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Medicare Set Aside Nurse Jobs (NOW HIRING)

Capitol Bridge, LLC.

$75K - $85K/yr

Review and evaluate workers' compensation Medicare set-aside (WCMSA) proposals, including medical records, to determine if the proposal meets Medicare threshold requirements and adequately considers ...

Citi Staff

Be Seen First

Workers Compensation Defense Attorney

Orange, CA · On-site

$100K - $150K/yr

Evaluate Medicare Set-Aside (MSA) issues and coordinate with MSA vendors when necessary. * Provide timely case status reports, evaluations, litigation budgets, and recommendations to claims ...

CorVel

Medical Coordinator I

Davenport, IA · On-site

$14.68 - $22.69/hr

The Medical Coordinator plays a key role in supporting Medicare lien resolution, medical cost projections, and Medicare Set-Aside services. This position works closely with Certified Nurse Medicare ...

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Medicare Set Aside Nurse information

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$47

How much do medicare set aside nurse jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for medicare set aside nurse in the United States is $26.77, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $28.85 per hour, depending on experience, location, and employer.

What is a Medicare Set Aside nurse?

A Medicare Set Aside (MSA) Nurse is a specialized professional who evaluates and allocates medical expenses for individuals who have a workers' compensation or liability claim that involves future medical costs covered by Medicare. They review medical records, project future treatment needs, and ensure compliance with Medicare guidelines. Their role helps protect Medicare's interests while ensuring claimants receive necessary medical care. MSA Nurses collaborate with attorneys, insurance companies, and medical providers to develop accurate and compliant Medicare Set Aside arrangements.

What does a Medicare Set Aside nurse do?

As a Medicare Set Aside Nurse, your typical day involves reviewing medical records and treatment histories, preparing detailed reports for Medicare Set Aside (MSA) allocations, and communicating with legal and insurance professionals to clarify medical needs or future care requirements. You may attend team meetings, consult with physicians, and answer questions from claimants or attorneys about the MSA process. Documentation and compliance checks are a significant part of the job to ensure all recommendations meet Medicare guidelines. The role is often independent but requires strong collaboration with case managers, adjusters, and legal teams to achieve a fair and compliant settlement.

What skills and qualifications are needed to thrive as a Medicare Set Aside nurse?

To thrive as a Medicare Set Aside Nurse, you need in-depth knowledge of medical case management, workers’ compensation, and Medicare compliance laws, typically supported by RN licensure and experience in case review. Familiarity with medical coding, claims management software, and possibly certifications like Certified Medicare Set Aside Consultant (CMSA) are important technical assets. Attention to detail, strong analytical thinking, and clear communication are vital soft skills in this position. These skills and qualities ensure accurate allocation of medical funds, regulatory compliance, and effective collaboration with claimants, attorneys, and insurers.

More about Medicare Set Aside Nurse jobs

What cities are hiring for Medicare Set Aside Nurse jobs?

Cities with the most Medicare Set Aside Nurse job openings:

What states have the most Medicare Set Aside Nurse jobs?

States with the most job openings for Medicare Set Aside Nurse jobs include:

What job categories do people searching Medicare Set Aside Nurse jobs look for?

The top searched job categories for Medicare Set Aside Nurse jobs are:

Medicare Set Aside Nurse jobs near you
Infographic showing various Medicare Set Aside Nurse job openings in the United States as of August 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% In-person job distribution, with an average salary of $55,676 per year, or $26.8 per hour.

WCRC Attorney (59175)

On-site

Capitol Bridge, LLC.
11 - 50 employees
Learn more about Capitol Bridge, LLC.external

$75K - $85K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 22 days ago

Job description

About Capitol Bridge

Founded in 2012, Capitol Bridge is based in Arlington, Virginia and has proven expertise providing independent medical reviews, records/data management services, medical coding, administrative staffing and eligibility reviews.

Capitol Bridge LLC is seeking an Attorney to support an important government project. In this role you will, in accordance with CMS guidelines, evaluate Workers’ Compensation Medicare Set-aside Arrangement (WCMSA) proposals and project the future medical costs, including prescription drugs, related to the workers’ compensation (WC) injury, illness, or disease that would be otherwise reimbursable by Medicare.

Job Description:

Review and evaluate workers’ compensation Medicare set-aside (WCMSA) proposals, including medical records, to determine if the proposal meets Medicare threshold requirements and adequately considers Medicare’s interests as pertaining to future medical needs ofbeneficiaries.Ensure all basic documentation requirements are available or requested via development action prior tomaking adetermination.Render determinations based on professional experience.Implement Medicarepolicy.Other duties as assigned bymanagement.

Qualifications:

  • Juris Doctor (JD) from an accredited law school,required.

  • Medicalrecordreview experience,required.

  • Medicare Set-Aside (MSA) or related experience, preferred

  • Possess medical knowledge and experience with medical terminology, ICD-9/10 Codes, Current Procedure Terminology Codes (CPT)codes, Healthcare Common Procedure Coding System (HCPCS) codes, and hospital inpatient and outpatient coding, preferred.

  • Medicare Set-Aside Certified Consultant (MSCC) certification and/or Certified Medicare Secondary Payer (CMSP) certification,preferred.

Pay and Benefits:

  • Base Rate starting at $75,000-$85,000 per annum

  • Medical, Dental, and Vision benefits available

  • 401(k) available with company match

  • Paid holidays

  • Unlimited PTO

Screenings Required:

You will receive requests for background check, fair credit check, and drug screen regarding this employment opportunity. Respond to all requests quickly as we anticipate filling our vacancies quickly and non-responses may result in disqualification for this opportunity.

*Please be aware that our organization and our client adhere to stringent security regulations, necessitating a thorough background screening process for all potential hires. We value transparency and want to inform you that this screening may result in a delay of at least 60 days prior to onboarding. Rest assured, we are committed to maintaining a secure and compliant work environment. We appreciate your understanding and cooperation as we prioritize the safety and confidentiality of our operations.

Reasonable Accommodation:

If you require alternative methods of application or screening, you must approach the employer directly to request this. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other duties may be assigned.

EEO Statement:

Capitol Bridge is an Equal Opportunity Employer. All employment decisions at CB are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

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