Registered Nurse – Medical Review Specialist

Registered Nurse – Medical Review Specialist

A Hospitality Spotlight client supporting a federal agency is seeking a Registered Nurse to assist with medical case reviews and occupational health assessments. This role plays an important part in reviewing employee medical information and supporting workforce readiness determinations.

The position is based in Springfield, Virginia, with opportunities for a hybrid work arrangement after required training and clearance processes are completed.

• Review employee-submitted electronic medical questionnaires and supporting documentation
  

• Evaluate medical histories and health records using established medical guidelines and review protocols
  

• Identify cases requiring additional medical information or clarification
  

• Communicate with employees regarding medical documentation and follow-up requirements
  

• Review records received from healthcare providers and determine next steps based on established criteria
  

• Document findings, recommendations, and case activity within electronic record systems
  

• Support fitness-for-duty evaluations and leave-related medical reviews as needed
  

• Assist with medical documentation related to employee accommodation requests and administrative cases
  

• Maintain confidentiality while handling protected health information and sensitive records
  

• Provide exceptional service and communication throughout the review process
  

• Contribute ideas that improve workflow efficiency and case review processes
  

• Perform additional duties as assigned
  

• Hold an active, unrestricted Registered Nurse license in Virginia
  

• Bachelor of Science in Nursing (BSN) required. Master's degree preferred
  

• Minimum of 3 years of occupational health, employee health, case management, or related nursing experience preferred
  

• U.S. Citizenship required
  

• Experience reviewing medical documentation and applying clinical judgment to case evaluations
  

• Strong understanding of medical terminology, treatment plans, and common health conditions
  

• Experience maintaining confidential medical information and regulatory compliance standards
  

• Ability to obtain and maintain required federal background investigation and security clearance requirements
  

• Strong analytical and critical-thinking skills
  

• Exceptional attention to detail and documentation accuracy
  

• Ability to interpret medical information and apply established review guidelines
  

• Excellent verbal and written communication skills
  

• Comfortable working independently while managing a high-volume workload
  

• Strong organizational and case management abilities
  

• Experience utilizing electronic medical record systems and case management platforms
  

• Ability to prioritize tasks and meet established timelines
  

• Proficiency with Microsoft Office and computer-based systems
  

• Physical Requirements
  

• Position requires periods of standing and walking throughout the workday.
  

• Springfield, VA
  

• Hybrid work opportunity available following successful completion of onboarding, background investigation, and security requirements.
  

• Hourly rate of $45.00 - $50.00
  

Submit your resume to learn more.

We look forward to connecting and shining our spotlight on you.

– Hospitality Spotlight Team