Clinical Medical Review Nurse
Lumen Solutions Group Inc.
Clinical Medical Review NurseWe are seeking Licensed Practical Nurses (LPN) or Registered Nurses (RN) to join the Quality team as Clinical Medical Review Nurses. This is a hybrid contract position requiring both remote work and regular onsite presence at the Canton, MD office. Nurses will support the review and abstraction of medical records to ensure accuracy and compliance with quality standards.Key responsibilities include:Review and abstract data from medical recordsExtract relevant clinical data using Electronic Medical Record (EMR) systemsParticipate in periodic onsite provider visits (minimum once per month) to retrieve medical recordsAttend mandatory in-person training in January and again in June or JulyUse basic Excel to enter, track, and manage clinical dataWork collaboratively with internal QA and clinical teamsQualifications:Active RN, LPN, or Compact Nursing License (must be current and in good standing)Minimum 5 years of clinical experienceExperience with medical record review and data abstractionProficiency with Electronic Medical Record (EMR) systemsBasic knowledge of Microsoft ExcelMust reside in the state of Maryland (MD)Willingness to be onsite 2–3 days/week in Canton, MD and travel to provider offices as neededPreferred qualifications:HEDIS experience (preferred but not required)Nursing degree (Associate or Bachelor's – a plus)
- ...Clinical Medical Review NurseAmpcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are... ...and effect rationale (inquisitive).Qualifications:Registered Nurse (RN) – active state or compact license.4 years' clinical experience...MedicalRemote work
$36.49 - $41.49 per hour
...analyze professional and institutional claims using clinical judgment and medical policies for accurate adjudication.Conduct high-level... ...requirements.Participate in medical policy meetings, nursing forums, and review sessions with medical and dental leadership.Contribute...MedicalWork at office- ...Clinical Medical Review Nurse Ampcus Inc. is a certified global provider of a broad range of Technology and Business consulting services. We are in search of a highly motivated candidate to join our talented team. The Clinical Medical Review Nurse handles day-to-day...MedicalWork at officeImmediate start
$45 per hour
...Infusion Center, UM St. Joseph Medical Center campus, Towson, MD.... ...30 pm, Monday through Friday. Clinic closed nights, weekends, and holidays... ...the minimum role for all nurses at UMMC who have greater than... ...Compensation: Shift Differential. Review the 2025‑2026 UMMS Benefits...MedicalFull timeReliefTrial periodMonday to FridayShift workNight shiftWeekend work- ...ThriveComprehensive health coverage: medical, dental, vision, prescription... ...for appropriate care by reviewing admissions and service... ...in even the most challenging clinical situations.Support the frontline... ...Certification / Registration: Registered Nurse credentialed from the...MedicalFull timeLocal areaRemote workMonday to FridayWeekend workDay shift
$39.35 - $54.05 per hour
...Experienced Registered Nurse Experienced Registered Nurse position... ...at the University of Maryland Medical Center Midtown Campus. The... ...primarily based in an outpatient clinic, the nurse may occasionally... ...development of unit based peer review processes; actively participates...MedicalFull timeWork experience placementShift work$80k - $95k
...Medical Review Nurse III Fully Remote Windsor Mill, MD Overview Salary Range $80,000.00 - $95,000.00 Salary Position Type Full Time... ...Coverage Determinations, utilization/practice guidelines, and clinical review judgment. Provides professional assessment, planning,...MedicalFull timeContract workFor contractorsLive inWork at officeLocal areaRemote work- ...Boston Medical Center is seeking an experienced utilization management RN to support admitting teams in determining patient status and optimizing hospital resources. You will review clinical information using InterQual/MCG guidelines to ensure medical necessity, length...Medical
$83.72k - $136.13k
...General Summary of Position The Clinical Administrator is a member of... ...entity-based Division of Nursing and leadership team. The role... ...as well as senior medical staff and other Nurse Leaders... ...communication with leaders to review programs provide feedback discuss...MedicalDaily paidRelocationShift workNight shiftWeekend workAfternoon shift- ...Healthcare Center, a 75-bed skilled nursing, long-term care, and memory... ...Nurse (RN) to serve as Clinical Manager overseeing our skilled... ...escalation of clinical concerns. Review physician orders, treatment plans, care plans, medication-related concerns, and other clinical...MedicalLocal area
- ...Registered Nurse The Shock Trauma Outpatient Pavilion (STOP) at the University of Maryland Medical Center is a specialized, multidisciplinary clinic dedicated to providing comprehensive follow-up care for trauma patients recovering from acute injury. Located within...MedicalWork experience placementTrial period
- ...to the University of Maryland St. Joseph Medical Center, you're coming to more than simply... ...independently practices with solid knowledge and clinical skills; engaged in advancing own practice... .... Compensation Pay Range: $37.75 -$52.00. Review the 2025-2026 UMMS Benefits Guide....Medical
$38.58 - $69.44 per hour
...Clinical Nurse for UrologyJoin Our Team at Mercy Medical Center – Now Hiring a Clinical Nurse for Urology.Mercy Medical Center is honored to be recognized by... ...of the patient care team. Responsibilities include reviewing and monitoring patient test results, assessing...MedicalTemporary workImmediate start- ...is seeking a PRN Registered Nurse to join our Oncology Team. As... ...care using critical thinking, clinical judgment, evidence-based practice... ...while participating in peer review and team meetings.... ...blood products, hydration, and medications; perform phlebotomy, port access...MedicalHourly payReliefFlexible hours
$27.7 - $42.94 per hour
...Clinical Performance Liaison-Licensed Practical Nurse (LPN) The Clinical Performance Liaison-Licensed Practical Nurse... ...support across LifeBridge Health Medical Group practices. This role rotates... ...improvement. Performs onsite workflow reviews, observing intake processes,...Medical$32k
...Institute offers more than 55 outpatient clinics, home and community programs,... ...masters degreeBonus incentive for nursing certificationMedical, Dental,... ...portion of the visit. This includes medication and allergy reconciliation, review of health history changes, assessment...MedicalMonday to ThursdayFlexible hours- ...rating only reached by 19% of nursing homes in the country. Keswick... ...Pilates What will I do as a Clinical Resource Nurse with Keswick?... ...assessments and documentation. Review admission paperwork for... ...physician orders, and ensure medication reconciliation. Manage resident...MedicalFull timeTemporary work
$68.28k - $110.27k
...Utilization Review Nurse Under general supervision, provides consultative support to the... ...patient outcomes. Responsible for analyzing clinical information and performing timely... ...screening software to identify appropriate medical necessity, length of stay, and level of...MedicalLocal areaWeekend work$37 - $54.18 per hour
...practices with solid knowledge and clinical skills; engaged in advancing... ...Licensure as a Registered Nurse in the state of Maryland, or eligible... ...(if applicable): Review the 2025-2026 UMMS Benefits Guide... ...according to EEO guidelines. University of Maryland Medical CenterMedicalDay shift- ...Nurse Position This role is considered the minimum role for all... ...independent care to patients within a clinical specialty as a fully effective... ...6. Provides feedback in peer review as requested. Provides direct... ...: (PALS, ACLS, NRP) University of Maryland Medical CenterMedicalFull timeWork experience placementNight shift
- ...Senior Clinical Nurse II - Virtual Heart Failure Transitional Care Bridge Clinic Join an innovative interdisciplinary team transforming... ...Conduct clinical assessments, symptom evaluation, medication review, patient education, and ongoing monitoring through remote patient...MedicalRemote work
$39.35 - $50.04 per hour
...Nurse Residency Program This role is considered for the new graduate... ...Responsibilities and Tasks Clinical Practice/Care Delivery... ...Provides feedback in peer review as requested. Work Experience... ...025-2026 UMMS Benefits Guide University of Maryland Medical CenterMedicalWork experience placementFlexible hoursNight shift- ...compassionate, skilled, and motivated Clinical Nurse II to join our Inpatient Spinal Cord... ...patient safety data, including handoffs, medication safety, and other nursing quality... ...growth opportunities. Support peer review processes and actively engage in providing...MedicalWork experience placementNight shift
$43.33 - $67.16 per hour
...supervision, serves as the principal leader and advocate for nursing informatics and clinical technology advancement. Promotes the use of technology to... ...: $43.33 to $67.16 Based On Experience Benefits: Medical, dental, and vision coverage starting the first of the...MedicalFull time$40 - $46 per hour
...Parexel Early Phase Clinical Unit Nurse When our values align, there's no limit to what we can... ...Ensure that all study laboratory and medical tests are completed, and that eligibility... ...performance-based bonus plan, annual salary review and additional total rewards incentives...MedicalHourly payFull timeWork experience placementShift workDay shift$40 - $46 per hour
...Parexel Early Phase Clinical Unit supports the development of innovative... ...highly trained and skilled nurses are the front-line staff... ...that all study laboratory and medical tests are completed, and that... ...based bonus plan, annual salary review and additional total rewards...MedicalHourly payFull timeWork experience placementShift workDay shift- ...Senior Clinical Nurse I, Night Shift This Senior Clinical Nurse I, Night shift role is designed... ...and development; leads unit based peer review processes. 2. Actively engaged in... ...required. 7. Member of a professional organization. University of Maryland Medical CenterMedicalWork experience placementNight shift
- ...Clinical Nurse Opportunity The Department of Medicine, Division of Cardiology at the Greenspring... ...and responsibilities include: Reviews physician EPIC-in-baskets on a daily basis... ..., triaging appropriately. Pends new medications and prescription refills in Epic for...MedicalInterim role
- .... In the Transitional Care Clinic, the APP evaluates and manages... ...hospital who require short-term medical management prior to... ...hospitalization evaluations including review of discharge summaries, hospital... ...# Graduate of an accredited Nurse Practitioner or Physician Assistant...MedicalTemporary workWork experience placement
$57 - $80.84 per hour
...of the University of Maryland Medical System, is committed to... ...exceptional patient experience, clinical excellence, outstanding organizational... ...advanced practice providers [nurse practitioners and physician... ...routine performance reviews (including coaching providers...MedicalShift work
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