- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- Cognizant (Hartford, CT)
- …+ Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management experience with managed health care plan ... Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced...care revenue cycle or clinic operations + Experience in utilization management to include Clinical … more
- Hartford HealthCare (Willimantic, CT)
- …**Title:** *Registered Nurse Case Manager (RN) - Utilization Management * **Location:** *Connecticut-Willimantic-Windham Community Memorial (10183)* ... the direction of the Manager of Continuing Care and Utilization Management and in collaboration with physicians,...Medicare, Medicaid and HMO review. *EXPERIENCE* * Three years clinical nursing required. * Two years experience with case… more
- Hartford HealthCare (Manchester, CT)
- …necessity. * Utilizes data to drive decisions related to utilization management for assigned patients, including fiscal and clinical data. * Responsible ... moment **Job:** **Care/Case Management * **Organization:** **Manchester Memorial Hospital* **Title:** * Clinical Resource Management Nurse (RN) - Case… more
- Evolent (Hartford, CT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Hartford HealthCare (Norwich, CT)
- …time will be spent in the following activities: * Provides staff guidance in making clinical and case management decisions focused on clinical excellence for ... policies and 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)
- …time will be spent in the following activities: Provides staff guidance in making clinical and case management decisions focused on clinical excellence for ... policies and 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 (Manchester, CT)
- …is your moment. **Job:** ** Management * **Organization:** **Manchester Memorial Hospital* **Title:** * Nurse Manager (RN, Registered Nurse , Clinical ) - OR ... part of Connecticut's most comprehensive healthcare network as a Nurse Manager. The Greater Manchester Region has approximately 2,500...people in 19 towns. POSITION SUMMARY: Responsible for the management of more than one defined area of organized… more
- Actalent (Hartford, CT)
- …plus! Bonus Points For + Excel wizardry and EPIC EMR familiarity. + Experence in utilization review, care management , or concurrent review. Why You'll Love It + ... Clinical Data Abstractor (RN) - Turn Data Into...and make an impact. What You Bring + Registered Nurse (RN) Required: RN/BSN strongly preferred for this role.… more
- Hartford HealthCare (Mansfield Center, CT)
- …Professionals* **Organization:** **Hartford HealthCare at Home* **Title:** *Hospice Aide Clinical Supervisor (LPN, LVN, Licensed Practical Nurse )* **Location:** ... part of Connecticut's most comprehensive healthcare network as an HomeCare Aide Clinical Supervisor. Hartford HealthCare at Home, the largest provider of homecare… more
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