• UM Case Manager - 100…

    Healthfirst (NM)
    …case management, identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of ... **Duties/Responsibilities:** + Provides case management services for assigned member caseloads which...as part of annual performance appraisals + Monitors assigned case load to meet performance metric requirements + Functions… more
    Healthfirst (09/10/25)
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  • Case Manager - UM II…

    Healthfirst (NM)
    The Case Manager , Utilization Management coordinates the care plan for assigned members and conducts pre-certification, concurrent review, discharge planning, ... and case management as assigned. The Case Manager , Utilization Management is also responsible for efficient utilization of health services and optimal health… more
    Healthfirst (09/12/25)
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