Domain Expert – Nursing (Lexidrug) at Mercor

Domain Expert – Nursing (Lexidrug/UpToDate) | $75–$110/hr | Worldwide Remote

Mercor is seeking experienced Registered Nurses with active, frequent use of UpToDate Lexidrug (or Lexicomp) to serve as domain experts in AI evaluation and data annotation. This is a flexible, hourly contractor role where your clinical expertise directly shapes the quality of AI-powered medical tools.

Who Should Apply

You must use Lexidrug or Lexicomp weekly or more as a working part of your current or recent nursing role, with a minimum of 2+ years of professional nursing experience. Inpatient or acute care experience is strongly preferred.

Core Knowledge Requirements

• Reviewing a patient's full active medication list prior to administering a new drug
• Recognizing when a clinical finding warrants holding a dose and escalating versus proceeding safely
• Reconciling medications across transitions of care (admission, transfer, discharge) and identifying discrepancies
• Monitoring for and identifying adverse reactions or interactions tied to the actual administration timeline
• Documenting and communicating escalations clearly — what was found, what was held, who was notified

Specialized Depth (2–3 Areas Required)

• Trissel's IV Compatibility — Y-site/syringe compatibility and multi-infusion line management
• High-alert medication protocols (insulin, anticoagulants, opioids, chemotherapy, sedation)
• Pediatric and weight-based dosing and administration
• Geriatric-specific precautions (fall risk, sedation, Beers Criteria-relevant medications)
• Patient and caregiver discharge education, including multi-language teaching materials
• Drug identification for medication reconciliation (unlabeled or brought-from-home medications)

What You'll Do

• Evaluate whether a medication is safe to administer against a patient's full active med list and administration history
• Identify medication reconciliation gaps, missed IV compatibility issues, or adverse-reaction patterns
• Assess whether a clinical question accounts for the full picture — all active meds, timing, and care transition history
• Distinguish findings within nursing scope from those requiring escalation to pharmacy or a prescriber
• Verify that correct nursing findings are fully carried through: dose held, appropriate party notified, chart documented

Requirements

• Weekly or more frequent use of Lexidrug or Lexicomp in a current or recent role
• 2+ years of professional nursing experience; acute/inpatient care strongly preferred
• RN license in good standing; BSN or higher preferred
• Reflexive use of Interactions and Trissel's at the point of care
• Strong working knowledge in at least 2–3 specialized areas relevant to your practice setting (e.g., ICU, oncology, pediatrics, geriatrics)
• Prior experience in data annotation, labeling, or AI evaluation is a plus