Top 31 Clinical documentation & utilization review nurses Jobs in Pasadena, Md

Clinical Support Specialist
BAYADA Home Health Care —Towson, MD
- $77,000 - $85,000 a year
- Full-time
- Management
- RN License
- Physical & Rehabilitation Medicine
- Paid holidays
- Health insurance
Quick Apply
3d
Utilization Review Specialist (BCBA Licensee)
System One —Baltimore, MD
- $51.00 - $51.77 an hour
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
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
7d
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
10d
Nurse Audit Specialist, Remote
University of Maryland Medical System —Linthicum Heights, MD
- Full-time
- Nursing
- RN License
- Word processing
9d
Clinical Analyst
Global Alliant Inc —Baltimore, MD
- Full-time
- Remote
- Mid-level
- Computer skills
- Communication skills
Quick Apply
10d
HIM Clinical Document Specialist, UMMC
University of Maryland Medical System —Baltimore, MD
- Full-time
- Medicine
- RN License
- Inpatient
Utilization Reviewer
University of Maryland Medical System —Largo, MD
- $40.61 - $60.96 an hour
- Full-time
- Nursing
- RN License
- Hospital
Medical Review Nurse- Medicare
Peraton —Linthicum, MD
- $66,000 - $106,000 a year
- Remote
- Nursing
- RN License
- Research
- Health savings account
- Paid holidays
3d
Utilization Management CoordinatorNE
University of Maryland Medical System —Glen Burnie, MD
- $40.61 - $60.96 an hour
- Part-time
- Nursing
- RN License
- Hospital
12d
Medical Review Nurse III
RELI GROUP INC —Windsor Mill, MD
- $80,000 - $95,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Senior Consultant - Clinical Documentation Specialist
Deloitte —Baltimore, MD
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Clinical Registry Coordinator
University of Maryland Medical System —Baltimore, MD
- Full-time
- Nursing
- Surgery
- RN License
Utilization Management Nurse
Luminis Health —Annapolis, MD
- $34 - $55 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
- AD&D insurance
- Paid holidays
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
Utilization Review Nurse (Full-Time)
Greater Baltimore Medical Center, Inc. —Baltimore, MD
- $68,281.18 - $110,274.20 a year
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
23h
MDS Coordinator
Patapsco Healthcare —Randallstown, MD
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Paid holidays
- Disability insurance
Quick Apply
Registered Nurse Assessment Coordinator (RNAC) -MDS Coordinator
FutureCare —Baltimore, MD
- $87,000 - $102,000 a year
- Full-time
- RN License
- Mid-level
- 3 years
- Tuition reimbursement
- Paid time off
Quick Apply
Denials Management Nurse
UR SOLUTIONS —Towson, MD
- Day shift
- Nursing
- Microsoft Outlook
- Bachelor of Science
Prospective Payment System Coordinator
University of Maryland Medical System —Baltimore, MD
- Full-time
- Nursing
- RN License
- Word processing
12d

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clinical documentation & utilization review nurses jobs near pasadena, md

Clinical Support Specialist

BAYADA Home Health Care -
Towson, MD

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Job Details

Full-time
$77,000 - $85,000 a year
3 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
Employee assistance program
Vision insurance
401(k) matching
Opportunities for advancement
Flexible schedule
Life insurance

Qualifications

Care plan evaluation
Medicare
Medicare coding guidelines
In-home healthcare experience
Care documentation
Medication history review
CMS regulatory compliance
Clinical staff training
Medicare regulations
Clinical training
Team training
Clinical documentation
Home healthcare regulations
Regulatory compliance analysis
Clinical documentation standards
Home health agency experience

Full Job Description

Remote Clinical Support Specialist (RN or PT) – Home Health Senior Living
BAYADA Home Health Care

BAYADA Home Health Care is seeking an experienced Remote Full-Time Clinical Support Specialist (RN or PT) to join our Home Health Senior Living Clinical Quality Team. This role is responsible for reviewing and ensuring the accuracy, timeliness, and compliance of OASIS documentation, including Start of Care (SOC), Recertification, and Discharge assessments.

The ideal candidate has a strong background in Senior Living Home Health operations, OASIS review, and Medicare compliance, with experience in clinical case management or documentation review. This position plays a critical role in maintaining high clinical documentation standards while providing education and guidance to clinicians and clinical managers.

Key Responsibilities

Review and validate 485 plans of care for SOC and Recertification assessments to ensure accuracy and compliance with Medicare and agency standards.
Scrub and validate timely initiation of care OASIS items, ensuring adherence to CMS guidelines.
Conduct medication reconciliation reviews to verify accurate medication documentation.
Perform full review of Discharge OASIS assessments for completeness and regulatory compliance.
Provide targeted education and feedback to clinicians and clinical managers on OASIS documentation best practices.
Communicate with clinical teams to resolve documentation discrepancies and recommend improvements.
Identify documentation trends and opportunities for process improvement.
Maintain up-to-date knowledge of Medicare home health regulations, OASIS-E guidance, and PDGM requirements.
May assist with Clinical Manager coverage when needed; cross-training will be provided.

Qualifications

Required

Active Registered Nurse (RN) or Physical Therapist (PT) license with compact license or ability to obtain licensure in the hiring state.
3–5 years of home health experience.
Experience as a Clinical Manager or OASIS Reviewer.
Strong knowledge of OASIS-E, PDGM, and Medicare home health regulations.
Experience with 485 plan of care review, medication reconciliation, and documentation compliance.
Excellent analytical, communication, and clinician education skills with strong attention to detail.

Preferred

Experience with Homecare Homebase (HCHB) or other home health EMR systems.
OASIS Coding Experience (preferred)

Compensation & Schedule

Pay- $77,000-85,000 based off of qualifications
Schedule: Full Time- Monday through Friday 8:30 AM- 5:00 PM EST
Work Arrangement: Remote
Pay: Weekly

Why Join BAYADA?

Stability of a national healthcare organization with the culture of a family-owned company
Recognized as a Best Place to Work by Glassdoor and Forbes (Best Employers for Women)
Flexible schedule with work-life balance
Supportive, mission-driven culture focused on employee recognition
Opportunities for professional growth and advancement

Benefits

BAYADA offers a comprehensive benefits package, including:

Paid holidays, vacation, and sick time
Medical, dental, and vision insurance
Employer-paid life insurance
401(k) with company match
Direct deposit and weekly pay
Employee Assistance Program (EAP)

Learn more about BAYADA benefits at: www.bayada.com/benefits

As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.

BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.

BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

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Refine Your Search

clinical documentation & utilization review nurses jobs in pasadena, md

Clinical Support Specialist

Utilization Review Specialist (BCBA Licensee)

Utilization Review Nurse - Managed Care

Utilization Review Nurse (Registered Nurse CI)

Nurse Audit Specialist, Remote

Clinical Analyst

HIM Clinical Document Specialist, UMMC

Utilization Reviewer

Medical Review Nurse- Medicare

Utilization Management CoordinatorNE

Medical Review Nurse III

Senior Consultant - Clinical Documentation Specialist

Clinical Registry Coordinator

Utilization Management Nurse

Nurse Auditor

Utilization Review Nurse (Full-Time)

MDS Coordinator

Registered Nurse Assessment Coordinator (RNAC) -MDS Coordinator

Denials Management Nurse

Prospective Payment System Coordinator

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