Compare high-paying freelance options for Michigan 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 Michigan? Whether you want to supplement your income or transition to independent practice, Michigan offers several high-paying options. Here's how the top opportunities compare.

1.

Legal Nurse Consulting / Expert Witness

$100-$350/hr

What You'll Do

Legal Nurse Consultants review medical records and provide expert analysis for legal cases, while Expert Witnesses testify in court on nursing standards. RNs bridge healthcare and law, advising attorneys on case merits and causation.[10]

Requirements

  • Active Michigan RN license
  • 5+ years clinical experience
  • Legal nurse consultant certification (LNCC) preferred

Malpractice Insurance: Yes ($500-$1500/year)

Where to Find Work

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

Michigan notes: Detroit/Ann Arbor primary litigation markets; Grand Rapids secondary; remote consulting standardized; Consulting/chart review $100-$175/hr; Testifying expert $200-$350/hr; Deposition $200-$300/hr
Typical start timeline: 4-12 weeks

2.

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

Michigan 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.

3.

Per Diem / Travel Nursing

$40-$78/hr

What You'll Do

Per Diem nursing involves short-term, as-needed shifts at healthcare facilities, while Travel Nursing requires temporary contracts at hospitals across Michigan or beyond. RNs provide direct patient care in specialties like OR, Med-Surg, or Case Management, filling staffing gaps with flexible assignments.[2][3]

Requirements

  • Active Michigan RN license
  • BLS/ACLS certification (specialty-dependent)
  • 1-2 years recent experience in specialty

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • Indeed
  • Vivian Health
  • ZipRecruiter
  • Nursa
  • PRN Healthcare

Michigan notes: Detroit metro/Ann Arbor highest; Grand Rapids competitive; Rural Upper Peninsula +15-25% crisis premiums; State BLS avg $43.55/hr staff; ICU $55-$78/hr; ER $50-$72/hr; L&D/OR $48-$68/hr; Med-Surg $40-$55/hr; Night shift +15%; Weekend +$2-5/hr; Endoscopy travel up to $4,689/week
Typical start timeline: 2-8 weeks

4.

Utilization Review / Case Management

$35-$52/hr

What You'll Do

Utilization Review nurses assess medical necessity of treatments and ensure compliance with insurance guidelines. Case Management RNs coordinate patient care plans, discharges, and resources across multidisciplinary teams, often remotely.[1][4][7]

Requirements

  • Active Michigan RN license
  • 2+ years clinical experience
  • Case management certification (CCM) preferred

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • ZipRecruiter
  • Indeed
  • LinkedIn
  • Vivian Health

Michigan notes: Remote roles dominant; Detroit/Ann Arbor facility-based at top of range; Remote UR nurse $35-$48/hr; RN Case Manager $38-$52/hr; Blue Cross Blue Shield MI and major health systems active
Typical start timeline: 4-8 weeks

5.

Telehealth / Telemedicine Nursing

$34-$52/hr

What You'll Do

Telehealth nurses conduct virtual patient assessments, triage symptoms, and provide education via phone or video. They manage chronic conditions and urgent care remotely, ensuring continuity without in-person visits.[5][7][10]

Requirements

  • Active Michigan RN license
  • Telehealth training or experience
  • Strong computer and communication skills

Malpractice Insurance: Yes ($400-$1200/year)

Where to Find Work

  • Salary.com
  • PayScale
  • ZipRecruiter
  • Indeed

Michigan notes: Remote - no geographic variation; Triage RN $34-$44/hr; After-hours triage $40-$52/hr; Chronic care management $36-$48/hr
Typical start timeline: 2-6 weeks

6.

Clinical Research Nursing

$34-$52/hr

What You'll Do

Clinical Research Nurses coordinate trials, screen participants, administer treatments, and monitor outcomes in research settings. They ensure protocol adherence, data accuracy, and patient safety during studies.[10]

Requirements

  • Active Michigan RN license
  • 2+ years clinical experience
  • GCP certification and research experience

Malpractice Insurance: Typically provided by employer

Where to Find Work

  • ZipRecruiter
  • Indeed
  • ClinicalTrials.gov
  • Michigan Medicine job board

Michigan notes: Ann Arbor (U of M) and Detroit (Henry Ford/Wayne State) are primary research hubs; Research nurse $38-$52/hr; CRC with RN $34-$45/hr; Michigan Medicine/Henry Ford research centers at top of range
Typical start timeline: 6-12 weeks

Common Questions People Ask

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

A: Based on current market data, the top 3 are: Legal Nurse Consulting / Expert Witness ($100-$350/hr), AI Training & Annotation ($35-$145/hr), Per Diem / Travel Nursing ($40-$78/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 Michigan?

A: Yes, 5 options are fully or partially remote: Legal Nurse Consulting / Expert Witness ($100-$350/hr), AI Training & Annotation ($35-$145/hr), Utilization Review / Case Management ($35-$52/hr), Telehealth / Telemedicine Nursing ($34-$52/hr), Clinical Research Nursing ($34-$52/hr).

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

A: An active Michigan license from Michigan 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 4-12 weeks, while AI Training & Annotation typically takes 1-2 weeks, while Per Diem / Travel Nursing typically takes 2-8 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 Michigan 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

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Frequently asked questions

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How do I get started with freelance registered nurse work in Michigan?