Nurse Reviewer (LPN)

Job Title: Nurse Reviewer (LPN)
Location: 100% Remote (U.S.)
Duration: 6+ Months Contract (Potential for Full-Time Conversion)

Job Overview

We are seeking a detail-oriented Licensed Practical Nurse (LPN) to join our team as a Nurse Reviewer. This fully remote position involves reviewing medical documentation and applications to determine eligibility for Group Life and Disability insurance. The ideal candidate will possess strong analytical skills, attention to detail, and the ability to work independently while maintaining high quality and productivity standards.

Important: An active and unrestricted LPN State License is required throughout the duration of the assignment.

Key Responsibilities

• Review medical documentation and insurance applications to determine eligibility for Group Life and Disability insurance.

• Examine and process Statement of Health applications.

• Determine whether applications should be approved, denied, placed on hold, returned, or require additional medical information.

• Research medical conditions and medications as needed to support case reviews.

• Process applications accurately, efficiently, and in accordance with established quality standards.

• Maintain a customer-focused approach while handling sensitive medical information.

• Meet established production, quality, and attendance expectations.

• Collaborate with team leads and supervisors while working effectively in a virtual team environment.

Required Qualifications

• Active Licensed Practical Nurse (LPN) license in good standing.

• High school diploma or equivalent.

• Strong written and verbal communication skills.

• Proficiency with computers and the ability to navigate multiple systems simultaneously.

• Ability to work independently and make decisions based on established guidelines.

• Strong attention to detail and organizational skills.

• Ability to accept feedback, learn quickly, and adapt to changing processes.

• Experience reviewing medical documentation is preferred.

Training & Work Schedule

• Fully remote training beginning at 8:00 AM Eastern Time.

• Training includes:

• 3 weeks of virtual classroom instruction.

• At least 3 additional weeks of quality audits and monitored production, depending on performance.

• Cameras are required to be on during training and team meetings.

• After successful completion of training, limited scheduling flexibility may be available; however, an 8:00 AM Eastern Time start is expected during standard business hours.

Remote Work Requirements

• Private, secure high-speed internet connection (Cable, DSL, or Fiber).

• Dedicated home workspace with minimal distractions.

• Smartphone for authentication and business communication.

• Ability to participate in video meetings during training and ongoing team activities.

Employment Type: W2 Contract
Work Authorization: Candidates must be authorized to work in the U.S. without current or future sponsorship.