Virginia Licensed Nurse Reviewer

Job Summary

To support independent dispute resolutions, the full-time Virginia Licensed Nurse Reviewer will conduct reviews and determinations by analyzing medical records, ensuring proper documentation, and collaborating with legal teams, all while working remotely.

Key responsibilities

• Conduct initial assessments of documentation from both initiating and responding parties
• Review submitted documentation to identify missing documents and determine necessary actions for dispute resolution
• Prepare documents for arbitrator reviewers and draft professional determination correspondence

Required qualifications

• Maintain an active nursing license (minimum RN required)
• Five years of full-time equivalent experience providing direct patient care
• Hold a non-restricted nursing license in any state in the US