Owings Mills, MD · On-site
$17 - $24.75/hr
The Utilization Review Assistant is responsible for performing administrative and operational functions needed for the Utilization Review Department of Care Management and ensures excellent ...
Owings Mills, MD · On-site
$17 - $24.75/hr
The Utilization Review Assistant is responsible for performing administrative and operational functions needed for the Utilization Review Department of Care Management and ensures excellent ...
Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the ... Performs concurrent reviews and additional duties as assigned. All roles must demonstrate GBMC ...
Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the ... Performs concurrent reviews and additional duties as assigned. All roles must demonstrate GBMC ...
Utilization Review Nurse Under general supervision, provides consultative support to the admitting ... Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the ...
Utilization Review Nurse Under general supervision, provides consultative support to the admitting ... Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the ...
Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the ... Performs concurrent reviews and additional duties as assigned. All roles must demonstrate GBMC ...
Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the ... Performs concurrent reviews and additional duties as assigned. All roles must demonstrate GBMC ...
Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the ... Performs concurrent reviews and additional duties as assigned. All roles must demonstrate GBMC ...
Assists with discharge planning, by preventing un-necessary hospital utilization, assist in the ... Performs concurrent reviews and additional duties as assigned. All roles must demonstrate GBMC ...
Baltimore, MD Utilizing key principles of utilization management, the Utilization Review Specialist ... Follows member contracts to assist with benefit determination. * 20% Makes appropriate referrals ...
Baltimore, MD Utilizing key principles of utilization management, the Utilization Review Specialist ... Follows member contracts to assist with benefit determination. * 20% Makes appropriate referrals ...
Baltimore, MD · On-site
$117K - $140K/yr
... Assist with development and delivery of client-facing presentations that clearly communicate ... Review and analyze account-specific pharmacy utilization, trend data and overall performance of ...
Baltimore, MD · On-site
$117K - $140K/yr
... Assist with development and delivery of client-facing presentations that clearly communicate ... Review and analyze account-specific pharmacy utilization, trend data and overall performance of ...
Nottingham, MD · On-site +1
$21.70 - $27/hr
Review member inpatient status and clinical documentation to support episode updates * Ensure ... Complete daily census checks and assist with discharge planning coordination activities * Support ...
Nottingham, MD · On-site +1
$21.70 - $27/hr
Review member inpatient status and clinical documentation to support episode updates * Ensure ... Complete daily census checks and assist with discharge planning coordination activities * Support ...
Baltimore, MD · On-site
$120K - $214K/yr
... Assist with development and delivery of client-facing presentations that clearly communicate ... Review and analyze account-specific pharmacy utilization, trend data and overall performance of ...
Baltimore, MD · On-site
$120K - $214K/yr
... Assist with development and delivery of client-facing presentations that clearly communicate ... Review and analyze account-specific pharmacy utilization, trend data and overall performance of ...
Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist will ... assist with benefit determination. The candidate will make appropriate referrals and contacts as ...
Leveraging clinical expertise and critical thinking skills, the Utilization Review Specialist will ... assist with benefit determination. The candidate will make appropriate referrals and contacts as ...
The ideal candidate will have previous experience performing utilization review within a healthcare ... Follows member benefit contracts to assist with benefit determination. * Makes referrals to other ...
The ideal candidate will have previous experience performing utilization review within a healthcare ... Follows member benefit contracts to assist with benefit determination. * Makes referrals to other ...
Linthicum, MD · On-site
$18.50 - $24.25/hr
... * Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives. * Serve as a pharmacy liaison and resource person to plan ...
Linthicum, MD · On-site
$18.50 - $24.25/hr
... * Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives. * Serve as a pharmacy liaison and resource person to plan ...
Linthicum, MD · On-site +1
$67K - $72K/yr
... * Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives. * Serve as a pharmacy liaison and resource person to plan ...
Linthicum, MD · On-site +1
$67K - $72K/yr
... * Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives. * Serve as a pharmacy liaison and resource person to plan ...
$67K - $72K/yr
... * Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives. * Serve as a pharmacy liaison and resource person to plan ...
$67K - $72K/yr
... * Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives. * Serve as a pharmacy liaison and resource person to plan ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
... to utilization review (UR) LOC and clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
... to utilization review (UR) LOC and clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
... to utilization review (UR) LOC and clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
... to utilization review (UR) LOC and clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
... to utilization review (UR) LOC and clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
... to utilization review (UR) LOC and clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
... to utilization review (UR) LOC and clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage ...
Silver Spring, MD · On-site
$98.65 - $147.98/hr
... to utilization review (UR) LOC and clinical documentation. 5. Revenue Excellence: conduct verbal and written Peer to Peer reviews to assist with appeals of denied or downgraded coverage ...
Silver Spring, MD · On-site
$61.25 - $140/hr
... assistants, and other healthcare providers to deliver comprehensive care. * Participate in quality, risk, and utilization review processes. * Supervise and teach residents and other learners within ...
Silver Spring, MD · On-site
$61.25 - $140/hr
... assistants, and other healthcare providers to deliver comprehensive care. * Participate in quality, risk, and utilization review processes. * Supervise and teach residents and other learners within ...
$61.25 - $140/hr
... assistants, and other healthcare providers to deliver comprehensive care. * Participate in quality, risk, and utilization review processes. * Supervise and teach residents and other learners within ...
$61.25 - $140/hr
... assistants, and other healthcare providers to deliver comprehensive care. * Participate in quality, risk, and utilization review processes. * Supervise and teach residents and other learners within ...
$10.54 - $15.33
14% of jobs
$17.79 is the 25th percentile. Wages below this are outliers.
$15.33 - $20.13
22% of jobs
$20.13 - $24.92
13% of jobs
The median wage is $25.47 / hr.
$24.92 - $29.71
14% of jobs
$29.71 - $34.50
11% of jobs
$35.70 is the 75th percentile. Wages above this are outliers.
$34.50 - $39.29
9% of jobs
$39.29 - $44.09
7% of jobs
$44.09 - $48.88
4% of jobs
$48.88 - $53.67
3% of jobs
$53.67 - $58.46
2% of jobs
$58.46 - $63.25
1% of jobs
$10
$30
$63
A Utilization Review Assistant supports the utilization review process by reviewing medical records, verifying insurance coverage, and ensuring that healthcare services meet necessary guidelines. They assist in gathering documentation, communicating with insurance providers, and coordinating with medical staff to facilitate approvals for treatments. Their role helps ensure that healthcare services are provided efficiently while maintaining compliance with insurance policies and regulations.
A Utilization Review Assistant typically spends their day reviewing medical records, verifying patient information, and ensuring documentation meets insurance or regulatory requirements. They often work closely with nurses, physicians, case managers, and billing staff to collect necessary data and clarify documentation. The work is usually performed in an office within a hospital, clinic, or insurance company, where prioritizing tasks and maintaining confidentiality are key. This collaborative, detail-oriented environment provides a valuable introduction to healthcare administration and can open doors to broader roles in utilization management or case management.
To thrive as a Utilization Review Assistant, you need attention to detail, basic understanding of medical terminology, strong organizational skills, and typically a high school diploma or equivalent. Familiarity with healthcare management software and electronic health records (EHR) systems, along with experience in data entry, is important for this role. Strong communication, problem-solving abilities, and a customer service-oriented attitude help you excel when interacting with clinical staff and patients. These skills are essential for ensuring accurate review processes, compliance with regulations, and effective coordination within healthcare teams.
The most popular types of Utilization Review jobs in Maryland are:
For Utilization Review Assistant jobs in Maryland, the most frequently searched job titles are:
The top searched job categories for Utilization Review Assistant jobs in Maryland are:
Cities in Maryland with the most Utilization Review Assistant job openings:
$17 - $24.75/hr
Other
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired 1 day ago. Applications are no longer accepted.
6.3
Based on 80 frontline employees who took The Breakroom Quiz
668th of 896 rated healthcare providers
Sinai Hospital's Utilization Review operates as a distinct specialty service line of physician advisors, nurses, and support staff who ensure hospital stays are clinically appropriate and fully covered by the patient's insurance. The team focuses on appropriate resource use, operational efficiency, and timely patient services while maintaining or improving quality of care.
JOB SUMMARY: The Utilization Review Assistant is responsible for performing administrative and operational functions needed for the Utilization Review Department of Care Management and ensures excellent communication with third party payors and internal revenue cycle partners.
This position is a primarily remote position and will come onsite to cover Admin Asst. when off.
RESPONSIBILITIES: Efficiently and effectively assists with the daily operations for the Utilization Review functions of Sinai Hospital of Baltimore. Communicates relevant information effectively to healthcare team, third party payers and internal revenue cycle partners. Manages payor calls and facilitates communication between payors and UR nurses. Faxes clinical reviews and updates to insurance companies when needed. Maintains, updates, and files insurance lists. Maintains logs for insurance, denials and appeals. Maintains Utilization and Appeals filing system. Accesses online payor portals for authorizations and denials and letters. Completes Livanta appeals. Receive Notice of Eligibility and logs information. Upload clinical information to Telligen/ Qualitrac. Performs data system entry and reporting daily. Back-up to the Care Management Administrative Assistant the following duties will be assigned: Organizes day to day departmental functions and acts as a care management departmental resource. Notifies leadership of operational problems. Maintains copies of letters sent to the patient and physicians in the Care Management Drive.
REQUIREMENTS:
Formal working knowledge: equivalent to an Associate's degree (2 years college) preferred
1-3 years of administrative experience required
Patient registration experience is strongly preferred
Must Live in One of the Following Districts/States: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia
Pay Range: $17.00 to $24.75 Based On Experience
Benefits:
Medical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support
403(b) retirement plan with employer match, pension, and life and disability insurance
Tuition reimbursement toward advanced degrees and specialty certifications
Generous paid time off, fitness discounts, and free on-site parking
About Sinai Hospital
Sinai Hospital of Baltimore is a nationally recognized academic medical center, a designated Level II Trauma Center, and the largest community hospital in Maryland. As part of LifeBridge Health - one of the region's most comprehensive healthcare systems - Sinai delivers advanced care with a mission to improve the health of the communities we serve, and to take care of the people who take care of patients.
About LifeBridge Health
LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.
With over 14,000 employees, 130 care locations, and two million annual patient encounters, we combine strategic growth, innovation, and deep community commitment to deliver exceptional care anchored by five leading centers in Maryland.
Our organization thrives on a culture of CARE BRAVELY-where compassion, courage, and urgency drive every decision, empowering teams to shape the future of healthcare.
LifeBridge Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression. LifeBridge Health does not exclude people or treat them differently because of race, color, national origin, age, disability, sex or sexual orientation and gender identity/expression.
Get the full story on Breakroom
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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.
Health care and social assistance
5,001 - 10,000 Employees
Baltimore, MD, US
1988
