Utilization Management Manager

Healthfirst

Utilization Management Manager overseeing case management and ensuring quality care at Healthfirst. Responsible for resource allocation and operational efficiency in healthcare management processes.

Posted 6/10/2026full-timeNew York City • New York • 🇺🇸 United StatesMid-LevelSenior💰 $116,800 - $168,810 per yearWebsite

About the role

Key responsibilities & impact

Provides daily oversight for Case Management teams
Oversees utilization management functions including timely authorizations
Develops and monitors goals for staff; provides ongoing feedback and coaching
Collaborates with medical staff and reviews medical charts to obtain information for appropriate utilization management
Allocate, monitor, and control resources while delegating and monitoring workloads
Develops and analyzes operational and analytical reports to monitor operational efficiency
Properly documents utilization management activities
Functions as a clinical resource for the multi-disciplinary care team

Requirements

What you’ll need

Associate’s degree
RN, LPN, LMSW, LMHC, LCSW, or any other relevant clinical license
Work experience demonstrating verbal and written communication skills
Experience working independently in a fast-paced environment that requires problem solving skills and handling multiple priorities simultaneously
Experience with Microsoft Office Suite applications including Excel, Word, Power Point and Outlook

Benefits

Comp & perks

medical, dental and vision coverage
incentive and recognition programs
life insurance
401k contributions

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

utilization managementoperational analysisresource allocationclinical documentationgoal developmentcoachingproblem solvingreport analysis

Soft Skills

communicationcollaborationindependencetime managementfeedback

Certifications

Associate’s degreeRNLPNLMSWLMHCLCSW