Remote Clinical Medical Review Nurse
Remote / Online - Candidates ideally in
Baltimore, Anne Arundel County, Maryland, 21276, USA
Listed on 2026-08-24
Baltimore, Anne Arundel County, Maryland, 21276, USA
Listing for:
CareFirst, Inc.
Full Time, Remote/Work from Home
position Listed on 2026-08-24
Job specializations:
-
Healthcare
Job Description & How to Apply Below
Care First Blue Cross Blue Shield seeks a Clinical Medical Review Nurse to handle day-to-day review of professional and institutional claims and provider appeals that require medical review for benefits eligibility. The role supports claims processing and adjudication for Commercial lines and works remotely from the greater Baltimore area, with periodic on-site meetings.
RN licensure (MD/DC/VA), 3 years acute clinical experience, and strong communication and organizational skills are required.
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