Compare high-paying freelance options for Illinois registered nurses: locums, telemedicine, AI training, consulting. Real pay ranges, requirements, and how to start.

TL;DR

Looking for freelance or contract work as a registered nurse in Illinois? Whether you want to supplement your income or transition to independent practice, Illinois offers several high-paying options. Here's how the top opportunities compare.

1.

Legal Nurse Consulting / Expert Witness

$100-$375/hr

What You'll Do

Nurses review medical records, analyze healthcare standards of care, and provide expert opinions in litigation matters. Work includes case screening, report drafting, and potential testimony regarding nursing care, medication errors, patient safety, and clinical standards.

Requirements

  • Active Illinois RN license
  • Minimum 3-5 years clinical nursing experience in relevant specialty
  • Legal nurse consultant certification (CLNC) recommended
  • Complete review of pertinent medical records required
  • Familiarity with Illinois healthcare standards of care

Malpractice Insurance: Yes ($1,500-$3,500/year)

Where to Find Work

  • LegalNurse.com
  • SEAK Directory
  • ExpertInstitute
  • JurisPro IL profiles

Illinois notes: Chicago/Cook County primary litigation market; remote consulting standardized nationwide; Consulting/chart review $100-$200/hr; Testifying expert $225-$375/hr; Deposition $200-$325/hr; Cook County high litigation volume
Typical start timeline: 4-8 weeks

2.

Healthcare Consulting / Expert Networks

$75-$300/hr

What You'll Do

Nurses provide expert opinions and clinical consultation to law firms, healthcare organizations, and expert networks on complex medical cases and healthcare matters. Work includes case analysis, report writing, and serving as an expert resource for litigation support and healthcare business consulting.

Requirements

  • Active Illinois RN license
  • Minimum 5+ years clinical nursing experience in specialized area
  • Advanced certification in specialty area preferred
  • Strong analytical and written communication skills
  • Ability to provide objective expert opinions based on clinical standards

Malpractice Insurance: Yes ($2,000-$4,000/year)

Where to Find Work

  • GLG
  • AlphaSights
  • Guidepoint
  • Indeed
  • LinkedIn

Illinois notes: Chicago-area healthcare companies (Abbott/AbbVie/Baxter) drive demand; remote calls location-independent; Expert network calls (GLG/AlphaSights) $75-$250/hr; Pharma advisory boards $150-$300/hr; Health system consulting $75-$200/hr
Typical start timeline: 4-12 weeks

3.

AI Training & Annotation

$35-$145/hr

What You'll Do

Healthcare AI companies hire registered nurse professionals to review, annotate, and validate training data for medical AI systems. Work involves nursing protocol and patient assessment ai training — tasks like nursing assessment validation, care plan review, patient education content.

Requirements

  • Active clinical background in registered nurse
  • No malpractice insurance needed
  • Computer with reliable internet

Malpractice Insurance: No

Where to Find Work

  • Folio (folioworks.com)
  • Centaur Labs
  • Appen
  • Labelbox

Illinois notes: Fully remote — available regardless of state. Pay based on specialty expertise, not location.
Typical start timeline: 1-2 weeks

Getting started: Join the expert community and make a free profile on Folio to browse current registered nurse AI training projects.

4.

Per Diem / Travel Nursing

$42-$90/hr

What You'll Do

Short-term nursing assignments at healthcare facilities covering staffing gaps, typically ranging from a few days to several months. Nurses work directly with patients in clinical settings, providing bedside care across various units and specialties.

Requirements

  • Active Illinois RN license
  • Current CPR certification
  • Minimum 1-2 years clinical experience typically required
  • State-specific licensure or compact license for multi-state travel

Malpractice Insurance: Typically provided by employer or staffing agency

Where to Find Work

  • Indeed
  • ZipRecruiter
  • Vivian Health
  • Voyage Healthcare
  • CompHealth

Illinois notes: Chicago metro highest; Suburban Cook County competitive; Downstate/rural +10-15% crisis premiums; Travel RN avg $2,800/week in IL; ICU $60-$90/hr; ER $55-$82/hr; L&D/OR $52-$78/hr; Med-Surg $42-$60/hr; Night shift +15-20%; Weekend +$2-5/hr
Typical start timeline: 2-4 weeks

5.

Utilization Review / Case Management

$40-$58/hr

What You'll Do

Nurses evaluate medical necessity, appropriateness of care, and resource utilization for insurance companies or healthcare organizations. Work involves reviewing medical records, communicating with providers, and making recommendations regarding treatment authorization and discharge planning.

Requirements

  • Active Illinois RN license
  • Minimum 2-3 years clinical nursing experience
  • Case management certification (CCM) or utilization review certification preferred
  • Knowledge of insurance regulations and medical necessity criteria
  • Strong communication and documentation skills

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • ZipRecruiter
  • Indeed
  • LinkedIn
  • Vivian Health

Illinois notes: Chicago metro facility-based at top of range; remote roles standard; Remote UR nurse $40-$52/hr; RN Case Manager $45-$58/hr; Major insurers (BCBS IL/Aetna/UHG) active
Typical start timeline: 3-6 weeks

6.

Telehealth / Telemedicine Nursing

$36-$55/hr

What You'll Do

Nurses provide remote patient care, triage, health coaching, and clinical support through virtual platforms. Responsibilities include patient assessment, medication management education, chronic disease management, and coordination of care via phone, video, or secure messaging.

Requirements

  • Active Illinois RN license
  • Minimum 1-2 years clinical nursing experience
  • Proficiency with electronic health records and telehealth platforms
  • Strong communication and assessment skills for remote environments
  • CPR certification may be required depending on employer

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • Salary.com
  • PayScale
  • ZipRecruiter
  • Indeed

Illinois notes: Remote - no geographic variation; Triage RN $36-$48/hr; After-hours triage $42-$55/hr; Chronic care management $38-$50/hr
Typical start timeline: 2-4 weeks

Common Questions People Ask

Q: What are the highest-paying freelance options for registered nurses in Illinois?

A: Based on current market data, the top 3 are: Legal Nurse Consulting / Expert Witness ($100-$375/hr), Healthcare Consulting / Expert Networks ($75-$300/hr), AI Training & Annotation ($35-$145/hr).

Q: Which freelance options for registered nurses don't require malpractice insurance?

A: 1 options don't require malpractice insurance: AI Training & Annotation ($35-$145/hr). This can save $1-$5K annually compared to options requiring coverage.

Q: Can registered nurses work remotely in Illinois?

A: Yes, 5 options are fully or partially remote: Legal Nurse Consulting / Expert Witness ($100-$375/hr), Healthcare Consulting / Expert Networks ($75-$300/hr), AI Training & Annotation ($35-$145/hr), Utilization Review / Case Management ($40-$58/hr), Telehealth / Telemedicine Nursing ($36-$55/hr).

Q: What Illinois license do registered nurses need for freelance work?

A: An active Illinois license from Illinois Department of Financial and Professional Regulation (IDFPR) - Board of Nursing is required for most clinical freelance options.

Q: How quickly can registered nurses start freelance work?

A: Timeline varies by option: Legal Nurse Consulting / Expert Witness typically takes 4-8 weeks, while Healthcare Consulting / Expert Networks typically takes 4-12 weeks, while AI Training & Annotation typically takes 1-2 weeks.

Q: What's the pay range for registered nurses doing AI training work?

A: AI training pays $35-$145/hour for registered nurses, varying by experience level and project complexity. No malpractice insurance required.

Getting Started with AI Training

Folio connects Illinois registered nurses with frontier research labs and healthcare AI companies looking for clinical expertise. The platform vets AI companies for project quality, handles contracting and payment, and matches projects to your area of expertise.

Typical timeline:
- Application: 3 minutes
- Credential review: 2-3 business days
- Platform orientation: 1 hour
- First project: 3-7 days from application

Current project focus (February 2026): Nursing assessment validation, care plan review, patient education content

Most registered nurses start with 5-10 hours weekly, then scale based on preference. No minimum commitment.

Explore AI Training Opportunities

Questions? Email experts@folioworks.com

Explore Opportunities →

Frequently asked questions

How much can registered nurses earn freelancing in Illinois?
Do I need malpractice insurance for freelance registered nurse work in Illinois?
Can I do freelance work while employed full-time as a registered nurse?
What is AI training for registered nurses, and how does it work?
How do I get started with freelance registered nurse work in Illinois?
How do I get started with freelance registered nurse work in Illinois?