Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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)

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Clinical Medical Review Nurse in Baltimore, MD vacancy
  •  ...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... 
    Medical
    Remote work

    Ampcus

    Owings Mills, MD
    3 days ago
  • $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... 
    Medical
    Work at office

    Cynet Systems

    Baltimore, MD
    3 days ago
  •  ...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... 
    Medical
    Work at office
    Immediate start

    Ampcus

    Baltimore, MD
    5 days ago
  • $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... 
    Medical
    Full time
    Relief
    Trial period
    Monday to Friday
    Shift work
    Night shift
    Weekend work

    University of Maryland Medical System

    Towson, MD
    3 days ago
  •  ...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... 
    Medical
    Full time
    Local area
    Remote work
    Monday to Friday
    Weekend work
    Day shift

    IntelyCare

    Baltimore, MD
    3 days ago
  • $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... 
    Medical
    Full time
    Work experience placement
    Shift work

    University of Maryland Medical Center

    Baltimore, MD
    3 days ago
  • $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,... 
    Medical
    Full time
    Contract work
    For contractors
    Live in
    Work at office
    Local area
    Remote work

    RELI Group, Inc.

    Windsor Mill, MD
    2 days ago
  •  ...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

    Boston Medical Center

    Baltimore, MD
    2 days ago
  • $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... 
    Medical
    Daily paid
    Relocation
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    MedStar Health

    Baltimore, MD
    2 hours ago
  •  ...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... 
    Medical
    Local area

    Holly Hill Nursing and Rehab Center

    Towson, MD
    2 days ago
  •  ...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... 
    Medical
    Work experience placement
    Trial period

    University of Maryland Medical Center

    Baltimore, MD
    4 days ago
  •  ...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

    University of Maryland Medical System

    Towson, MD
    1 day ago
  • $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... 
    Medical
    Temporary work
    Immediate start

    IntelyCare

    Baltimore, MD
    3 days ago
  •  ...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... 
    Medical
    Hourly pay
    Relief
    Flexible hours

    LifeBridge Health, Inc.

    Baltimore, MD
    4 hours ago
  • $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

    LifeBridge Health

    Baltimore, MD
    5 days ago
  • $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... 
    Medical
    Monday to Thursday
    Flexible hours

    Kennedy Krieger Institute

    Baltimore, MD
    3 days ago
  •  ...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... 
    Medical
    Full time
    Temporary work

    Keswick

    Baltimore, MD
    1 day ago
  • $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... 
    Medical
    Local area
    Weekend work

    GILCHRIST

    Baltimore, MD
    3 days ago
  • $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 Center
    Medical
    Day shift

    University of Maryland Medical Center

    Towson, MD
    5 days ago
  •  ...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 Center
    Medical
    Full time
    Work experience placement
    Night shift

    University of Maryland Medical Center

    Towson, MD
    5 days ago
  •  ...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... 
    Medical
    Remote work

    University of Maryland Medical Center

    Linthicum Heights, MD
    6 days ago
  • $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 Center
    Medical
    Work experience placement
    Flexible hours
    Night shift

    University of Maryland Medical Center

    Towson, MD
    2 days ago
  •  ...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... 
    Medical
    Work experience placement
    Night shift

    University of Maryland Medical Center

    Baltimore, MD
    2 days ago
  • $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... 
    Medical
    Full time

    LifeBridge Health, Inc.

    Baltimore, MD
    4 hours ago
  • $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... 
    Medical
    Hourly pay
    Full time
    Work experience placement
    Shift work
    Day shift

    Parexel

    Baltimore, MD
    5 days ago
  • $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... 
    Medical
    Hourly pay
    Full time
    Work experience placement
    Shift work
    Day shift

    Parexel

    Baltimore, MD
    4 days ago
  •  ...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 Center
    Medical
    Work experience placement
    Night shift

    University of Maryland Medical Center

    Baltimore, MD
    5 days ago
  •  ...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... 
    Medical
    Interim role

    Johns Hopkins University

    Lutherville Timonium, MD
    6 days ago
  •  .... 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... 
    Medical
    Temporary work
    Work experience placement

    University of Maryland Medical Center

    Towson, MD
    4 days ago
  • $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... 
    Medical
    Shift work

    University of Maryland Medical Center

    Baltimore, MD
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Medical Review Nurse. Be the first to apply!