Medical Malpractice Paralegal

Lewis Brisbois; St. Louis (MO); On-site; USD 60,000 - 80,000; Full time

Job summary

Lewis Brisbois is seeking an experienced Medical Malpractice / Long-Term Care Defense Paralegal to support a high-volume defense practice in St. Louis, MO. The role collaborates with attorneys handling medical negligence, nursing home and assisted living litigation from pre-suit through trial.

The ideal candidate has 3–5 years paralegal experience in defense litigation, familiarity with regulatory frameworks, and proficiency with litigation support tools. Hybrid work arrangement offered.

Qualifications

• Paralegal certificate or degree preferred; equivalent professional experience considered.
• 3–5 years of paralegal experience in medical malpractice and/or long-term care defense litigation (insurance defense strongly preferred).
• Familiarity with nursing home/assisted living regulatory frameworks (state survey process, CMS/OSHA standards) a strong plus.
• Proficiency with litigation support and e-discovery tools (Relativity, iManage, Trial Director, or similar).

Responsibilities

• Manage full litigation lifecycle support for medical malpractice and long-term care defense matters, including case intake, discovery, depositions, and trial preparation.
• Analyze, organize, and summarize voluminous medical records, chronologies, charts, and facility documentation (MARs, care plans, incident reports, survey/citation history).
• Coordinate with expert witnesses, including record production, CV/report tracking, and deposition logistics.
• Draft and manage discovery responses, subpoenas, and medical record requests/authorizations.
• This position has an annual billable requirement of 1,600 hours.

Skills

Litigation support

Education

Paralegal certificate or degree

Tools

Relativity

iManage

Trial Director

Job description

Overview

Lewis Brisbois is seeking an experienced Medical Malpractice / Long-Term Care Defense Paralegal to support a sophisticated, high-volume defense practice. This role partners directly with attorneys handling complex medical negligence, nursing home, and assisted living litigation from pre-suit investigation through trial. The ideal candidate brings deep substantive knowledge of medical records analysis, regulatory frameworks (state licensing/survey standards, CMS regulations), and the procedural demands of defending healthcare providers and facilities.

Lewis Brisbois offers a full suite of benefits including 401k with employer match, as well as sick and vacation time. We also offer excellent opportunities for growth and advancement while working with a collaborative team.

Responsibilities

Job Specifications/Requirements:

• Paralegal certificate or degree preferred; equivalent professional experience considered
• Minimum 3–5 years of paralegal experience in medical malpractice and/or long-term care defense litigation (insurance defense strongly preferred)
• Familiarity with nursing home/assisted living regulatory frameworks (state survey process, CMS/OSHA standards) a strong plus
• Proficiency with litigation support and e-discovery tools (e.g., Relativity, iManage, Trial Director, or similar)

The following list of essential functions is not exhaustive and other duties may be assigned in addition to those listed. The items listed are considered daily functions associated with this position.

• Manage full litigation lifecycle support for medical malpractice and long-term care defense matters, including case intake, discovery, depositions, and trial preparation
• Analyze, organize, and summarize voluminous medical records, chronologies charts, and facility documentation (MARs, care plans, incident reports, survey/citation history)
• Coordinate with expert witnesses, including record production, CV/report tracking, and deposition logistics
• Draft and manage discovery responses, subpoenas, and medical record requests/authorizations
• This position has an annual billable requirement of 1,600 hours

Lewis Brisbois is not accepting search firm submissions for this position.

Qualifications

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