Utilization Review
Baltimore, MD · On-site
Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in ...
Baltimore, MD · On-site
Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in ...
Baltimore, MD · On-site
Now Hiring: RN Utilization Review - Baltimore, MD Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in ...
Cases are presented to the Utilization Review to recommend the committee to determine if a second Physician Advisor review is required.\r\nThis is a hybrid position that allows for teleworking.\r ...
Cases are presented to the Utilization Review to recommend the committee to determine if a second Physician Advisor review is required.\r\nThis is a hybrid position that allows for teleworking.\r ...
Baltimore, MD · On-site
UTILIZATION REVIEW * Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm * RN OTHER * 96812 * $40.12-$62.19 Experience based * Posted:July 2, 2026 Apply Now Save Job Saved Summary Who We Are:
Baltimore, MD · On-site
UTILIZATION REVIEW * Full-time w/Weekend Commitment - Day shift - 8:00am-4:30pm * RN OTHER * 96812 * $40.12-$62.19 Experience based * Posted:July 2, 2026 Apply Now Save Job Saved Summary Who We Are:
Clinton, MD · On-site
$89K - $162K/yr
Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit ...
Clinton, MD · On-site
$89K - $162K/yr
Must be local to the DC/MD region with acute Utilization Review RN experience** General Summary of Position Conducts admission concurrent and retrospective case reviews to ensure appropriate admit ...
$84K - $120K/yr
Utilization Management Schedule ... Day-Shift | Full-Time | Monday-Friday 8:00AM-4:30PM | Weekend Rotation once per month. Salary range ...
$84K - $120K/yr
Utilization Management Schedule ... Day-Shift | Full-Time | Monday-Friday 8:00AM-4:30PM | Weekend Rotation once per month. Salary range ...
Baltimore, MD · On-site
$81K/yr
Utilization Management Schedule ... Day-Shift | Full-Time | Monday-Friday 8:00AM-4:30PM | Weekend Rotation once per month. Salary range ...
Baltimore, MD · On-site
$81K/yr
Utilization Management Schedule ... Day-Shift | Full-Time | Monday-Friday 8:00AM-4:30PM | Weekend Rotation once per month. Salary range ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Utilization Review Nurse RN - NE * Randallstown, MD * NORTHWEST HOSPITAL ... NW CARE MANAGEMENT * Part-time - Weekends - Weekend shifts - 8:00am-4:30pm * RN OTHER * 95496 * $40 ...
Utilization Review Nurse RN - NE * Randallstown, MD * NORTHWEST HOSPITAL ... NW CARE MANAGEMENT * Part-time - Weekends - Weekend shifts - 8:00am-4:30pm * RN OTHER * 95496 * $40 ...
Clinton, MD · On-site
$89K - $162K/yr
Utilization Review Supervisor Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region. General Summary of Position Supervises the daily activities ...
Clinton, MD · On-site
$89K - $162K/yr
Utilization Review Supervisor Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region. General Summary of Position Supervises the daily activities ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Work Monday - Friday, the core business hours are 8:00 AM - 5:00 PM As a Utilization Review Registered Nurse for Johns Hopkins Health Plans, you have the opportunity to use your clinical, managed ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
The PRN Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and ...
The PRN Utilization Review RN at Sinai Hospital works with stakeholders in the Revenue Cycle Management process and payors to ensure efficiency of utilization of resources, minimize losses and ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
Summary: The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and ...
Clinton, MD · On-site
$89K - $162K/yr
About the Job Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the ...
Clinton, MD · On-site
$89K - $162K/yr
About the Job Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region General Summary of Position Supervises the daily activities of the ...
$40.61 - $60.96/hr
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the ...
$40.61 - $60.96/hr
Under general supervision, provides utilization review and denials management for an assigned patient case load. This role utilizes nationally recognized care guidelines/criteria to assess the ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
Randallstown, MD · On-site
$40.12 - $62.19/hr
The Utilization Review Nurse RN conducts initial, concurrent and retrospective chart review for clinical, financial and resource utilization information. Provides intervention and coordination to ...
Weekend Utilization Review professionals typically work independently, reviewing patient cases for medical necessity, appropriateness of care, and compliance with payer guidelines during non-standard business hours. You will analyze patient charts, interact with clinical staff, and document findings, often collaborating remotely with other care coordinators or medical teams. While much of the role is desk-based, quick decision-making and effective communication are essential due to faster-paced weekend workflows. This schedule can offer greater autonomy and flexibility, but may also require prioritizing tasks and managing multiple cases efficiently to ensure continuous patient care.
A Weekend Utilization Review job involves assessing patient care and medical services during weekends to ensure they meet medical necessity and insurance guidelines. Professionals in this role review clinical documentation, coordinate with healthcare providers, and determine appropriate levels of care for patients. They typically work for hospitals, insurance companies, or other healthcare organizations. Strong analytical skills, medical knowledge, and familiarity with regulatory requirements are essential for success in this role.
Success as a Weekend Utilization Review professional requires a strong background in nursing or healthcare, critical thinking skills, and a thorough understanding of medical necessity criteria, such as InterQual or Milliman guidelines. Familiarity with electronic medical records (EMR) systems and utilization management software is highly beneficial, and RN or healthcare-related licensure is often required. Exceptional communication, attention to detail, and the ability to work independently on weekends are crucial soft skills. Mastering these areas allows efficient and accurate reviews of patient care, supporting optimal healthcare resource allocation outside of standard work hours.
The most popular types of Utilization Review jobs in Maryland are:
For Weekend Utilization Review jobs in Maryland, the most frequently searched job titles are:
The top searched job categories for Weekend Utilization Review jobs in Maryland are:
Cities in Maryland with the most Weekend Utilization Review job openings:

Other
Medical, Dental, Vision, Retirement
Posted 11 days ago
Are you a passionate RN professional looking for a new adventure? Prime Time Healthcare is seeking dynamic individuals like you to join our team in Baltimore, MD and make a real impact in patient care!
In this role, you'll be at the forefront of healthcare, delivering top-notch care with precision and compassion. As an integral part of our team, you'll collaborate closely with fellow healthcare professionals, ensuring every patient receives the highest level of care possible.
If you're ready to elevate your career and make a difference in the lives of others, apply today!
At Prime Time Healthcare, We Offer Competitive Compensation Along With A Large Range Of Benefits Including:Prime Time Healthcare, LLC is an equal opportunity employer (EOE).
*Estimated pay and benefits packages are on a per facility basis and may change with market conditions. Exact pay and benefits package will be negotiated with Prime Time Healthcare and may vary with several factors including but not limited to, guaranteed hours, travel distance, demand, eligibility, etc.
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PrimeTime Healthcare, based in Omaha, NE, US, is a leading provider of staffing solutions in the healthcare industry. According to information accessed from their official website, primetimehealthcare.com, the company specializes in placing high-quality healthcare professionals into temporary and travel positions across a vast network of healthcare facilities nationwide. Founded in 2012, PrimeTime Healthcare quickly established a reputation for customer-focused and result-oriented services, earning it a place on Staffing Industry Analyst’s fastest-growing staffing companies list.
Recruiting and staffing services
51 - 200 Employees
Omaha, NE, US
2012