Utilization Management Specialist (RN)

Job Title: Utilization Management Specialist (RN) Location: Baltimore, MD Type: Contract To Hire Compensation: Max BR $68 /hr, Mid-Range Pay (MRP) $100,500/yr Work Model: Remote - offsite Responsibilities Perform prospective, concurrent, and retrospective reviews for authorization, appropriateness of care, and benefit coverage. Analyze clinical information, contracts, mandates, medical policies, evidence-based research, and regulatory requirements to determine appropriateness and authorizatio…