Position Overview

Ultimate Staffing Services is actively seeking a dedicated and experienced Medical Case Reviewer/Analyst to join their client's team. This position is 100% onsite, focusing on reviewing medical and legal documentation to create detailed case summaries and analyses. The ideal candidate will have a strong nursing background and a commitment to producing high-quality work.

Responsibilities

• Review medical and legal documentation/records to develop medical chronologies and provide written case summaries and analyses.
• Extract and analyze complex medical data.
• Evaluate the appropriateness of treatments provided.
• Assist in refining and improving case review processes.
• Audit the work of other team members to ensure quality and accuracy.
• Collaborate with team members, physicians, and clients to produce high-quality work products.

Qualifications

• Minimum of 5 years of nursing experience with an active nursing license.
• Ability to consistently meet deadlines and produce high-quality work.
• Proficiency with computers, Microsoft Word, and Google applications.
• Strong knowledge of medical terminology, medications, and common procedures/surgeries.
• Attention to detail and accuracy of work is essential.
• Must be a team player with strong communication skills and a commitment to quality improvement.
• Self-motivated with excellent time management skills.
• Willingness to continually learn new medical knowledge and concepts.
• Must be able to stand/sit for long durations daily.
• Prior experience in ER, Orthopaedics, Neurosurgery, Neurology, or surgery is a plus.
• Prior experience with utilization review, developing medical chronologies, or legal experience is a plus.

Required Work Hours

Monday to Friday, 1st shift

Benefits

• Employer-sponsored Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short Term Disability Insurance
• Employer-sponsored Long Term Disability Insurance
• Indemnity and Accident Insurance
• 401K and Profit Sharing
• Paid Time Off (PTO)
• Growth and professional development opportunities

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.