job distribution, with an average salary of $75,533 per year, or $36.3 per hour.

Director of Case Management

MedStar Health

Baltimore, MD • On-site

$58.03 - $104.12/hr

Full-time

Re-posted 12 days ago

Medstar Health rating

7.8

Company rating: 7.8 out of 10

Based on 239 frontline employees who took The Breakroom Quiz

130th of 887 rated healthcare providers

Job description

About the Job
General Summary of Position
Plans organizes coordinates and directs the Utilization Case Management and Discharge Planning Programs. Monitors discharge planning services and counseling to patients and their families and consultation to medical staff regarding patient management.
Primary Duties and Responsibilities
  • Develops and contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Ensures compliance with hospital/facility policies and procedures and governmental/accreditation regulations.
  • Develops and recommends department operating budget and manages resources according to approved budget.
  • Selects trains orients and assigns department staff. Delegates tasks as appropriate. Develops standards of performance evaluates performance and conducts performance management planning. Identifies individual staff development needs and provides appropriate resources to meet needs. Initiates or makes recommendations for personnel actions. Maintains ongoing communication with subordinates to review programs provide feedback discuss new developments and exchange information.
  • Contributes to the development review revision and implementation of clinical pathways procedures and guidelines at the hospital and system level.
  • Coordinates the facilitation of patient transition from area to area in a timely cost effective manner. Assures that the hospital-based program encompasses preadmission emergency room admitting acute care discharge follow-up sub-acute and rehabilitation.
  • Directs and participates in the provision of social services in the areas of psychosocial assessment and counseling crisis intervention child abuse home health care oncology and other support groups' discharge planning.
  • Ensures the delivery of quality care to inpatients and outpatients by identifying patient needs and developing social service programs to meet those needs.
  • Monitors and evaluates the effectiveness of policies and practices with regard to length of stay and utilization of resources.
  • Oversees monthly monitoring and reporting of critical data on LOS discharges clinical and teaching outcomes denials overturned denials and other reports.
  • Provides direction and support regarding Utilization Management Case Management Discharge Planning and Social Work.
  • Serves as the hospital liaison to payers in matters pertaining to utilization of acute care services. Makes recommendations regarding third party case management contracts.
  • Participates in meetings and on committees and represents the department and business unit in community outreach efforts. Participates in multidisciplinary quality and service improvement teams and maintains effective working relationships with other departments.

Minimal Qualifications
Education
  • Master's degree in Nursing (MSN) Healthcare Administration Business Administration or related field required

Experience
  • 3-4 years 4 years progressive leadership preferred and
  • Experience in CM/SW/UR required

Licenses and Certifications
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure in the State of Maryland or District of Columbia Upon Hire required and
  • CCM - Certified Case Manager within 90 Days preferred

Knowledge Skills and Abilities
  • Excellent problem-solving skills and ability to exercise independent judgment.
  • Business acumen and leadership skills.
  • Strong verbal and written communication skills with ability to effectively interact with all levels of management internal departments and external agencies.
  • Working knowledge of various computer software applications preferred.

This position has a hiring range of
USD $58.03 - USD $104.12 /Hr.

What Medstar Health employees say

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About Medstar Health

Sourced by ZipRecruiter

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Columbia, MD, US

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