Top 106 Utilization review Jobs in Baltimore, Md

Case Management Manager
Clinical Management Consultants —Annapolis, MD
- $120,520 - $154,530 a year
- Full-time
- Acute care
- Hospital
- Acute care experience
Utilization Review Nurse (Registered Nurse CI)
State of Maryland - MDH Education and Training —Catonsville, MD
- $87,253 - $137,603 a year
- Online Application
- Hybrid work
- RN License
- Residential
- Entry level
7d
Clinical Medical Review Nurse (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $67,320 - $133,705 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- 401(k)
Quick Apply
2d
Care Manager (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $72,360 - $143,715 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- 401(k)
Quick Apply
Utilization Review Nurse - Managed Care
Johns Hopkins Health Plans —Hanover, MD
- $39.64 - $61.45 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Paid holidays
- Health insurance
5d
Clinical Analyst
Global Alliant Inc —Baltimore, MD
- Full-time
- Remote
- Mid-level
- Computer skills
- Communication skills
Quick Apply
8d
Utilization Management CoordinatorNE
University of Maryland Medical System —Glen Burnie, MD
- $40.61 - $60.96 an hour
- Full-time
- Nursing
- RN License
- Hospital
9d
Utilization Assistant - Acute
Highland Hospital —Annapolis, MD
- Full-time
- Acute care
- Hospital
- Research
Quick Apply
2d
Medical Review Nurse III
RELI GROUP INC —Baltimore, MD
- $80,000 - $95,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Patient Accounts Coordinator - Auth and Elig Specialist
Gilchrist Hospice Care, Inc. —Hunt Valley, MD
- $19.92 - $29.87 an hour
- Full-time
- Mid-level
- High school diploma or GED
- Organizational skills
Quick Apply
Nurse Auditor
David-James —Baltimore, MD
- $75,000 - $85,000 a year
- Full-time
- Hybrid work
- 5 years
- Mid-level
- Older adults
- Continuing education credits
- Health insurance
Revenue Cycle Coordinator I- Collections
Johns Hopkins Health System —Baltimore, MD
- Full-time
- Hospital
- Mid-level
- High school diploma or GED
Telephonic Case Manager I
CorVel Corporation —Nottingham, MD
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
HIM Clinical Document Specialist, UMMC
University of Maryland Medical System —Baltimore, MD
- Full-time
- Medicine
- RN License
- Inpatient
Clinical Pharmacist - Clinical Consulting & Utilization Review (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $120,240 - $214,929 a year
- Full-time
- Travel
- US work authorization
- Organizational skills
- 401(k)
Quick Apply
Senior Consultant - Clinical Documentation Specialist
Deloitte —Baltimore, MD
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Care Management Payor Specialist
Luminis Health —Annapolis, MD
- $19.30 - $28.94 an hour
- Full-time
- High school diploma or GED
- 1 year
- Entry level
- AD&D insurance
- Paid holidays
9d
Case Manager
Mercy Medical Center —Baltimore, MD
- $36.92 - $66.46 an hour
- Full-time
- Nursing
- RN License
- Hospital
- 403(b) matching
- Paid holidays
13d
Clinical Support Supervisor (Hybrid)
CareFirst BlueCross BlueShield —Baltimore, MD
- $62,280 - $128,453 a year
- Full-time
- Bilingual
- Microsoft Excel
- Mid-level
- 401(k)
Quick Apply
HIM Clinical Document Specialist, Hybrid
University of Maryland Medical System —Bel Air, MD
- $38.67 - $58.05 an hour
- Full-time
- Nursing
- Senior level
- Associate's degree

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Case Management Manager

Clinical Management Consultants -
Annapolis, MD

Apply Now

Job Details

Full-time
$120,520 - $154,530 a year

Qualifications

Collaborate with healthcare professionals
Performance improvement leadership
Strategic management
Managing health services social worker teams
Patient resource coordination
Utilization review
Quality of care (regulatory compliance area)
Nursing team management
Patient advocacy
Hospital quality control
Metrics Reporting
Improving operational efficiency
Managing patients as a nurse case manager
Team development
Transitional care planning in clinical case management
Patient experience leadership
Clinical performance metrics
Utilization management
Clinical staff mentoring
Clinical outcome improvement
Resource utilization in healthcare
Multidisciplinary team collaboration for treatment planning
Acute care experience
Hospital compliance
Senior level
Care coordination
Hospital regulatory compliance
Healthcare performance metrics analysis
Hospital patient care services
Quality assurance experience within healthcare

Full Job Description

Case Management Manager opportunity alert—step into a leadership role at a large hospital in a big city where your expertise will shape patient outcomes, empower clinical teams, and elevate care coordination to the next level .

The Case Management Manager will join a nationally respected acute care organization recognized for clinical excellence, patient safety, and innovation in care delivery. This healthcare organization is known for high-quality scores, strong patient experience ratings, and advanced technology. The Case Management Manager will thrive in a mission-driven, patient-first culture that values measurable outcomes, interdisciplinary collaboration, and continuous improvement. With ongoing facility enhancements, specialty service line growth, and a reputation for compassionate, high-acuity care, the Case Management Manager will be part of a hospital that patients actively choose and professionals proudly represent.

The Case Management Manager will lead a dynamic Care Management department that plays a vital role in interdisciplinary discharge planning, utilization review, and transitions of care. Within this collaborative Care Management environment, the Case Management Manager will oversee initiatives that improve throughput, reduce readmissions, and enhance patient satisfaction across a big city campus within a large hospital setting. Supported by evidence-based workflows and modern analytics dashboards, the Case Management Manager will guide a team dedicated to patient advocacy, regulatory compliance, and seamless coordination across the continuum of care.

Reporting to senior hospital leadership, the Case Management Manager will provide operational oversight, mentorship, and strategic direction to a team of experienced nurses, social workers, and care coordinators. The Case Management Manager will foster a supportive atmosphere where friendly nurses and a diverse group of healthcare professionals collaborate closely with physicians, therapists, pharmacists, and ancillary staff. Responsibilities include driving quality metrics, supporting staff development, optimizing resource utilization, and ensuring compliance with state and federal guidelines, all while maintaining a culture of respect, accountability, and teamwork.

The Case Management Manager will enjoy living and working in Northern Maryland, a region known for its scenic waterfronts, lush parks, and easy access to major metropolitan amenities. Northern Maryland offers vibrant arts and music festivals, diverse dining from fresh seafood to international cuisine, excellent schools, and welcoming neighborhoods with a variety of housing options. With convenient commuter routes, proximity to major airports, strong job growth, and abundant outdoor recreation including hiking, boating, and cycling, the Case Management Manager can experience an exceptional work-life balance . The area blends historic charm with modern development, providing safe communities, engaging nightlife, and year-round cultural and sporting events.

This is an exceptional opportunity for a driven healthcare leader ready to advance a career in hospital case management leadership—connect with a Clinical Management Consultants recruiter today to learn more about this exciting Case Management Manager position and take the next step toward a transformative career move.

Apply Now

Refine Your Search

utilization review jobs in baltimore, md

Case Management Manager

Utilization Review Nurse (Registered Nurse CI)

Clinical Medical Review Nurse (Remote)

Care Manager (Remote)

Utilization Review Nurse - Managed Care

Clinical Analyst

Utilization Management CoordinatorNE

Utilization Assistant - Acute

Medical Review Nurse III

Patient Accounts Coordinator - Auth and Elig Specialist

Nurse Auditor

Revenue Cycle Coordinator I- Collections

Telephonic Case Manager I

HIM Clinical Document Specialist, UMMC

Clinical Pharmacist - Clinical Consulting & Utilization Review (Hybrid)

Senior Consultant - Clinical Documentation Specialist

Care Management Payor Specialist

Case Manager

Clinical Support Supervisor (Hybrid)

HIM Clinical Document Specialist, Hybrid

I want to receive the latest job alert for utilization review in baltimore, md

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