Clinical Case Manager — Utilization Management II
Listed on 2026-09-30
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Healthcare
Healthcare Management
Healthfirst is seeking a Case Manager, Utilization Management to coordinate care plans, perform pre-certification, and conduct reviews for assigned members. The role emphasizes efficient utilization of services and achieving quality metrics.
The incumbent will partner with PCPs and providers to coordinate treatments, document decisions, and support members with self-management and benefits understanding. Strong clinical assessment skills are essential.
This role, Clinical Case Manager — Utilization Management II at Healthfirst, could be your next opportunity.
Join us at Healthfirst as our next Clinical Case Manager — Utilization Management II in PA, United States.
We are currently recruiting a Clinical Case Manager — Utilization Management II for our team in PA, United States.
This is a strong opportunity to take on the Clinical Case Manager — Utilization Management II role at Healthfirst.
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