Care Review Clinician II | Remote

Care Review Clinician II | Remote | Contract
Business & Care Management Long Beach , California Contract Nov 6, 2026

Walker Healthforce is seeking a Care Review Clinician II with 2-4 years of clinical practice to conduct inpatient and outpatient behavioral health utilization reviews and support medical necessity decisions. This is a Contract opportunity.

Start Date:

ASAP

Location:

Remote

Approved Work Locations: AZ, FL, GA, , IA, KY, MI, MS, NE, NM, NY (outside greater-NYC), OH, SC, TX, UT, WA (outside greater-Seattle), WI

Worker Type: W2

• Minimum 2-4 years of clinical practice and prior inpatient and outpatient behavioral health/psychiatric reviews.
• Behavioral health utilization management experience across inpatient and outpatient services.
• Active, unrestricted RN, LVN or LPN state nursing license in good standing.
• Completion of an accredited Registered Nursing program (combination of education and experience considered in lieu of degree).
• Knowledge of Inter Qual, medical necessity and length-of-stay criteria, NCQA and applicable regulations; strong communication, organization and Microsoft Office skills.

• Hospital nursing, utilization management and/or case management background.

Prior PEGA experience.

• Review behavioral health/psychiatric cases for inpatient and outpatient utilization management.
• Complete concurrent reviews and prior authorizations, assessing eligibility, benefits and anticipated length of stay.
• Collaborate with providers, medical directors and interdisciplinary care teams.
• Meet quality and productivity expectations and maintain compliant, confidential records.
• Support team meetings, mentoring and assigned projects.

• Competitive compensation package
• Weekly pay via Direct Deposit
• Medical, Dental & Vision available
• 401k options

• Access to our top ranked team of recruiting and placement specialists
• Continuous, one-on-one support from a dedicated engagement manager
• Professional resume development and interview preparation

Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we're custom not commodity and we've been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!

We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment.