• Clinical Resource Management Nurse (RN) - Case…

    Hartford HealthCare (Manchester, CT)
    …COMPETENCIES: * Comprehensive knowledge of the health care reimbursement system . * Demonstrated skill in creative problem-solving, facilitation, collaboration, ... 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)
    - Related Jobs
  • 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 ... and continued hospital stays. This role will require specialized system skills, best practice application of i? 1/2investigatingi? 1/2...case still does not meet, send to the Physician Advisor (PA) for a second level review. * Forward… more
    Nuvance Health (12/25/25)
    - Related Jobs
  • Nurse Case Manager - FT - Day

    Nuvance Health (Danbury, CT)
    …a safe and timely discharge for the patient. This role navigates health system services to support effective transitions while advising the team on healthcare ... transitions and promote patient flow.3.Completes an initial assessment of all admissions /observation patients to identify barriers that impact the length of stay… more
    Nuvance Health (12/04/25)
    - Related Jobs