• Case Manager Registered Nurse…

    CVS Health (Hartford, CT)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... setting. + A Registered Nurse that holds an active, unrestricted...lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
    CVS Health (07/25/25)
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  • Utilization Review Nurse (40…

    State of Connecticut, Department of Administrative Services (New Haven, CT)
    Utilization Review Nurse (40 Hour) Office/On-Site Recruitment # 250715-5612FP-001 Location New Haven, CT Date Opened 7/22/2025 12:00:00 AM Salary $78,480 - ... View Benefits (https://www.jobapscloud.com/CT/jobs/?b=Benefits) + + + + Introduction Are you a Registered Nurse looking for an opportunity to make a difference… more
    State of Connecticut, Department of Administrative Services (07/23/25)
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  • Utilization Management Nurse…

    CVS Health (Hartford, CT)
    …and administration of the utilization /benefit management function. Required Qualifications + Registered Nurse in state of residence. + 3+ years of Nursing ... experience. Preferred Qualifications + Prior authorization utilization management/ review experience preferred Outpatient Clinical experience. + Knowledge of… more
    CVS Health (07/26/25)
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  • Utilization Management Nurse…

    CVS Health (Hartford, CT)
    …care **Preferred Qualifications** + NICU experience highly preferred + Managed care/ utilization review experience + Ability to multitask, prioritize and ... opportunities to promote quality effectiveness of healthcare services and benefit utilization . **Required Qualifications** + Active and unrestricted RN licensure… more
    CVS Health (07/22/25)
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  • RN Clinical Manager

    CenterWell (Rocky Hill, CT)
    …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...sick at home. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (07/11/25)
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  • RN Manager Clinical Reimbursement

    Masonicare (Wallingford, CT)
    …and interdisciplinary care team. + Organize and participate in the daily Medicare meeting, utilization review and monthly end of close meetings. + Assists with ... RN Manager Clinical Reimbursement Job Location: Wallingford Center,...and departmental staff and inservice meetings. Education: Requires a Registered Nurse with a current Connecticut State… more
    Masonicare (06/28/25)
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  • Training & Quality Clinician RN - Work…

    CVS Health (Hartford, CT)
    …and enhance our care model and care delivery mechanisms. **Required Qualifications** + Registered Nurse that must hold an unrestricted license in their state ... a part of Aetna Clinical Enablement, has an exciting opportunity available for Nurse Educators. The individual in this role will support an enhanced performance … more
    CVS Health (07/26/25)
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  • AVP Care Coordination

    Nuvance Health (Danbury, CT)
    …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum of 5 years of clinical experience ... for providing strategic leadership and operational oversight for a team of utilization review staff, denials and appeals specialists, non-clinical support staff… more
    Nuvance Health (06/11/25)
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  • Head Nurse (40 Hour)

    State of Connecticut, Department of Administrative Services (Norwich, CT)
    …BASE ANNUAL SALARY, YOU MAY BE APPROVED FOR AN ADDITIONAL COMPENSATION BONUS: + Each Registered Nurse who is permanently assigned to the second or third shift ... for this bonus, the employee must have completed one year of service in the registered nurse classification. DISCOVER THE OPPORTUNITY TO: + Engage in a rewarding… more
    State of Connecticut, Department of Administrative Services (07/23/25)
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  • Nurse (Multiple Positions)

    State of Connecticut, Department of Administrative Services (Bridgeport, CT)
    …eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) ... SHIFT POSITIONS - YOU MAY BE APPROVED FOR AN ADDITIONAL COMPENSATION BONUS: + Each Registered Nurse who is permanently assigned to the second or third shift… more
    State of Connecticut, Department of Administrative Services (07/18/25)
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