This position is a hybrid opportunity, reporting to our clients office in Canton MD 2-3x per week.
- RN or LPN certified is a requirement. Licensed in Maryland. (Licensure Compact-(NLC) acceptable)
- Experience: 5+ years acute clinical experience, previous case management, discharge planning or utilization review experience.
- Must have strong Medical Abstraction/Data Analysis abilities
- Bachelor's or Associate-s degree in Nursing is highly preferred
- Big Plus: HEDIS medical chart review experience. Overreading also a big plus
- CareSeed knowledge considered a BIG PLUS
- Expertise within any EMR is required (Big Plus would be Epic, eClinical or Cerner)
- Ability to effectively communicate and provide positive customer service to every internal and external customer
- Current knowledge of clinical practices and related medical policies.
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