Clinical Advisor (RN)

Lumen Solutions Group Inc

Washington, DC(remote)

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JOB DETAILS

JOB TYPE

Full-time

SKILLS

Analysis Skills, Business Administration, Clinical Assessment, Clinical Data, Clinical Information, Clinical Nursing, Clinical Outcomes, Cost Analysis, Cost Control, Data Analysis, Health Insurance, Health Plan, Healthcare, Medical Terminology, Nursing, Presentation/Verbal Skills, Registered Nurse (RN), Trend Analysis, Utilization Management

LOCATION

Washington, DC

POSTED

30+ days ago

Role: Clinical Advisor (RN) Location: Canton Crossing, Baltimore, MD - 100% Remote Type: Contract Position Summary This role is for a Registered Nurse with strong analytical skills who can review and interpret clinical and population health data. The nurse will analyze high-cost claims, healthcare utilization patterns, and clinical information to help the organization identify trends, improve health outcomes, and control healthcare costs. It is an internal, non-patient facing role focused on clinical data analysis and reporting rather than bedside care. Responsibilities Analyze high-cost claimant and population health data. Review clinical, financial, and utilization data across systems. Identify care gaps, trends, and cost-containment opportunities. Translate clinical findings into clear reports and slide presentations. Support healthcare analytics and reporting requests. Collaborate with internal teams to improve health outcomes and cost management. Requirements Active Registered Nurse (RN) License (state or compact). 4+ years clinical nursing experience. 2+ years healthcare data analytics experience. Strong knowledge of medical terminology and healthcare utilization review. Advanced skills in Excel, PowerPoint, and data interpretation. Bachelor’s degree required. Preferred Experience in health plans / insurance environment. Graduate degree such as MSN, MPH, or MBA

Clinical Advisor (RN)

Lumen Solutions Group Inc

Washington, DC(remote)

About the Company

Lumen Solutions Group Inc

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