West Sacramento, California, 95605
Job description
**Job Title: Medical Reviewer**
The Medical Reviewer is responsible for analyzing medical records and clinical documents to assess the necessity and appropriateness of healthcare services. This role involves working closely with medical professionals to ensure accurate evaluations and adherence to regulatory standards. Applicants must possess a valid and unrestricted Registered Nurse license in California, along with a minimum of two years of nursing experience. Candidates should demonstrate strong clinical judgment, along with familiarity in utilization review or prior authorization protocols.
STEMHUNTER is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity, and gender expression), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law. We comply with all applicable equal employment opportunity and affirmative action regulations.
