• Utilization Management Clinical…

    CVS Health (Hartford, CT)
    …+ Active and good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC ... experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal… more
    CVS Health (11/19/25)
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  • Utilization Management Nurse

    Humana (Hartford, CT)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
    Humana (11/24/25)
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  • Clinical Registered Nurse…

    Cognizant (Hartford, CT)
    …have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (11/25/25)
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  • Utilization Management RN

    CenterWell (Hartford, CT)
    …clinical experience. + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Intelligence + ... put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers...Experience with Home Health preferred + Previous experience in utilization management within Insurance industry a plus… more
    CenterWell (11/26/25)
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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 ... + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital… more
    CVS Health (11/27/25)
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  • Case Manager Registered Nurse - Work…

    CVS Health (Hartford, CT)
    …is subject to change based on business needs. **Preferred Qualifications** 6+ months Case Management or Utilization Management experience Case Management ... however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, implementing, and coordinating… more
    CVS Health (11/23/25)
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  • Registered Nurse / RN…

    AccentCare, Inc. (Middlebury, CT)
    Overview Admissions Registered Nurse / RN , Hospice Location: Middlebury, CT Position: Admissions Registered Nurse / RN , Hospice Position Type: ... Find Your Passion and Purpose as a Hospice Admissions Registered Nurse Salary: $43 - $50 /...care we're building together. Be the Best Hospice Admissions RN You Can Be If you meet these qualifications,… more
    AccentCare, Inc. (10/29/25)
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  • UR Case Manager

    Eastern Connecticut Health Network (Manchester, CT)
    …timely and accurate information to payers. The role integrates and coordinates utilization management and denial prevention by focusing on identifying and ... preoperative, concurrent, and retrospective reviews in accordance with the utilization management plan. The UM CM ensures...or a related field. + Current licensure as an RN . EXPERIENCE: + 2 - 3 years' experience in… more
    Eastern Connecticut Health Network (11/01/25)
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  • Quality Assurance Performance Improvement…

    Hartford HealthCare (Mansfield Center, CT)
    …**Organization:** **Hartford HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare ... of our patients; we take great care of our Registered Nurses too! Our benefit options at Hartford HealthCare...nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less… more
    Hartford HealthCare (11/07/25)
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  • Clinical Denials Prevention & Appeals Specialist…

    Nuvance Health (Danbury, CT)
    …in Milliman and InterQual Guidelines required * Minimum of 2-3 years experience as Utilization Management Nurse in an acute care setting required, minimum ... members of the interdisciplinary care team * Current working knowledge of utilization management , performance improvement and managed care reimbursement. Working… more
    Nuvance Health (09/25/25)
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