• UM Case Manager

    Healthfirst (MD)
    …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... This position is 100% Remote** **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which includes: + Pre-certification… more
    Healthfirst (10/07/25)
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  • Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …**We are looking for an experienced Registered Nurse and people leader with UM /CM experience** **living within the Washington DC and/or Virginia area** . The ... policies and procedures, achieve individual and departmental goals. Supports the Manager of Inpatient Management. + Oversees associates conducting care coordination… more
    CareFirst (10/01/25)
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