Editor RN (Temporary) Preferred Candidate Identified

As an Editor RN you will play a key role in developing, refining, and maintaining clinical content that supports government-sponsored insurance programs, including workers’ compensation and Medicare. This role involves translating CMS coverage policies into structured clinical logic that supports integration into payer workflows. It also includes synthesizing clinical evidence into clear, actionable guidelines for Workers’ Compensation. The Editor RN collaborates closely with interdisciplinary teams to ensure accuracy, consistency, and usability of content. The role requires independent project management, strong attention to detail, and alignment with evolving regulatory and clinical priorities.  

You Will: 

Support Guideline Development 

• Contribute to content planning and editorial updates for government program volumes 

• Conduct literature searches and evidence appraisal for Workers’ Compensation guideline development 

• Draft, edit, and refine content to ensure clarity, clinical accuracy, and alignment with internal standards 

Support Business and Product 

• Provide editorial insight to cross-functional teams, leadership, and product stakeholders 

• Participate in select client forums, sales engagements, and market research efforts 

• Support new product ideation and enhancement of existing content offerings 

• Present work or insights at internal meetings or panels as needed 

• Maintain licensure and continuing education as required for role 

• Contribute to internal knowledge-sharing or thought leadership 

• Attend two to three in-person team meetings annually 

• In the first year, attend in-person onboarding and new hire training 

 What We’re Looking For: 

• Bachelor’s degree or higher in nursing, health policy, public health, or a related field is required; OR a minimum of 10 years of relevant experience may be substituted for the degree requirement 

• Minimum of five years in case management, policy development, or utilization review - within a setting serving a Medicare-eligible population 

• Comprehensive understanding of Medicare coverage policy 

• Ability to translate complex policy or clinical information into clear, actionable language 

• Ability to manage multiple projects with minimal oversight 

• Effective organization and time management skills 

• Ability to deliver high-quality, error-free written content tailored to professional healthcare audiences  

• Proficiency with Microsoft Office applications and internet-based tools 

• Ability to provide and receive constructive feedback in a collaborative editorial environment 

• Willingness and ability to travel for 2–3 in-person team meetings per year, including onboarding and new hire training 

 Licensure/Certifications/Registrations/Permits:     

• Active, unrestricted RN or ARNP licensure in a U.S. state or territory is required. 

• Certification in Case Management, Managed Care, Occupational Health, or Workers’ Recovery (WRA) is required and may be obtained either prior to hire or within one year of employment. 

  Other Qualifications: 

• Minimum of three years of clinical experience 

• Prior work experience with a Medicare contractor (e.g., MAC, SMRC, UPIC) strongly preferred 

• Familiarity with MCG, ODG by MCG, or other clinical decision support tools  

• Experience writing or editing clinical or policy documentation for utilization review 

• Familiarity with evidence-based medicine and critical appraisal techniques 

• Adaptability to tailor writing style to different audiences and purposes 

The above is intended to describe the general content of, and requirements for, the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. 

Pay Range: $125/hr 

We embrace diversity and equal opportunity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. Only with diverse thoughts and ideas will we be able to create the change we want in healthcare. The more inclusive we are, the better our work will be for it.