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🥝 Care Review Clinician I

Integrated Resources, Inc | Long Beach, California, United States | Posted May 16, 2026

Care Review Clinician I

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:

  • 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...

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