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Utilization Review Case Manager Jobs in Hanover, MD

Mercy Medical Center

Case Manager

Baltimore, MD · On-site

$66.46/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Case management experience preferred ... Utilization review skills using MCG preferred Min USD $36.92/Hr. Max USD $66.46/Hr. Salary ...

MedPro Healthcare Staffing

Travel Case Manager

Baltimore, MD · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN *Weekly payment estimates are ...

American Traveler

Travel RN Case Manager

Baltimore, MD · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Travel RN - Case Management/Utilization Review - Case Management About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer ...

Ascension

Registered Nurse Utilization Review

Baltimore, MD · On-site

$81K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Utilization Management Schedule: Day-Shift | Full-Time | Monday-Friday 8:00AM-4:30PM | Weekend ... Guide complex patient journeys through expert case management and consultation, providing a roadmap ...

GQR Global Markets

RN - Case Manager

Baltimore, MD · On-site

$1.5K - $1.6K/wk

  • Medical

  • Dental

  • Vision

RN - Case Manager Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Baltimore, Maryland Start Date: August 17, 2026 Profession: Registered Nurse (RN) Facility:

New

Mercy Medical Center

Case Manager

Baltimore, MD · On-site

$36.92/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Case management experience preferred ... Utilization review skills using MCG preferred Min USD $36.92/Hr. Max USD $66.46/Hr. Salary ...

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 ...

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 ...

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All JobsUtilization Review Case JobsUtilization Review Case Manager JobsUtilization Review Case Manager Jobs in Hanover, MD

Utilization Review Case Manager information

See Hanover, MD salary details

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$35

$59

How much do utilization review case manager jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for utilization review case manager in Hanover, MD is $35.94, according to ZipRecruiter salary data. Most workers in this role earn between $29.13 and $37.88 per hour, depending on experience, location, and employer.

What are some common challenges utilization review case managers face when coordinating care across multiple departments?

Utilization Review Case Managers often navigate complex communication between physicians, nursing staff, insurance providers, and patients to ensure appropriate care and resource use. Balancing timely authorizations with evolving patient needs and varying documentation standards can be challenging. Additionally, staying current with changing regulations and payer requirements requires ongoing learning and adaptability. Building strong collaborative relationships and maintaining clear, concise documentation are key strategies for overcoming these hurdles.

What is a utilization review case manager?

A Utilization Review Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical treatments and services provided to patients. They review clinical information, coordinate with providers and insurance companies, and ensure that patient care aligns with established guidelines and policies. Their goal is to optimize patient outcomes while managing healthcare costs and ensuring compliance with regulations.

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

AspectUtilization Review Case ManagerUtilization Review Nurse
CredentialsTypically requires a nursing license or relevant healthcare certificationRegistered Nurse (RN) license is required
Work EnvironmentOffice-based, insurance companies, healthcare organizationsHospital, clinic, insurance review departments
Primary FocusReviewing medical necessity, coordinating care, managing casesAssessing medical records, clinical review, patient care evaluation

Both roles involve healthcare review and require nursing credentials, but the Utilization Review Case Manager often focuses on coordinating care and managing cases, while the Utilization Review Nurse emphasizes clinical assessment and review of medical records. Understanding these differences helps in choosing the right career path or job search focus.

What are the key skills and qualifications needed to thrive as a utilization review case manager, and why are they important?

To thrive as a Utilization Review Case Manager, you need a clinical background such as an RN or LCSW license, strong knowledge of medical necessity criteria, and experience with case management. Familiarity with utilization management software, electronic health records (EHRs), and knowledge of regulatory guidelines like Medicare and Medicaid are essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration between patients, providers, and payers. These skills ensure appropriate resource use, compliance with regulations, and high-quality patient care.

What are popular job titles related to Utilization Review Case Manager jobs in Hanover, MD?

For Utilization Review Case Manager jobs in Hanover, MD, the most frequently searched job titles are:

What job categories do people searching Utilization Review Case Manager jobs in Hanover, MD look for?

The top searched job categories for Utilization Review Case Manager jobs in Hanover, MD are:

What cities near Hanover, MD are hiring for Utilization Review Case Manager jobs?

Cities near Hanover, MD with the most Utilization Review Case Manager job openings:

Utilization Review Case Manager jobs near you
Infographic showing various Utilization Review Case Manager job openings in Hanover, MD as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $74,762 per year, or $35.9 per hour.

Travel Nurse RN - Case Manager, Utilization Review - $2,917 per week

American Traveler

Silver Spring, MD • On-site

$2.9K/wk

Other

Medical, Dental, Vision, Life, Retirement

Re-posted 15 days ago

Job description

American Traveler is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Silver Spring, Maryland.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel
Assignment Overview
  • Shift: Days, 5x8hrs
  • Hours: 40 hrs/wk
  • Start Date: May 4, 2026
  • Length: 13 weeks
  • Openings: 1
Description

American Traveler is hiring a travel RN Case Manager for a 13-week acute inpatient care coordination role requiring at least 1 year of acute care experience and knowledge of health care reimbursement systems.

Details
  • Acute inpatient hospital setting focused on care coordination and discharge planning
  • Day shift: 8:30 AM to 5:00 PM, 8-hour shifts
  • 40 hours per week
  • Uses Epic EMR
Requirements
  • Active MD or Compact RN license required — no pending licenses accepted
  • Associate's Degree in Nursing (ADN) required
  • Minimum 1 year of experience in an acute medical/surgical, ED, or critical care nursing setting
  • Experience using an electronic medical record (EMR) system
  • Knowledge of health care reimbursement systems including Medicare Advantage, commercial payers, Medicaid, and CMS regulatory rules
  • Epic EMR experience
  • Last 4 digits of SSN and date of birth required for consideration
Additional Information
  • Responsible for overseeing management and coordination of care for the acute inpatient population
  • Completes initial face-to-face assessments for every admitted patient within 24 hours of admission to identify discharge needs
  • Collaborates with hospital-based physicians, patients and families, nursing, utilization review, and other healthcare team members to support clinical and cost-effective outcomes
  • Coordinates referrals with in-network vendors for post-acute levels of care including Home Health, DME, IV Infusion, SNF Sub-Acute, and Acute Rehab
  • Facilitates transitions of care with community providers and ambulatory case managers to support safe discharge and reduce readmissions
  • Documents assessment outcomes and discharge plans in accordance with facility policies and regulatory requirements
  • Local candidates are welcome to apply
  • Travelers may not exceed two years of cumulative assignment time within the facility's system without a 90-day consecutive break

American Traveler Job ID #P-699792. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Case Management/Utilization Review - Case Management

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

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