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Clinical Utilization Specialist

2 months ago

Long Beach, California, United States Saviance Technologies Full time

Job Summary

Saviance Technologies is seeking a highly skilled Care Review Clinician I to join our Utilization Management team. As a key member of our team, you will be responsible for conducting inpatient medical necessity and utilization reviews, ensuring our members receive appropriate care when they need it.

Key Responsibilities:

  • Conduct thorough reviews and evaluations of members requiring hospitalization or procedures
  • Obtain prior authorizations and maintain department productivity and quality standards
  • Attend staff meetings and participate in mentoring new team members
  • Complete work plan objectives and build professional relationships with providers and customers

Requirements:

  • 0-2 years of clinical practice experience, preferably in hospital nursing, utilization management, or case management
  • Active, unrestricted State Nursing license (RN, LVN, LPN) in good standing

What We Offer:

Saviance Technologies is a dynamic and growing company that values its employees. As a Care Review Clinician I, you will have the opportunity to work with a talented team, develop your skills, and contribute to the success of our organization.