Senior Utilization Management Case Manager
Listed on 2026-10-01
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Social Work
Healthfirst in New York is seeking a Case Manager, Utilization Management to coordinate care plans, conduct pre-certifications, concurrent reviews, discharge planning, and overall utilization for assigned members.
You will document decisions, advocate for beneficiaries, and ensure adherence to Inter Qual/MCG, CMS, and NYSDOH guidelines while managing caseloads and meeting performance metrics.
For the Senior Utilization Management Case Manager position at Healthfirst, we are reviewing applications now.
Full responsibilities and requirements are described in the listing above.
Learn more about the Senior Utilization Management Case Manager role in the description above.
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This posting is for the Senior Utilization Management Case Manager role at Healthfirst, based in TN, United States.
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