Review Nurse jobs in Baltimore, MD

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Quality Coordinator
Northwest Hospital - 39 reviews - Randallstown, MD
MD Registered Nurse license; Clinical chart review and data analysis; Nursing process skills based on MD Nurse Practice Act;...
Sponsored by LifeBridge
HEDIS Nurse
MJ Morgan Group - 7 reviews - Lutherville-Timonium, MD
$80,000 a year
Currently seeking an Registered Nurse to fill a HEDIS Nurse position working within a managed care organization just outside of Baltimore....
Easily apply
Sponsored
Complex Case Manager
Sharecare - Baltimore, MD
Participates in the preparation and on-site reviews. Responsible for completion of documentation review and self-audit as assigned by management....
Sponsored

Home Chronic Care Coordinator

Cigna - 1,721 reviews - Baltimore, MD
Review clinical issues with Chronic Care Management (CCM) physicians in a timely manner, depending on the urgency of the issue....

Clinical Review Nurse

MedStar Health Central Recruitment - Baltimore, MD
Experience in medical record review. Participates in the concurrent and retrospective clinical review of medical records for the purpose of collecting clinical...

Quality Improvement Specialist

JOHNS HOPKINS HEALTH SYSTEM - 358 reviews - Baltimore, MD
This QI Specialist position performs QI activities which include concurrent and retrospective chart review to measure clinical performance....

Utilization Review Nurse

Sinai Hospital of Baltimore - 39 reviews - Baltimore, MD
Utilization Review Nurse. Utiization Review Criteria; Nursing Process skills based on MD Nurse Practice Act;...

Clinical Liaison- Infusion Services

Option Care - 51 reviews - Baltimore, MD
Reviews the patient’s medical record to obtain primary and secondary insurance payor information, and relays this to the intake department....

Clinical Documentation Specialist - UMROI

U of M Rehabilitation & Orthopaedic Institute - Baltimore, MD
Provides performance feedback as requested within peer review systems. Licensure as a Registered Nurse in the State of Maryland required....

Appeals Nurse

JOHNS HOPKINS HEALTH SYSTEM - 358 reviews - Baltimore, MD
Required Requires at least 3 years clinical RN experience and 1 year in quality assurance/utilization review or risk management....

Utilization Review/ Case Management Nurse

Jai Medical Systems Managed Care Organization, Inc... - Hunt Valley, MD
Registered Nurse (RN). Managed Care Organization, located in Baltimore, is now seeking full-time, licensed registered nurses for utilization review and case...
Easily apply

Care Advisor Nurse Team Coordinator (Call Center)

Patient First - 114 reviews - Baltimore, MD 21224 (Bayview area)
Training care advisor nurses; Supervising the care advisor nurses; Representing the care advisor nurses at internal meetings....

Utilization Review Specialist

Mercy Health Services - 9 reviews - Baltimore, MD
Prior work as case manager/utilization review nurse a plus.-Knowledge of Interqual/Millman criteria preferred, and previous knowledge regarding insurance...
Clinical Nurse Manager
Healogics - Baltimore, MD
Registered Nurse with current license. Maintains and demonstrates competency in BLS (Basic Life Support), infections control, safety and all unit required skill...
Sponsored
TEAM LEADER-HOMEHEALTH
HomeCall - Baltimore, MD
Quality - Reviews and provides supervision for each patient's plan of care, through review of services, diagnoses, medications, procedures, progress, clinical...
Sponsored by LHC Group

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