• Clinical Denials Prevention & Appeals Specialist…

    Nuvance Health (Danbury, CT)
    …purpose of the Denial Prevention Nurse is to ensure that all patient admissions are appropriately status within the first 12-24 hours and that ongoing communication ... case still does not meet, send to the Physician Advisor (PA) for a second level review. * Forward...completed (preferred); required within 1 year of hire. As certification becomes available, requirement will be revisited. * Knowledge… more
    Nuvance Health (12/25/25)
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  • Clinical Resource Management Nurse (RN) - Case…

    Hartford HealthCare (Manchester, CT)
    …highest quality of patient care in an economically sound and efficient manner. EDUCATION/ CERTIFICATION : * Bachelor's Degree in Nursing or a related field. * Current ... and regulations for medical necessity criteria to monitor appropriateness of admissions and continued stays, and documents findings based on department… more
    Hartford HealthCare (12/23/25)
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