Nurse Reviewer (LPN/RN) -

Disability Claims Location:

Fully Remote (U.S. Only)

Pay Rate:

$27.50/hour (W2)

Contract Duration:

September through February (with potential extension) About the Role Are you a licensed nurse with a passion for clinical assessment and disability case management? Join our client's Disability team as a Nurse Reviewer , where you'll leverage your clinical expertise to evaluate disability claims, support return-to-work strategies, and collaborate with claim specialists, healthcare providers, employers, and claimants. In this role, you'll play a critical part in ensuring fair, evidence-based disability determinations while helping individuals navigate their recovery and return to productive employment. Responsibilities Conduct comprehensive clinical reviews for Short-Term Disability (STD), Long-Term Disability (LTD), and Family & Medical Leave (FML) claims. Evaluate medical records, treatment plans, and physician documentation to determine functional abilities and disability status. Compare clinical findings against disability guidelines to identify functional limitations and residual work capacity. Develop and recommend individualized, goal-focused Return-to-Work (RTW) plans. Communicate with claimants, physicians, employers, and internal partners to obtain clinical clarification and facilitate timely claim decisions. Identify medical, social, psychological, vocational, and workplace barriers impacting return-to-work outcomes. Provide clinical consultation and education to Disability Claim Specialists regarding medical conditions, treatment plans, and disability assessments. Collaborate with cross-functional teams to ensure consistent application of disability policies and best practices. Support continuous improvement initiatives and participate in special projects as assigned. Maintain compliance with company policies, confidentiality standards, regulatory requirements, and ethical guidelines. Serve as a clinical resource while embodying Client's values and commitment to customer care. Minimum Qualifications Current LPN or RN license that is active and in good standing throughout the duration of the assignment. Minimum 3 years of clinical nursing experience working with adult patient populations. Associate degree in Nursing required. Strong understanding of medical terminology, clinical documentation, and patient care practices. Excellent analytical, critical thinking, and clinical decision-making skills. Strong verbal and written communication skills. Ability to manage multiple priorities while meeting deadlines. Comfortable working independently in a fully remote environment while collaborating across teams. Proficiency using multiple systems, applications, and technology platforms. Preferred Qualifications Bachelor's degree in Nursing (BSN). Experience in one or more of the following: Disability insurance Workers' Compensation Case Management Occupational Health Rehabilitation Medicine Private Rehabilitation Risk Management Home Health Knowledge of disability duration guidelines. Experience interpreting medical documentation for disability determination. Familiarity with CPT and ICD coding . Experience developing Return-to-Work programs and managing disability cases. What Makes You Successful We're looking for professionals who are: Detail-oriented with exceptional clinical judgment. Skilled at interpreting complex medical information. Comfortable communicating with physicians, employers, and claimants. Organized and able to manage competing priorities. Collaborative, empathetic, and customer-focused. Confident making evidence-based recommendations. Passionate about helping individuals safely return to work. •Upon acceptance of the offer, you will be required to submit to a background check, including employment and education verifications and urinalysis drug screening•#TMCA