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Job description
Healthfirst seeks a Case Manager, Utilization Management to coordinate care plans and oversee pre-certification and concurrent reviews. You will collaborate with PCPs, document all actions, and advocate for beneficiaries to ensure appropriate utilization and outcomes.
The role emphasizes meeting quality metrics, supporting a full care continuum, and providing education on services and benefits. Strong regulatory knowledge and nursing or social work licensure are required.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.