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.

Key Responsibilities:

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.

Additional Skills:

RN, data analytics, excel, understanding of clinical terminology, cause and effect rationale (inquisitive).

Qualifications:

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.

Role Characteristics:

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.

Ampcus is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veterans or individuals with disabilities.

Apply

Vacancy posted 1 day ago

Similar jobs that could be interesting for youBased on the Clinical Medical Review Nurse in Owings Mills, MD vacancy

Utilization Review Nurse RN - NE
...Utilization Review Nurse RN - NE Randallstown, MD NORTHWEST HOSPITAL NW CARE MANAGEMENT Part... ...concurrent and retrospective chart review for clinical, financial and resource utilization... .... Responsibilities Include: Reviews the medical record by applying utilization review criteria...
Medical
Part time
Shift work
Weekend work
LifeBridge Health
Randallstown, MD
3 days ago
Utilization Review, RN Flex
...Requirements Job Summary A Utilization Review (UR) Nurse is a registered nurse who bridges the gap... ...companies. They evaluate patient medical records to ensure treatments, procedures, and hospital stays are clinically necessary, cost-effective, and meet established...
Medical
Work experience placement
Flexible hours
University of Maryland Medical System
Towson, MD
4 days ago
Mobile Registered Nurse - I-SNP
$90k - $110k
...Mobile Registered Nurse – I-SNP Company Information Company: Avail Health Medical Practice of Florida, P.A. Reports To... ...care, access, and meaningful clinical work for Medicare-age individuals... ...bonus. ~ Annual Compensation Review: Compensation is reviewed...
Medical
Full time
Remote work
Monday to Friday
Avail Health
Reisterstown, MD
2 days ago
Clinical Nurse II
$37 - $54.18 per hour
...University of Maryland St. Joseph Medical Center, you're coming to more... ...with solid knowledge and clinical skills; engaged in advancing... ...floor Team includes RNs, student nurses, PCTs and Exercise... ...applicable): Shift Differential Review the 2025-2026 UMMS Benefits Guide...
Medical
Shift work
Weekend work
University of Maryland Medical System
Towson, MD
3 days ago
Clinical Nurse I
$34.5 - $37 per hour
...University of Maryland St. Joseph Medical Center, you're coming to more... ...Description Focus of clinical practice/care delivery and on... ...Licensure as a Registered Nurse in the state of Maryland, or eligible... ...Pay Range: $34.50-$37.00 Review the 2025-2026 UMMS Benefits Guide...
Medical
Immediate start
Relocation package
IntelyCare
Towson, MD
2 days ago
Senior Clinical Nurse I (RN), Comprehensive Medical Rehabilitation Unit
...Clinical Nurse Leader This role is designed for the nurse who is a clinical and professional leader at the unit level. Demonstrates effective... ...personnel's skills and development; leads unit based peer review processes. Actively engaged in advancing own practice; role...
Medical
Work experience placement
University of Maryland Medical System
Gwynn Oak, MD
2 days ago
Registered Nurse (Admissions Clinical Navigator, Hospitals)
$68k - $118.35k
...managers, and access team. Reviewing unit acuity levels using... ...certification preparation ~ Free clinical supervision to those working... ...assistance ~ Comprehensive medical, dental and vision benefits... ...) Bachelor of Science in Nursing (BSN) and Registered Nurse (RN...
Medical
Sheppard Pratt
Towson, MD
4 days ago
Senior Clinical Nurse, Days
$39.75 - $56.05 per hour
...the University of Maryland St. Joseph Medical Center, you're coming to more than simply... ...This role is designed for the nurse who is a clinical and professional leader at the unit level... ...Develops, implements, and evaluates peer review at the unit level. Provides direct...
Medical
Work experience placement
Relocation package
Shift work
Weekend work
IntelyCare
Towson, MD
21 hours ago
Transitional Care Clinic Nurse Practitioner
.... 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 System
Towson, MD
4 hours ago
Nurse Practitioner - Clinical Advisor - Senior Care - Baltimore, MD - Optum
$89.9k - $160.6k
...care to patients at home in a nursing home, assisted living for... ...the delivery and provision of clinical care of members in a facility... ...management, timecard approval, annual review of performance Conduct... ...the ability to document medical information with written and...
Medical
Hourly pay
Minimum wage
Full time
Work experience placement
Local area
Monday to Friday
UnitedHealth Group
Towson, MD
1 day ago
Registered Nurse
$37.15 - $57.58 per hour
...Registered Nurse ~ Randallstown, MD ~NORTHWEST HOSPITAL ~Full-time w/Weekend... ...Save Job Saved Summary Our Acute Medical Care Unit is a fast-paced, dynamic environment... ..., we offer: Tuition Assistance Clinical support from clinical educators, clinical...
Medical
Full time
Shift work
Night shift
Weekend work
LifeBridge Health
Randallstown, MD
20 minutes ago
Registered Nurse - PRN
$50 per hour
...Registered Nurse - PRN ~ Randallstown, MD ~NORTHWEST HOSPITAL ~BEHAVIORAL HEALTH... ...-based practice councils and advanced clinical education support — improving both workflow... ...: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital...
Medical
Relief
Shift work
Day shift
LifeBridge Health
Randallstown, MD
20 minutes ago
Registered Nurse - PRN
$50 per hour
...Registered Nurse - PRN ~ Randallstown, MD ~NORTHWEST HOSPITAL ~NURSING EMERGENCY... ...and be able to effectively implement clinical nursing interventions to modify symptoms.... ...region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll Hospital...
Medical
Relief
Shift work
Night shift
LifeBridge Health
Randallstown, MD
20 minutes ago
Registered Nurse
$35 - $54.82 per hour
...Registered Nurse ~ Randallstown, MD ~NORTHWEST HOSPITAL ~Part-time w/Weekend... ...dialysis , and want to grow in a supportive clinical environment—this is the opportunity for... ...Program Full benefits package including medical, dental, vision, and retirement Free...
Medical
Part time
Relocation package
Shift work
Night shift
Weekend work
LifeBridge Health
Randallstown, MD
20 minutes ago
Clinical Nurse II- cardiac cath prep and recovery
$39.35 - $56.21 per hour
...University of Maryland St. Joseph Medical Center, you're coming to more... ...care to patients within a clinical specialty as a fully effective... ...practicing as a professional nurse. Participates in activities to... ...applicable): Shift Differential Review the 2025-2026 UMMS Benefits...
Medical
Shift work
Weekend work
IntelyCare
Towson, MD
3 days ago
Clinical Nurse II- cardiac cath prep and recovery
$39.35 - $56.21 per hour
...University of Maryland St. Joseph Medical Center, you're coming to more... ...care to patients within a clinical specialty as a fully effective... ...practicing as a professional nurse. Participates in activities to... ...applicable): Shift Differential Review the 2025-2026 UMMS Benefits...
Medical
Work experience placement
Shift work
Weekend work
University of Maryland Medical System
Towson, MD
3 days ago
Public Health Nurse (HHS Clinical Services)
$71.36k - $81.77k
...of Health and Human Services, Clinical Services. A list of... ...provides professional public health nursing services to individuals,... ...institutions. Administers prescribed medical treatments and emergency care... .... Salary Annual Salary review - Step increases may be...
Medical
Full time
Contract work
Temporary work
Part time
Work experience placement
Work at office
Flexible hours
Baltimore County
Towson, MD
4 days ago
Travel Nurse - RN - TELE - Telemetry - $1832.01 / Week
$1,832.01 per week
...experienced Telemetry Registered Nurse for an exciting Travel Nursing... ...by MIT Sloan Management Review. No matter if you want to explore... ...major healthcare system Day-1 medical benefits that last up to 30 days... ...after 6 months 24/7 support Clinical support throughout your assignment...
Medical
Local area
Shift work
BluePipes, Inc
Towson, MD
4 days ago
OR/ Circulator Registered Nurse-Hourly
$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...
Medical
Hourly pay
Full time
Monday to Friday
AmSurg
Towson, MD
12 days ago
Registered Nurse - Residential Transtion Program
...management of oral and injectable medications for members. • Performs... ...for members. • Provides clinical expertise related to the management... ...license as a Registered Nurse. • Work requires knowledge... ...further information, please review the Know Your Rights notice from...
Medical
Second job
Sheppard Pratt
Sykesville, MD
1 day ago
PACU Nurse- Full Time
$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...
Medical
Full time
Monday to Friday
Shift work
Ambulatory Surgery Center
Towson, MD
3 days ago
Float Registered Nurse, RN, Towson (Days)
$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...
Medical
Relocation
Sheppard Pratt
Towson, MD
2 days ago
Registered Nurse - Home Health Visits
$55 - $62 per hour
...currently seeking an experienced Registered Nurse, RN, for a per diem opportunity... ...and reliability. Benefits may include medical, dental, vision, and life insurance; mileage... ...clients' conditions; reporting changes to Clinical or Client Services Manager Follow up...
Medical
Weekly pay
Daily paid
Work at office
Local area
BAYADA Home Health Care
Owings Mills, MD
a month ago
Travel Home Health Registered Nurse - $2,426 per week
$2,426 per week
...Care Career is seeking a travel nurse RN Home Health for a travel nursing job in Owings... ...direction and supervision of the Director of Clinical Services/Nursing Supervisor. Home Health... ...Referral bonus Weekly pay Medical benefits Continuing Education Dental...
Medical
Weekly pay
Zero hours contract
Shift work
Care Career
Owings Mills, MD
4 days ago
Registered Nurse RN - All Shifts
$36 - $48 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...
Medical
All shifts
Flexible hours
Shift work
Futurecare
Reisterstown, MD
21 hours ago
Registered Nurse - Observation
...stay on this unit for less than 24 hours. Nurses on this unit specialize in telemetry,... ...unit-based practice councils and advanced clinical education support - improving both workflow... ...region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll...
Medical
Shift work
LifeBridge Health
Randallstown, MD
1 day ago
NURSE NAVIGATOR
...service plan. The navigator works with the clinical team to identify individuals who have... ...Required: Associate's Degree in Nursing Preferred: Master's Degree Licenses... ...region: Sinai Hospital of Baltimore, Grace Medical Center, Northwest Hospital, Carroll...
Medical
Shift work
LifeBridge Health
Randallstown, MD
21 hours ago
Travel Nurse RN - Med Surg / Telemetry - $1,801 per week
$1,801 per week
...Trustaff is seeking a travel nurse RN Med Surg / Telemetry for a... ...patients experiencing general medical conditions or general surgical... ...you must be able to accurately review telemetry readouts. Trustaff... ...people and places Grow your clinical skills and expand your...
Medical
Weekly pay
Shift work
Night shift
trustaff
Towson, MD
2 days ago
Registered Nurse RN - All Shifts
$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...
Medical
All shifts
Flexible hours
Shift work
Futurecare
Randallstown, MD
5 days ago
Delegating Nurse - Part Time
...assisting in the supervision of the nursing department. Serves as the... ..., etc. Completes self-medication assessment every three (3)... ...service planning Manage the clinical oversight of resident care in the Assisted Living Reviews and signs all incident/...
Medical
Part time
Seaton Hagerstown
Towson, MD
2 days ago

Do you want to receive more vacancies?

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