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Tailored Management

Nurse Reviewer (LPN/RN)

Pay: Not specified
Posted: 7 weeks ago
Location: Hometown, IL (Remote)
Last Updated: 2 weeks ago
Hours: Full-Time
Expires: 9/13/2026

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What they do

A Registered Nurse provides medical care and treatment, educates patients about their conditions, and provides emotional support to patients and families. Works in hospitals, schools, clinics or community health centers. Works under the supervision of a physician or other specialist, and serves as the primary point of care for patients in a hospital setting. May specialize in emergency room work, or treatment for a particular condition, or specialize in working with infants, the elderly or other patient groups. May work as an advanced practice specialists and prescribe medications in addition to offering specialty care.

$72,497 / year median in the U.S.

+13% projected growth

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Job Description

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, you'll 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 Bachelor's Degree preferred #TMCA