Clinical Medical Review Nurse
Ampcus
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. Job Title: Clinical Medical Review Nurse. Location: Owings Mills, MD. Summary:
- The Contingent RN supports CareFirst by analyzing highcost claimant and population health data to support utilization review, adhoc requests, and client reports.
- This position requires experience excising and understanding medical terminology, analytical expertise, and crossteam collaboration in a fastpaced, datadriven environment. This is an internal, non-clientfacing role. The timeframe for this position will fluctuate depending on need.
- Retrieve and interpret clinical, financial, and population health data across multiple systems.
- Identify trends, gaps in care, and opportunities for improved health outcomes.
- Provide clinical expertise and translate complex data into clear insights for internal stakeholders.
- Support costcontainment and qualityimprovement initiatives through datadriven recommendations.
- Communicate effectively across teams and levels, including leadership.
- Work independently with minimal supervision while maintaining accuracy and meeting deadlines.
- RN, data analytics, excel, understanding of clinical terminology, cause and effect rationale (inquisitive).
- Registered Nurse (RN) - active state or compact license.
- 4 years' clinical experience plus 2 years of healthcare data analysis.
- Proficiency in Excel, Word, PowerPoint; strong analytical and criticalthinking skills.
- Ability to influence and collaborate with stakeholders across the organization.
- Bachelor's degree required (or 4 years' equivalent experience).
- Preferred: Graduate degree (MSN, MBA, MPH) and experience within a health plan or businessfocused role.
- Individual contributor who researches highcost claimants, populates slide decks, and responds to adhoc requests.
- Resolves moderately complex problems using established processes and clinical judgment.
- Frequent crossdepartment communication.
- Represents the team with professionalism and a collaborative mindset.
- Remote work environment with minimal physical demands.
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Clinical Medical Review Nurse in Owings Mills, MD vacancy
$40.12 - $62.19 per hour
...Utilization Review Nurse RN - NE ~Randallstown, MD ~NORTHWEST HOSPITAL ~NW CARE... ...concurrent and retrospective chart review for clinical, financial and resource utilization... ...Include: Reviews the medical record by applying utilization review criteria...MedicalPart timeShift workWeekend work$45 per hour
...Center, on the campus of UM St. Joseph Medical Center, in Towson, MD. The clinic hours are 7:00am to 4:30pm, Monday... ...the minimum role for all nurses at UMMC who have greater than 12 months... ...applicable): Shift Differential Review the 2025-2026 UMMS Benefits Guide...MedicalFull timeWork experience placementReliefTrial periodMonday to FridayShift workNight shiftWeekend workUniversity of Maryland Medical System
Towson, MD2 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...MedicalFull timeReliefTrial periodMonday to FridayShift workNight shiftWeekend workUniversity of Maryland Medical System
Towson, MD2 days ago- ...shift – 8:00 am to 4:30 pm Utilization Review Nurse RN Conducts initial, concurrent, and retrospective chart reviews to evaluate clinical, financial, and resource utilization. Provides... ...information. Responsibilities Review medical records using utilization review...MedicalFull timeShift workDay shift
LifeBridge Health
Randallstown, MD21 hours ago - A technology and business consulting firm is seeking a Clinical Medical Review Nurse to analyze health data and provide insights for internal stakeholders. The ideal candidate has a Registered Nurse license, along with four years of clinical experience and two years of...MedicalRemote work
Ampcus
Owings Mills, MD22 hours ago - ...dynamic health system is seeking a Utilization Review Nurse RN to improve patient outcomes through effective clinical reviews and coordination with payers. This role... ...located in Randallstown, MD, involves reviewing medical records, maintaining communication with...MedicalWeekend work
- Responsibilities Review patients promptly to recommend status for patients the provider... ...in collaboration with the clinical team and medical provider. Strive to promote patient wellness... ...candidates employed as a Utilization Review Nurse, Clinical Care Coordinator, Patient...MedicalShift work
- ...Referral Program and more. WHY NURSES LOVE WORKING AT COGIR Exceptional Clinical Support - backed by national and... ...and ongoing health assessments, medication management, and coordinated care... ...of physicians' orders and the review of new physicians' orders....MedicalLocal areaRelocation packageShift work
Cogir Senior Living
Owings Mills, MD4 days ago - Job Summary A Utilization Review (UR) Nurse is a registered nurse who bridges the gap between healthcare... ...companies. They evaluate patient medical records to ensure treatments, procedures, and hospital stays are clinically necessary, cost-effective, and meet established...Medical
$1,683 - $1,832 per week
...Registered Nurse (RN) | Telemetry Location: Towson, MD Agency... ...by MIT Sloan Management Review. No matter if you want to explore... ...healthcare system · Day-1 medical benefits that last up to 30... ...6 months · 24/7 support · Clinical support throughout your assignment...MedicalFull timeContract workLocal areaImmediate startShift workNight shiftTravelNurseSource
Towson, MD7 days ago$46.75 - $55.25 per hour
...Registered Nurse (RN) | Home Health Location: Owings Mills, MD Agency: SkyBridge... ...Nurses (LPNs/LVNs). Reporting to the Clinical Manager. Key Responsibilities Perform... ...comprehensive assessments of patients’ medical conditions and needs. Develop individualized...MedicalWeekly payFull timeContract workWork at officeImmediate startSkyBridge Healthcare
Owings Mills, MD23 days ago$1,720 - $1,873 per week
...Registered Nurse (RN) | Medical-Surgical Location: Towson, MD Agency: Host Healthcare... ...Satisfaction by MIT Sloan Management Review. No matter if you want to explore the... ...matching after 6 months · 24/7 support · Clinical support throughout your assignment 2...MedicalFull timeLocal areaImmediate startTravelNurseSource
Towson, MD27 days ago$1,732 - $1,885 per week
...Registered Nurse (RN) | Other Location: Towson, MD Agency... ...for our travelers. Day one medical, dental and vision insurance.... ...Satisfaction by MIT Sloan Management Review. No matter if you want to... ...6 months · 24/7 support · Clinical support throughout your...MedicalFull timeLocal areaImmediate startShift workTravelNurseSource
Towson, MD27 days ago- Saratoga Ascend is seeking a Medical Review Manager in Catonsville, MD, who will oversee nursing staff and implement medical review processes. The ideal candidate will... ...supervisory role, emphasizing the importance of clinical expertise and leadership. #J-18808-Ljbffr...Medical
$50 per hour
...Registered Nurse - PRN ~Randallstown, MD ~NORTHWEST HOSPITAL ~NURSING EMERGENCY... ...and be able to effectively implement clinical nursing interventions to modify symptoms.... ...: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital...MedicalReliefShift workNight shift$35 - $54.82 per hour
Registered Nurse Randallstown, MD NORTHWEST HOSPITAL Part-time w/Weekend Commitment... ..., and want to grow in a supportive clinical environment—this is the opportunity for you... ...Program Full benefits package including medical, dental, vision, and retirement Free...MedicalPart timeRelocation packageShift workNight shiftWeekend work- NURSING TECHNICIAN - Emergency Department Observation Clinical Evaluation Location: Randallstown, MD Functions under the supervision of the RN in a cooperative... ...card from AHA Basic computer skills; Synquest; medical terminology; Hoyer lift; communication devices; specialty...MedicalShift work
- Registered Nurse - Emergency Department Observation Clinical Evaluation Sign On Bonus Potential: $6,000 Location: Randallstown, MD Patients in this space are... ...be floating to Observation 2A or into the ED for Medical Boarder Support. Job Summary As a member of the patient...MedicalRelocation package
$39.75 - $50.04 per hour
...practices with solid knowledge and clinical skills; engaged in advancing... ...Licensure as a Registered Nurse in the state of Maryland, or eligible... ...Compensation (if applicable): Shif Differential Review the 2025-2026 UMMS Benefits Guide University of Maryland Medical CenterMedicalPart time$44 - $49 per hour
...OR/ Circulator Registered Nurse-Hourly We are currently searching... ...-oriented nurse with strong clinical skills and strong critical care... ...! We offer Competitive Pay, Medical, Dental and Vision Plans. Must... ...further information, please review the Know Your Rights notice from...MedicalHourly payFull timeMonday to FridayAmSurg
Towson, MDa month ago$117.06k - $192.94k
...Professional & Management/Non-Clinical Prof Requisition Number :... ...requires a thorough knowledge of nursing, nursing management, and... ...interact effectively with the medical staff; to work with and/or chair... ...further information, please review the Know Your Rights notice from...MedicalFull timeShift work$38.45 - $63.37 per hour
...As a Float Nurse (RN), you will: Be responsible for providing... ...treatment plan. Administer medical treatment as prescribed by physician... .... Provide day-to-day clinical direction to Mental Health Workers... ...further information, please review the Know Your Rights notice from...MedicalRelocationSheppard Pratt
Towson, MD3 days ago$44 - $48 per hour
...seeking a self-motivated, team-oriented nurse with strong clinical skills and strong critical care skills... ...our Team! We offer Competitive Pay, Medical, Dental and Vision Plans Must... ...laws. For further information, please review the Know Your Rights notice from the Department...MedicalFull timeMonday to FridayShift workAmbulatory Surgery Center
Towson, MD4 days ago- ...JOB SUMMARY: Perioperative Registered Nurse individualizes plans of care to coordinate... ...Works under the direct supervision of the Clinical Coordinator. REQUIREMENTS: Formal... ...region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll...MedicalShift work
LifeBridge Health
Owings Mills, MD1 day 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 CenterMedicalNight shift
- ...Nurse Position This role is considered the minimum role for all... ...independent care to patients within a clinical specialty as a fully effective... ...Provides feedback in peer review as requested. Provides direct... ...: PALS, ACLS, NIH. University of Maryland Medical CenterMedicalWork experience placementNight shift
- ...Registered Nurse Randallstown, MD Northwest Hospital Progressive Care Unit (PCU) Part... ...and peritoneal dialysis in a supportive, clinically advanced environment. Why Join the PCU Team... ...Ladder Program Full benefits package – medical, dental, vision, retirement, wellness...MedicalHourly payPart timeRelocation packageShift workNight shiftWeekend work
Confidential
Randallstown, MD2 days ago - ...Northwest Hospital is currently looking for Nurse Resident/ New Graduate Registered Nurses... ...Progressive Care (PCU) Stroke Medical Surgical Orthopedic We... ...participate in classes, present cases, learn clinical skills and gain confidence in their...MedicalFull timeInternshipShift workNight shift
LifeBridge Health
Randallstown, MD1 day ago $36 - $44 per hour
...Overview At FutureCare our Registered Nurses are our frontline heroes and are the heart of healthcare. Through their unwavering... ...assessment, planning, implementation, and evaluation Review resident medical records to ensure nursing practice provided is within State...MedicalHourly payFlexible hoursShift workWeekend workFuturecare
Randallstown, MD21 hours ago$6,000 per month
...looking for a caring Registered Nurse (RN) who is passionate about... ...lives. We offer: ~ An extended clinical orientation led by Sheppard... ...preparation ~ Comprehensive medical, dental and vision benefits for... ...further information, please review the Know Your Rights notice from...MedicalFull timePart timeReliefRelocationRelocation packageFlexible hoursShift workAfternoon shiftSheppard Pratt
Towson, MD1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Clinical Medical Review Nurse. Be the first to apply!
Related searches
- medical technology Owings Mills, MD
- medical collections work from home Owings Mills, MD
- northwest medical center Owings Mills, MD
- medical full time Owings Mills, MD
- medical writing work from home Owings Mills, MD
- select medical Owings Mills, MD
- medical equipment delivery service technician Owings Mills, MD
- medical support Owings Mills, MD
- american medical response Owings Mills, MD
- entry level medical writing Owings Mills, MD