Care-Driven Utilization Manager — Case Coordination

Healthfirst is seeking a Case Manager in Utilization Management to coordinate care plans, perform pre-certification and concurrent reviews, and support discharge planning. The role collaborates with PCPs and providers to ensure appropriate utilization of services and alignment with clinical goals.

Qualifications include RN, LPN, LMSW, LMHC, LMFT, or LCSW licensure and health care management experience, with knowledge of Inter Qual/Milliman criteria and CMS/NYSDOH regulations.

This posting is for the Care-Driven Utilization Manager — Case Coordination role at Healthfirst, based in CT, United States.

This role is for the Care-Driven Utilization Manager — Case Coordination role at Healthfirst.

We are seeking a motivated Care-Driven Utilization Manager — Case Coordination to join Healthfirst in CT, United States.

Consider building your career as a Care-Driven Utilization Manager — Case Coordination at Healthfirst.

The Care-Driven Utilization Manager — Case Coordination position in the Bio & Pharmacology & Health, Management & Operations field is open for applications.