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Clinical Review Nurse
Clinical Review NursenTech Workforce • Baltimore, MD, US
Clinical Review Nurse

Clinical Review Nurse

nTech Workforce • Baltimore, MD, US
2 days ago
Job type
  • Temporary
Job description

Job Description

Terms of Employment

  • Contract, 12 Months (Possible Extension / Permanent Conversion)
  • This position requires residence in Maryland and the ability to work on-site at our client's Baltimore, MD (Canton neighborhood) office 2-3 days per week. Occasional travel to local healthcare provider offices will also be required.

Overview & Responsibilities

Join a dedicated Government Programs quality team at a leading healthcare organization. We are seeking two skilled and detail-oriented Clinical Review Nurses for a 12-month contract. In this role, you will leverage your clinical expertise to perform medical record reviews and data abstraction, playing a vital part in the HEDIS process to improve healthcare quality and outcomes. If you have a strong clinical background and are looking to apply your skills in a new way, this is an excellent opportunity for you. Comprehensive HEDIS training is provided.

You will…

  • Perform detailed abstractions of clinical data from member medical records.
  • Review and extract key information from provider records to support HEDIS quality measures.
  • For experienced candidates, conduct overreads of abstracted charts to ensure accuracy.
  • Occasionally travel to local provider offices to collect and manage medical records.

    • Required Qualifications

  • Must possess an active Licensed Practical Nurse (LPN) or Registered Nurse (RN) license.
  • A minimum of five (5) years of hands-on clinical experience is required.
  • Must reside in the state of Maryland.
  • Demonstrated experience navigating Electronic Medical Record (EMR) systems.
  • Basic proficiency in Microsoft Office, particularly Excel.

    • Preferred Qualifications

  • Previous experience with HEDIS chart abstraction and review.
  • Bachelor’s degree in Nursing.
  • Experience using EPIC or CareSeed software.
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    Clinical Review Nurse • Baltimore, MD, US

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