Clinical Utilization Review Specialist
Listed on 2026-10-10
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Doctor/Physician
Healthcare Consultant, Medical Doctor
University of Maryland Capital Region Medical Center, Largo, MD, seeks an experienced utilization review professional to manage denials and assess the appropriate level of care using nationally recognized guidelines. You will interface with case managers, medical teams, and payers to optimize patient care and reimbursement.
Requirements include a BSN, current Maryland RN license, and BLS. CPUR is preferred, with prior UMMS experience and knowledge of utilization management software.
This role, Clinical Utilization Review Specialist at University of Maryland Medical System Corporation, could be your next career step.
The position is based in Largo, MD, United States.
This opportunity is part of our work in Bio & Pharmacology & Health.
The advertised compensation is 56.000 - 84.000.
We aim to respond to suitable candidates as soon as possible.
Full responsibilities and requirements are described in the listing above.
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