- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse ( 40 Hour) Office/On-site Recruitment # 251117-5612FP-001 Location New Haven, CT Date Opened 12/8/2025 12:00:00 AM Salary ... and Addiction Services ( DMHAS (http://portal.ct.gov/DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) !… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator ( 40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM ... Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=)… more
- CenterWell (Hartford, CT)
- …actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that ... RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Community Nurse Coordinator ( 40 Hour) Hybrid Recruitment...been in the areas of client care plans or utilization review . NOTE: For state employees this ... + Experience with critical Incident review + Experience with clinical utilization review + Experience with Medicaid long term services and supports… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …+ Experience providing consultation on healthcare services + Experience with utilization review processes and procedures within Medicaid + Experience ... Supervising Community Nurse Coordinator ( 40 Hour) Hybrid Recruitment # 251203-1539FP-001 Location Hartford, CT Date Opened 12/5/2025 09:15:00 AM Salary $99,806 -… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- Nurse ( 40 Hour) Office/On-Site Recruitment # 251201-1969FL-001 Location Bridgeport, CT Date Opened 12/3/2025 12:00:00 AM Salary $79,874 - $104,588/year (*Salary ... WISH TO APPLY FOR A CONNECTICUT LICENSE, PLEASE: + Review the eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/Registered- Nurse /RN-Licensure-by-Endorsement)… more
- Humana (Hartford, CT)
- …Office products including Word, Excel and Outlook **Preferred Qualifications** + Utilization Review /Quality Management experience + Experience working with MCG ... a part of our caring community and help us put health first** The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments… more
- CVS Health (Hartford, CT)
- …As a QM Nurse Consultant you will be responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets ... required - 2+ years of experience as a Registered Nurse - Must have active, current and unrestricted RN...5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience… more
- CenterWell (Hamden, CT)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... and help us put health first** **Work Schedule** : Full-time/ 40 Hours **Position Type** : On-site **Branch Location** :...requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking… more
- State of Connecticut, Department of Administrative Services (Torrington, CT)
- …. POSITION HIGHLIGHTS: + SCHEDULE: Full -Time, 40 hours weekly, First Shift, Monday - Friday ... those whose experience and training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the best impression! + Stay… more