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Shaded band: the middle 50% of posted administration roles in Annapolis, Maryland salarys. This role sits in the 57th percentile.
About the role
Pay for this role is about 17% above the Annapolis, Maryland median for administration roles.
The Case Manager performs concurrent utilization reviews and monitors patient status to ensure appropriate clinical placement and medical necessity. They also maintain statistical data, coordinate with managed care payors, and facilitate the multi-disciplinary treatment team process.
Luminis Health Title
Utilization
Review/Case
Manager-Partial
Hospitalization
Program
Department:
Lanham
Partial
Hospitalization
Reports To: Director-
Clinical
Director
Behavioral
Health
Lanham
Cost
Center/Job
Code: 41000-42002-001148
FLSA
Status:
Exempt
Position
Objective: Performs and monitors integrated, concurrent utilization review and case referrals on patients, consistent with the approved Utilization Review Plans. Works with medical and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains contact with Managed Care and other third party payors to assure appropriate case management.
Essential
Job
Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Performs duties according to established standards for age groups adolescence through geriatric. Assesses data reflective of the patients status and interprets the appropriate information needed to identify each patients requirements relative to his or her age-specific needs. Maintains monthly statistical data and reports data to Clinical Director. Identifies status of physical, social and psychological needs of the patient, family and significant others. Evaluates data obtained in the bio-psychosocial and nursing history and assesses patients and their families to determine by interview, appropriateness for admission or referral. Determines the medical necessity and appropriateness of admission, using established criteria and standards. Verifies that pre-admission assessment is performed, and pre-authorizes patients as applicable. Monitors medical records for medical necessity and appropriateness of continued stay in accordance with established and approved norms. Verifies prior authorization data and performs concurrent reviews with external review agents on a daily basis in order to provide medical necessity and intensity of service information for continued stay approvals. Consolidates, tracks and reports performance on completed utilization review forms for all clinical areas and relays information to the multi-disciplinary treatment team. Resolves matters on outliers and initiates/follows up on appeals for determination at variance with program norm.
Requirements
Candidates must hold a Bachelor's degree and possess at least two years of experience in utilization review or management. The role requires strong assessment skills and the ability to interpret clinical documentation for behavioral health patients.
bachelor degree
Case Management
Patient Assessment
Regulatory Compliance
Treatment Planning
Data Reporting
Clinical Documentation
Interdisciplinary Collaboration
Behavioral Health
Utilization Review
Patient Referral
Medical Necessity Determination
Bio-psychosocial Assessment
Appeals Processing
Managed Care Coordination
Nursing History
Benefits
Dental Insurance
Disability Insurance
Life Insurance
Paid Holidays
Paid Time Off
Vision Insurance
Medical Insurance
Employee Referral Bonus Program
Employee Assistance Programs
Retirement Plan
Tuition Assistance
Wellness Programs
Posting details
Employment type
Part Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$81,967 - $122,951/yr
Locations
Annapolis, Maryland; Bowie, Maryland
Posted
Aug 30, 2026
Application
Employer website
Educational/Experience
Requirements: BA/BS Two years of experience performing utilization review or utilization management.
RequiredLicense/Certifications:
Working
Conditions,
Equipment,
Physical
Demands: There is a reasonable expectation that employees in this position will not be exposed to blood-borne pathogens. Physical Demands - Light work. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated for light work. 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 $81,967.12—$122,950.68
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
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Market context
Maryland medical office admin roles stay steady
In Maryland, medical office administration roles are typically supported by steady demand from clinics, practices, and outpatient settings that need reliable front-office and billing support. These roles are competitive because employers often look for candidates with medical terminology knowledge, basic billing and coding skills, and comfort with standard office software. Review the AI-summarized requirements and benefits on this platform to save research time, then tailor your application to show one year of medical office experience and any billing or software tools you’ve used.
