• Utilization Management

    Humana (Hartford, CT)
    …us put health first** The UM Administration Coordinator contributes to administration of utilization management . The UM Administration ... Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non-clinical support for the policies and procedures… more
    Humana (10/10/25)
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  • UM Coordinator 2

    Humana (Hartford, CT)
    …a part of our caring community and help us put health first** The UM ( Utilization Management ) Administration Coordinator 2 contributes to ... administration of utilization management . We focus on living out our values daily...electronic medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization, preferably within a managed… more
    Humana (11/01/25)
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  • Charge Integrity Coordinator

    Nuvance Health (Danbury, CT)
    *Description* Summary: The Charge Integrity Coordinator is response for supporting and maintaining the Charge Description Master (CDM) for all Nuvance Health ... charges and services to the clinical build. The CDM Coordinator supports the Charge Integrity team as well as...changes to charging, transparency regulations and an assessment of utilization changes for operational leadership. 10.Acts as a liaison… more
    Nuvance Health (09/19/25)
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  • RN Case Coordinator

    Hartford HealthCare (Hartford, CT)
    …and veteran or disability status.* **Job:** ** Management / Administration * **Organization:** **Hartford Hospital* **Title:** *RN Case Coordinator * ... continuum; identify risk factors; facilitate involvement of support services; perform utilization management functions; develop and implement transition planning… more
    Hartford HealthCare (10/17/25)
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  • Clinical Coordinator - Wound Care

    Nuvance Health (Danbury, CT)
    *Description* Summary: The Clinical Coordinator -Wound Care is responsible for performing assessment, discharge planning, resource utilization , program planning ... per physician direction and patient education of their wound care management . Performs hyperbaric oxygen therapy as needed. Responsibilities: 1. Performs therapeutic… more
    Nuvance Health (10/09/25)
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  • Quality Assurance Performance Improvement…

    Hartford HealthCare (Mansfield Center, CT)
    …Science Degree-required Bachelor's degree in nursing, PT, OT, SLP, MSW, Health Administration , Management , or related discipline-preferred Experience 3 years of ... compiles trends and reports quality data in patient care, safety, risk management , infection control, outcomes and customer satisfaction and performs and uses audit… more
    Hartford HealthCare (08/08/25)
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  • Case Manager, Registered Nurse

    CVS Health (Hartford, CT)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... home role anywhere in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
    CVS Health (11/04/25)
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  • Senior Genetics Counselor

    Nuvance Health (Danbury, CT)
    …to other staff in clinical, research, and/or administrative setting and assists coordinator of clinical genetics with caseload management and special program ... serum screening results. * Coordinates and interprets genetic testing and develops a management plan based on the test results. * Establishes and maintains a genetic… more
    Nuvance Health (09/10/25)
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  • Director of Clinical Services

    Marrakech, Inc. (Woodbridge, CT)
    …(HRC), and Utilization Review & Resource (URR). Contract & Vendor Management + Oversee contracts related to behavioral and ancillary clinical services. + Monitor ... + Serve as a backup instructor for Marrakech's internal Medication Administration Course, Medical Awareness, OSHA, and other training related to clinical… more
    Marrakech, Inc. (10/10/25)
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