• UM Case Manager

    Healthfirst (NJ)
    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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  • Full Time Verification Specialist - PMPH…

    Penn Medicine (Plainsboro, NJ)
    …**Summary** : + Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and coordination for all commercial, ... contracts with payers and the need to facilitate single case agreements to ensure accurate and timely patient coverage...reimbursement + Communicates with admissions team, local site and UM on all benefit related problems or alerts Continues… more
    Penn Medicine (08/07/25)
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