Utilization Management Nurse
Luminis Health —Annapolis, MD
- $34 - $55 an hour
- Full-time
- Nursing
- RN License
- Bachelor of Science
- AD&D insurance
- Paid holidays
Clinical Practice Coordinator (RN)
University of Maryland Medical System —Easton, MD
- $38.67 - $58.05 an hour
- Full-time
- Nursing
- RN License
- Hospital
Cardiac Surgery Quality Coordinator (RN)
Luminis Health —Annapolis, MD
- $100,000 - $125,000 a year
- Full-time
- Hybrid work
- Nursing
- Surgery
- RN License
- AD&D insurance
- Paid holidays
Infusion Therapy Nurse II
Luminis Health —Annapolis, MD
- $38.02 - $57.03 an hour
- PRN
- CPR Certification
- Nursing
- RN License
- AD&D insurance
- Paid holidays
Clinical Nurse Educator (RN)
University of Maryland Medical System —Easton, MD
- $42.64 - $64.00 an hour
- Full-time
- Nursing
- RN License
- Hospital
Cardiac Program Nurse Coordinator
University of Maryland Medical System —Easton, MD
- $44.76 - $67.19 an hour
- Full-time
- Nursing
- Microsoft Excel
- Management
Registered Nurse
Choptank Community Health System, Inc.. —Cambridge, MD
- $31.41 - $45.55 an hour
- Full-time
- Nursing
- RN License
- Computer literacy
- Wellness program
- 403(b) matching
Quick Apply
MDS Coordinator / RN Assessment Coordinator
Ginger Cove —Annapolis, MD
- $90,000 - $100,000 a year
- Full-time
- CPR Certification
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
Perinatal Loss Program Coordinator- FT- Varies
Luminis Health —Annapolis, MD
- $39.27 - $58.90 an hour
- Full-time
- Nursing
- RN License
- Hospital
- AD&D insurance
- Paid holidays
Registered Nurse - Annual Wellness Visit (AWV
Choptank Community Health System, Inc.. —Denton, MD
- $31.41 - $45.55 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Wellness program
- 403(b) matching
Quick Apply
CNA/GNA Instructor and Program Coordinator (RN)
Luminis Health —Annapolis, MD
- $34.50 - $60.00 an hour
- Part-time
- Laboratory
- Classroom
- Nursing
- AD&D insurance
- Paid holidays
Emergency Medicine APP (Physician Assistant / Nurse Practitioner)
US Acute Care Solutions —Cambridge, MD
- $70 - $98 an hour
- Monday to Friday
- Acute care
- Mid-level
- ER
- Paid parental leave
- Disability insurance
Wound Care Nurse (RN) - FT Days
FutureCare —Annapolis, MD
- $43 - $48 an hour
- Full-time
- Nursing
- RN License
- Mid-level
- Tuition reimbursement
- Paid time off
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Clinical Practice Coordinator (RN)
University of Maryland Medical System —Easton, MD
Licensure as a registered nurse or in any other related health care discipline in the state of Maryland or eligible for licensure in Maryland.
$38.67 - $58.05 an hour
Care Coordinator
University of Maryland Medical System —Easton, MD
Graduate of an approved registered nursing program with current RN license in the State of Maryland. The Care Coordinator, with respect to payer requirements,…

Show more similar jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

MDS Coordinator/RN - Full-time - Weekdays
Willow Brook Home —Columbus, OH
Active RN license in Ohio. RN (or LPN) license in good standing (Required). Willow Brook Home is seeking a full-time MDS Coordinator to support our 50-bed care…
Quick Apply
Registered Nurse
Arista Recovery —Hilliard, OH
Licensed Registered Nurse credentialed from the State Board of Nursing in State in which site is located or licensed in a compact licensure state provides a…
$34 - $42 an hour
Quick Apply

Show more jobs in cities nearby

I want to receive the latest job alert for nurse coordinator in saint michaels, md

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

nurse coordinator jobs near saint michaels, md

Utilization Management Nurse

Luminis Health -
Annapolis, MD

Apply Now

Job Details

Full-time
$34 - $55 an hour

Benefits

AD&D insurance
Paid holidays
Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Life insurance
Referral program
Retirement plan

Qualifications

RN License
Acute care experience

Full Job Description

Nursing

Utilization Management Nurse

Job #: 3039 Posted date: Jul. 13, 2026 Entity: Luminis Health Department:LH Utilization Management Shift:Day Employment Type :Full Time Location: Annapolis, Maryland; Lanham, Maryland;

Additional Information

Full Time - Day shift (Monday-Friday, 8a-5p), hybrid (Work from both office & home. Must be in commutable distance).

Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delays and denial of payment.

Essential Job Duties:

1. Chart Review:

Reviews the medical record by applying utilization review criteria, to assess clinical, financial, and resource utilization; enters clinical review in EPIC; maintains close communication with external reviews, care coordinators, and providers; reconciles and records days authorized in EPIC

2. Denial Management:

Monitors and identifies patterns or trends in utilization management; monitors potential and actual denials and collaborates with care coordinator for any follow up necessary; documents actions taken to avoid denial; assists Care Coordinator in communicating with the patient denied hospital days with work toward resolution and discharge.

3. Care Coordination:

Collaborates with the Care Coordinator to achieve optimal and efficient patient outcomes while decreasing length of stay, avoidable delays and denied days; utilizes Physician Advisor and administrative personnel for unresolved issues; identifies opportunities for expedited appeals and collaborates with the care coordinator and Physician Advisor to resolve payer issues.

4. Process improvement initiatives

Participates in nursing unit and department clinical outcome projects as well as process improvement initiatives of care management.

Educational/Experience Requirements:

Bachelor’s of Science in Nursing or Associate’s degree in Nursing with equivalent experience. BSN must be achieved within 5 years of start date in the role.
Three years of clinical nursing in an acute care hospital setting.

RequiredLicense/Certifications:

Current RN license from Maryland Board of Nursing.

Working Conditions, Equipment, Physical Demands:

There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens.

Physical Demands -

The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act.

The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary.

Pay Range

$34—$55 USD

Luminis Health Benefits Overview:

Medical, Dental, and Vision Insurance
Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
Paid Time Off
Tuition Assistance Benefits
Employee Referral Bonus Program
Paid Holidays, Disability, and Life/AD&D for full-time employees
Wellness Programs
Employee Assistance Programs and more
Benefit offerings based on employment status

Opt-in for text notifications!
Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone.

To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time.
Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.

Apply Now

Refine Your Search

nurse coordinator jobs in saint michaels, md

Utilization Management Nurse

Clinical Practice Coordinator (RN)

Cardiac Surgery Quality Coordinator (RN)

Infusion Therapy Nurse II

Clinical Nurse Educator (RN)

Cardiac Program Nurse Coordinator

Registered Nurse

MDS Coordinator / RN Assessment Coordinator

Perinatal Loss Program Coordinator- FT- Varies

Registered Nurse - Annual Wellness Visit (AWV

CNA/GNA Instructor and Program Coordinator (RN)

Emergency Medicine APP (Physician Assistant / Nurse Practitioner)

Wound Care Nurse (RN) - FT Days

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for nurse coordinator in saint michaels, md

Explore jobs in more locations

Utilization Management Nurse

Additional Information

Job Seeker Tools

Employer Tools

Browse

Stay Connected