--- title: RN Utilization Review Weekends PRN at MedStar Health description: MedStar Health is hiring for the RN Utilization Review Weekends PRN role in Columbia, MD. See the full description and apply. type: job url: https://www.foundrole.com/jobs/rn-utilization-review-weekends-prn-at-medstar-health-01a0f26e-b434-74de-8ba1-f84eb6529c21 date: 2026-11-15T01:26:44Z og_description: Join MedStar Health as RN Utilization Review Weekends PRN in Columbia, MD. Pays $42.82–$71.16 per hour. Per-diem, on-site role. og_image: https://www.foundrole.com/og/hvcbgf.png breadcrumbs: - label: Home url: https://www.foundrole.com/ - label: Search url: https://www.foundrole.com/jobs --- | | | |---|---| | **Company** | [MedStar Health](https://www.foundrole.com/companies/medstar-health?utm_source=ai_markdown) | | **Location** | Columbia, MD | | **Salary** | $42.82/hr - $71.16/hr | | **Type** | Per Diem | | **Posted** | Sep 30, 2026 | ## Is this job real? **Ghost job check:** B · Low risk. Probably a real opening. ## Visa sponsorship - **H-1B:** No H-1B sponsorship on record for MedStar Health. - **E-Verify:** No E-Verify enrollment on record for MedStar Health. ## Pay for similar jobs Most similar jobs pay $93,000 – $125,000 a year (median $102,000). ## Description **About the Job** *****This position requires an individual to have acute Utilization Review experience and must be able to work 4 weekend shifts a month. You must also be available to train consistently in-person, which may include some weekday shifts***** **General Summary of Position** Conducts admission concurrent and retrospective case reviews to ensure appropriate admit status and level of care by utilizing the nationally approved guidelines. Collaborates with medical staff and ancillary hospital disciplines to ensure high-quality patient care in the most efficient way. **Primary Duties and Responsibilities** - Conducts admission concurrent and retrospective case reviews to meet hospital objectives of high-quality patient care in the most efficient way - Strives to meet the department goals adheres to organizational policies procedures and quality standards. Complies with rules and regulations set forth by the governmental and accrediting agencies. - Collaborates with medical staff physician advisor social workers and other ancillary hospital disciplines to meet patients' health care needs in the most cost-effective way. - Performs patients' medical record reviews document pertinent information and communicate with third party payors in a timely fashion to ensure proper hospital reimbursement and eliminate unnecessary denials. - Implements strategies to avoid potential denials by communicating with all the key stakeholders including attending physician. - If necessary non-coverage ABN MOON letters and other appropriate documents as per organizational governmental and accrediting organizations policies and regulations. - Actively participates in IDRs Length of Stay and other meetings as per hospital policies. - Identifies potential risks pertaining to patients' care and communicates with appropriate hospital discipline including risk management quality safety and infection control. - Serves as a resource to the health care team by educating the health care team through in-services staff meetings and formal educational settings in areas of utilization management. - Demonstrate current knowledge of State and Federal regulatory requirements as it pertains to the utilization review process. - Identifies dynamics of neglect/abuse and reports to the appropriate in-house departments and governmental agencies. **Minimal Qualifications** **Education** - Associate's degree in Nursing required and - Bachelor's degree in Nursing preferred **Experience** - 3-4 years 3 years experience in acute care setting required and - 1-2 years 2 years experience in case management insurance UR/or related experience preferred **Licenses and Certifications** - RN - Registered Nurse - State Licensure and/or Compact State Licensure In the District of Columbia or the state of Maryland depending on work location Upon Hire required and - CCM - Certified Case Manager Upon Hire preferred **Knowledge Skills and Abilities** - Excellent problem-solving skills and ability to exercise independent judgment. - Business acumen and leadership skills. - Strong verbal and written communication skills with ability to effectively interact with all levels of management internal departments and external agencies. - Working knowledge of various computer software applications. **This position has a hiring range of** USD $42.82 - USD $71.16 /Hr. ## Skills - Utilization Management - Business Acumen - Registered Nurse - Utilization Review - Quality Standards - Problem Solving - Patient Care - Risk Management - Microsoft Dynamics - Case Management - Acute Care - Infection Control - Nurse Licensure Compact (Nlc) - Leadership - Denials Management - Certified Case Manager - Communication - Regulatory Compliance ## Related - [More jobs at MedStar Health](https://www.foundrole.com/companies/medstar-health?utm_source=ai_markdown) - [Healthcare & Medicine jobs](https://www.foundrole.com/careers/healthcare-and-medicine?utm_source=ai_markdown)- [Healthcare Administration jobs](https://www.foundrole.com/careers/healthcare-and-medicine/healthcare-administration?utm_source=ai_markdown)- [Utilization Review Nurse jobs](https://www.foundrole.com/careers/healthcare-and-medicine/healthcare-administration/utilization-review-nurse?utm_source=ai_markdown)- [Browse all companies](https://www.foundrole.com/companies?utm_source=ai_markdown) ## Explore this job market - 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