Nurse Reviewer (LPN/RN)
Pay rate: $27.50/hr W2
Location: Fully Remote - US Only
Assignment:September 2026 through February 2027 (initial 5 months, Potential for extension/conversion based on business needs and performance)
License Requirement:Active LPN or RN license in good standing throughout the entire assignment period.
Key Responsibilities:
As a Nurse Reviewer, youll play a key role in supporting disability claims by evaluating medical information and helping facilitate successful return-to-work outcomes. Responsibilities include:
- Review medical records, treatment plans, and disability claims (STD/LTD/FMLA)
- Assess functional capacity and determine medical necessity based on clinical documentation
- Correlate job duties with medical restrictions and disability guidelines
- Provide clinical recommendations regarding functional abilities and return-to-work planning
- Develop and coordinate goal-focused Return-to-Work plans
- Collaborate with claimants, physicians, employers, and claim specialists
- Educate claims teams on medical and disability-related topics
- Identify barriers to returning to work and recommend appropriate interventions
- Maintain accurate documentation while ensuring compliance with company policies and confidentiality standards
- Participate in special projects and ongoing professional development
Qualifications:
- Active LPN or RN license in good standing
- Minimum 3 years of clinical nursing experience working with adult patients
Preferred Experience:
- Disability Insurance
- Workers Compensation
- Case Management
- Occupational Health
- Rehabilitation Medicine
- Home Health
- Utilization Review or Medical Review
Must- Have Skills:
- Strong clinical assessment and critical thinking skills
- Excellent written and verbal communication
- Ability to analyze medical records and make sound clinical recommendations
- Knowledge of medical terminology, CPT, and ICD coding
- Ability to prioritize workload, meet deadlines, and work independently
- Proficient with multiple computer systems and technology
Education:
- Associate degree required
- Bachelors Degree preferred
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