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Utilization Review RN (Hybrid) – Medical Necessity Expert
Job in
Germantown, Montgomery County, Maryland, 20875, USA
Listed on 2026-08-11
Listing for:
State of Maryland
Full Time
position Listed on 2026-08-11
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
State of Maryland, MDH, Maryland Healthcare System in Catonsville, MD, seeks a nurse reviewer to conduct admissions, continuation of care reviews, and readmissions, while managing the denial process. This role addresses the MDH waitlist by identifying patients who no longer meet medical necessity criteria.
Reviews are independent of treatment teams with objective feedback to hospitals. The position is hybrid with teleworking options and contributes to reporting that identifies care-improvement
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