Commence

Licensed Practical Nurse (LPN) PRN work (actively working as a LPN))

Posted on

April 15, 2026

Job Type

Full-Time

Role Type

Clinical Operations

License

LPN/LVN

State License

Virginia

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Company Description

At Commence, we’re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care. With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

Job Description

Why This Role: Fully remote, contract-based (1099) Flexible workload – cases assigned based on your availability and specialty Impactful work that contributes to high-quality care and oversight Per-case pay ranging from $100–$340 depending on case complexity Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour Strong written communication skills and attention to detail Ability to review cases objectively and meet turnaround deadlines Comfortable working independently in a secure, remote environment

Requirements

We’re growing our network of clinical reviewers and are actively seeking Licensed Practical Nurse (LPN) who are passionate about quality, accountability, and patient outcomes. As a member of our reviewer panel, you'll play a key role in ensuring the appropriateness, necessity, and quality of care delivered to military members and their families. Qualifications: Hold an active, unrestricted U.S. license/certification Registered/Licensed Minimum of 5 years of clinical experience in your specialty Currently practicing and seeing patients an average of at least 20 hours per week Preferred Qualifications: Experience with QIO, peer review, utilization review, or appeals work Familiarity with military or federal healthcare programs (e.g., TRICARE, Medicare) Previous experience with legal or regulatory case reviews

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Responsibilities

Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care. Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria. Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns Uphold the highest standard of clinical integrity, neutrality, and objectivity.

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