- Humana (Hartford, CT)
- …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- Hartford HealthCare (Norwich, CT)
- …be spent in the following activities: * Provides staff guidance in making clinical and case management decisions focused on clinical excellence for end ... procedures by providing staff guidance in making clinical and case management decisions that are... software to identify opportunities for education, most appropriate utilization of services, oversee clinical progression of… more
- Hartford HealthCare (Southington, CT)
- …will be spent in the following activities: Provides staff guidance in making clinical and case management decisions focused on clinical excellence for ... procedures by providing staff guidance in making clinical and case management decisions that are... software to identify opportunities for education, most appropriate utilization of services, oversee clinical progression of… more
- Hartford HealthCare (Farmington, CT)
- …CDI subject matter expert guidance to CDS team, coding, physician leadership, quality management , utilization management , all providers, and others as ... with the clinical documentation specialists (CDS), coding professionals, providers, nursing staff and other patient care givers to ensure accurate and timely … more
- Fresenius Medical Center (East Hartford, CT)
- …a frequency determined by Clinical Quality leadership. Collaborates with facility management staff to evaluate the effectiveness of the facility QAPI Program ... development and other meetings as appropriate. Collaborates with appropriate management staff as needed to achieve effective...+ 3+ years dialysis experience required + 3+ years management experience in a clinical leadership role… more
- Hartford HealthCare (Manchester, CT)
- …as evidenced in Individualized Educational Plan, by feedback from MD and clinical staff and supervisor observation. 6. Consistently implements and modifies ... any student in crisis. Documents and communicates pertinent information to educational staff and Clinical Treatment Team. This position maintains contact with… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- …with state and federal regulations + Oversee recruitment, selection, and retention of clinical staff + Foster collaboration across programs and maintain strong ... takes appropriate action; + Initiates workforce planning and monitors staff utilization to meet identified goals; +...plans; + negotiate, mediate and resolve conflicts; + manage staff in a clinical in-patient and outpatient… more
- Highmark Health (Hartford, CT)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims, clinical , utilization , pharmaceutical) to inform policy development, identify… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …program level and takes appropriate action; + Initiates workforce planning and monitors staff utilization to meet identified goals; + Prepares or oversees ... for high risk, high need clients including monitoring the management of risk involving these individuals; + Provide oversight...specified geographic area. EXAMPLES OF DUTIES + Manages the staff and operations of a clinical program,… more