Legal Nurse

The Farragut Square Group, McDermottPlus’ research and advisory division, provides clients with research and policy advisory services on a range of healthcare topics, including Billing and Coding Claims reviews of physician office practices and in and out-patient facilities. 

As part of our ongoing commitment to be #AlwaysBetter for our people, clients, and communities, we have created a culture of belonging that champions your individuality and authenticity as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career so you can live a life you love both in and outside of the office.

With us, you’ll find:

• A Firm where everyone belongs: Our award-winning culture prioritizes warmth and authenticity — we encourage you to be yourself!

• Enthusiasm for diverse perspectives: We’re smarter and stronger when everyone has a voice and a seat at the table. We welcome unique viewpoints and ideas, and we make opportunities for you and your career to thrive.

• Support to feel your best and do your best: Wellness is integral to building a successful career and a rich life. That’s why our benefits program supports your physical, emotional, mental and financial health, with an emphasis on work/life balance.  

• Real rewards for real work: We offer generous compensation packages that recognize hard work and excellence. 

Job Description:

The Legal Nurse Consultant analyzes and defends firm clients in government and commercial payor disputes. This position combines clinical expertise with writing and presentation skills in support of Firm clients.

Essential Functions and Responsibilities:

• Use clinical background and provided writing templates to document opinions regarding medical necessity for the use of office-based Current Procedural Terminology (CPT) codes
• Research Medicare and LCD-level guidelines to strengthen arguments
• Collaborate with Farragut’s medical coders and auditors regarding medical documentation requirements as they relate to the case in question
• Verbally discuss findings with client and Counsel to present a final written and verbal argument
• Assist Counsel in arguing the firm’s positions to the Administrative Law Judge (ALJ) level
• Leverage strong organizational and people-focused skills to manage multiple engagements, project workflows, processes and timelines
• Build client confidence by keeping all stakeholders’ expectations aligned
• Effectively and efficiently communicate necessary components to key team members and clients, including progress and deadlines, to all relevant stakeholders

Job Specifications:

• At least five (5) years of experience in a clinical nursing capacity
• Demonstrated experience in organization
• Knowledge of Microsoft Office Suite (Excel, Outlook, PowerPoint, and Word)
• Strong written and verbal communication skills
• Strong organizational skills
• Ability to work under tight deadlines and prioritize responsibilities in a fast-paced environment
• Ability to handle and maintain confidential information

Successful candidates will be provided with outstanding career opportunities and will receive a competitive total rewards package with the opportunity to earn performance-based bonuses.
     Target Hiring Range $115,000 - $150,000
Please note that quoted salary ranges are not guarantees of what final salary offers may be. Base pay is based on market location and may vary depending on job-related knowledge, skills, experience, and geographic location. Base pay is only one part of the Total Rewards that MWE provides to compensate and recognize our staff professionals for their work. Full time positions are eligible for a discretionary bonus and a comprehensive benefits package. 

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#LI-Hybrid

As part of our ongoing commitment to be #AlwaysBetter for our people, clients and communities, we have created a culture of belonging that champions your individuality as both a person and a professional. From our competitive compensation, top benefits and award-winning professional development programs to industry-leading wellness initiatives, we support you through every stage of your life and career. With McDermott, you can live a life you love both in and outside of the office.

Physical Demands and Work Environment:

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