Utilization Review Specialist (RN, LPN)Introduction:We are looking for a Maryland or Compact State certified Utilization Review Specialist (RN or LPN) to join our team and support a major Healthcare payor in the Maryland area. The ideal candidate will have extensive experience in nursing, utilization management, and a deep understanding of Milliman Care Guidelines (MCG). Responsibilities:Determine medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit inform