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Care Review Clinician I
Integrated Resources, Inc
📍
Long Beach, California, United States
Location
Long Beach, California
Posted
May 16, 2026
Commute
Local Area
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Job Description
Job Title: Care Review Clinician I
Location: 100% Remote
Duration: 3 Months+ (temp to hire)
Schedule: Wednesday - Sunday 8 – 5 pm PST
Pay Range: $43 - $44/hr. on W2
Description:
Must Have Skills...
Location: 100% Remote
Duration: 3 Months+ (temp to hire)
Schedule: Wednesday - Sunday 8 – 5 pm PST
Pay Range: $43 - $44/hr. on W2
Description:
- The Care Review Clinician is responsible for performing utilization management (UM) reviews, including prior authorization of outpatient services, to ensure medical necessity, appropriate level of care, and compliance with regulatory and organizational guidelines.
- The clinician will review clinical documentation, apply evidence-based criteria, and collaborate with providers to facilitate timely and appropriate care for members.
- This role supports Client’s commitment to quality, cost-effective care and regulatory compliance within the California health plan.
Must Have Skills...