Job Description
Job Description
Title: Clinical Review - Registered Nurse
Location: Baltimore, MD 21224 (Hybrid)
Duration: 12 Months Contract + Extension
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.
Sincerely,
Preetam Raj
Lead Technical Recruiter
nTech Workforce Inc.
D: 410-505-4857 EXT: 726
E: preetam@ntechworkforce.com
preetam(at)ntechworkforce(dot)com
Job Tags
Permanent employment, Contract work, Work at office, Local area, 2 days per week, 3 days per week,