Clinical Medical Review Nurse in Baltimore, MD
Job Description
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The resource will need to travel to provider offices to collect medical records. (These provider offices are mostly located in the MD and will be around 1-2 times a month)
Must have an LPN or RN - State Licensure And/or Compact State Licensure RN/LPN-VA, and or MD
Must have solid 5+ years of clinical experience.
HEDIS experience is a nice to have.
Must have solid & in-depth clinical experience, need resources who have solid experience with clinical reviews & medical terminologies. (Not looking for bed side care experience).
Must have medical records review experience.
Must have EMR experience.
Must have good computer skills and good MS office experience, must be proficient in using word, excel, MS teams.
BS degree is a nice to have.
This role will involve HEDIS extraction only. They will be reviewing medical records and extracting clinical data. If they have HEDIS experience, then will also be involved in HEDIS overreads.
Job Details
Employment Type
Full-time
Required License
RN (Registered Nurse)
Work Setting
Office
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