Law Clerk III

Must be a Licensed Medical Professional with an active license.
Bachelor of Science in Nursing with an active license.
Five years recent Nursing/Case Management/Utilization Review or Legal Nurse Consulting experience.
Must be able to obtain and maintain MRPT facility credentials/authorization. Note: US Citizenship is required for MRPT facility credentials/authorization at this work location.

Serves as a VCF Subject Matter Expert (“SME”) on medical-related questions raised by the Claim Review and Appeals teams (DOJ and contractor attorneys) and the Special Master.
Reviews medical records, documents findings using applicable forms, and recommends conditions for verification by the WTC Health Program following specific WTC Health Program guidelines and instructions.
May support the appeals process either through review of medical information submitted as part of the pre-appeal materials, through participation in hearings, or by providing expertise to the team as they draft the post-appeal recommendation for the Special Master’s review.
Reviews medical records for identified claims to assess the severity of the claimant’s physical health conditions, as evidenced in the records. Supports claim review in evaluating severity for non-economic loss awards; evaluating disabling conditions and the percentage attributable to the eligible condition; determining if conditions with different names are the same condition; and providing expertise to the team pertinent to clinical experience.
Able to work independently to achieve performance standards in a hybrid work environment and reports to the VCF offices in Washington, DC per approved telework schedule, with additional days in-office as needed for trainings and meetings.