Utilization Management RN (CA Licensed)

Clearlink Partners is an industry-leading managed care consultancy specializing in end-to-end clinical and operational management services and market expansion initiatives for Managed Medicaid, Medicare Advantage, Special Needs Plans, complex care populations, and risk-adjusted entities. Position Responsibilities include determining appropriateness of services through medical guidelines, performing 15-30 reviews per day, initial and concurrent review of inpatient admissions, reviews for outpatient surgeries and ancillary services, collaborating with Medical Director(s), and performing daily work focused on managed care principles.