Travel Nurse RN - Utilization Review - $1,880 per week
Company: GQR Healthcare
Location: Baltimore
Posted on: March 7, 2026
|
|
|
Job Description:
GQR Healthcare is seeking a travel nurse RN Utilization Review
for a travel nursing job in Baltimore, Maryland. Job Description &
Requirements - Specialty: Utilization Review - Discipline: RN -
Duration: 13 weeks - 40 hours per week - Shift: 8 hours, days -
Employment Type: Travel Shift: Mon – Fri, 8:00am-5:00pm EST WORK
Location- REMOTE No Call. holiday or weekend There is no direct
patient care, this is a medical review position only. Required:
Active RN License, (5) years RN experience, Current UR experience;
EPIC and referral platforms such as NaviHealth or AllScripts.
Knowledge and use of Proficiency using InterQual and/or Milliman
criteria software systems, Managed care experience in utilization
review for at least 1 year preferred. Duties: Responsible for the
day to day management of health confined plan members in acute care
and/or rehabilitative facilities. The Utilization Nurse (UN)
actively monitors the appropriateness of care received by plan
members in a variety of settings, acute hospital, sub-acute
hospital, and acute rehabilitation facility. The Utilization Nurse
applies member benefit and medical criteria to determine
authorization of services in coordination with the Medical
Directors. The Utilization Nurse proactively initiates discharge
planning for of members, including identification of post-discharge
needs and coordination of post discharge referrals/services. The UN
communicates verbally and in writing authorization and/or denial of
covered services with providers, facilities and members. The UN is
a member of administrative and clinical teams in the area of
assignment. Clinical knowledge is maintained and updated and UN
must maintain acceptable documentation and quality standards.
Skills: Excellent verbal and written communication skills to
effectively interact and work correctively with enrollees,
Physicians facility staff and management staff. Work requires
excellent interpersonal skills and attitude to effectively project
a positive image of our Managed Care Program. Computer skills
working with a variety of applications and online systems.
Knowledge of Enterprise and utilizing various criteria sets i.e.
InterQual. Ability to negotiate and resolve conflicts with external
customers. About GQR Healthcare GQR’s Healthcare team specializes
in connecting experts within the industry to highly skilled
healthcare professionals across the US market. In the competitive
healthcare market, we recognize that the industry’s common goals of
improved quality of care and patient outcomes are wholly reliant
upon the professionals directly supporting these initiatives.
Leveraging our extensive candidate network, we deliver continuity
of care for the communities our partners serve to ensure the
patient experience is of the highest quality. Through deep market
specialization and a unique approach to talent acquisition, GQR
Healthcare provides an unparalleled and personalized experience
across all medical specialties in nursing and within diverse
healthcare platforms across the industry.
Keywords: GQR Healthcare, Alexandria , Travel Nurse RN - Utilization Review - $1,880 per week, Healthcare , Baltimore, Virginia
