Any relief pitcher can come in and pitch at least three innings EFFECTIVELY and get a save. Here is rule 10.20 from the MLB.com site on June 2nd.
Credit a pitcher with a save when he meets all three of the following conditions: (1) He is the finishing pitcher in a game won by his club; and (2) He is not the winning pitcher; and (3) He qualifies under one of the following conditions: (a) He enters the game with a lead of no more than three runs and pitches for at least one inning; or (b) He enters the game, regardless of the count, with the potential tying run either on base, or at bat, or on deck (that is, the potential tying run is either already on base or is one of the first two batsmen he faces); or (c) He pitches effectively for at least three innings. No more than one save may be credited in each game.
A single out is enough to get a save. To get a save a pitcher has to record the game ending out, and has to have entered with a lead of 3 runs or fewer, or with the tying run at the plate or on deck. If a pitcher throws the game's final 3 innings he can get the save regardless of how big a lead his team had when he entered.
Not necessarily. The "winning" pitcher is the one who most recently pitched when her/his team went ahead, without ever surrendering the lead. A starting pitcher must pitch at least five innings. Thus, the pitcher before the one that gets the save MIGHT get the win, but it is not guaranteed. If a team went ahead in the first inning and maintained the lead, and that team's starting pitcher pitched for more than five innings but had two relief pitchers to follow him, then the starter would be the "winning" pitcher and the final pitcher would have a chance at a save. But the second pitcher would have no chance for either a win or a save.
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