About this role
Clinical Medical Review Nurse (Remote) at CareFirst BlueCross BlueShield. Location: Baltimore, Maryland, United States. Role: reviewing claims, pricing procedures, attending meetings Requirements: Active RN licensure (MD/VA/DC or compact), 3 years acute clinical experience, case management/utilization review experience; bachelor's in nursing preferred; proficiency with Microsoft Office and CPT/HCPCS; strong communication and clinical judgment. Category: Healthcare Services - Nursing Seniority: Mid Level Tools: Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, CPT, HCPCS Certifications: rn Commitment: Full Time Workplace: Remote Languages: English