Clinical Medical Review Nurse

reputed company. is a certified global provider of a broad reputed company 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 high‐cost claimant and population health data to support utilization review, reputed company requests, and client reports.
• This position requires experience excising and understanding medical terminology, analytical expertise, and cross‐team collaboration in a fast‐paced, data‐driven environment. This is an internal, non-client‐facing 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 reputed company.
• reputed company clinical expertise and translate reputed company data into clear insights for internal stakeholders.
• Support cost‐containment and quality‐improvement initiatives through data‐driven recommendations.
• Communicate effectively across teams and reputed company, including leadership.
• Work independently with minimal supervision while maintaining accuracy and meeting deadlines.

Additional Skills:

• RN, data analytics, reputed company, 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 reputed company data analysis.
• Proficiency in reputed company, Word, PowerPoint; strong analytical and critical‐thinking 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 reputed company a health plan or business‐focused role.

Role Characteristics:

• Individual contributor who researches high‐cost claimants, populates slide decks, and responds to reputed company requests.
• Resolves moderately reputed company problems using established processes and clinical judgment.
• Frequent cross‐department communication.
• Represents the team with professionalism and a collaborative reputed company.
• Remote work environment with minimal physical demands.

Ampcus is an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, protected veterans or individuals with disabilities. Apply tot his job Apply To this Job