- Nuvance Health (Danbury, CT)
- *Description* Summary: The purpose of the Utilization Management Nurse is to support the physician, the interdisciplinary team, and organization with the underlying ... of care and providing timely and accurate clinical information to payors. Utilization management provides clinically based first level medical necessity reviews by… more
- Healthfirst (CT)
- …in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management/case management. + Demonstrated ... and Suspension of services. The end-to-end process requires the Specialist to independently: + Research issues + Quality of...understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual,… more
- Nuvance Health (Danbury, CT)
- *Description* *Simulation Specialist - Danbury, CT* *Full-time, 40 hours - 8-hour shifts between 6:30 and 5:00pm.* *Summary:* The Simulation Specialist ... that efforts can be repeated reliably. 10. Tracks, records, and compiles utilization statistics and program evaluations. 11. Maintains a safe and organized… more
- US Foods (Norwich, CT)
- …Join Our Community of Food People! The primary purpose of the Fresh Product Specialist is to increase sales and penetration of our fresh categories, which includes ... through the following: consultative services to aid customers through improved utilization of the fresh categories; SOUS training; conducting product demonstrations… more
- Cardinal Health (Hartford, CT)
- …community members and solutions to our industry partners. The _Sr. Specialist , Account Management (UroGPO Member Development)_ is responsible for supporting all ... Member Profiles, and overall success of membership network with utilization and optimization of Salesforce keeping up to date...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Novo Nordisk (Hartford, CT)
- …appropriate patients that would benefit in order to ensure early trial and utilization + Generates advocacy for Novo Nordisk products and services by sharing ... by not exceeding the Novo Nordisk points threshold assigned based on review of Motor Vehicle Records. Qualifications + Bachelor's or equivalent degree, and/or… more
- Evolent (Hartford, CT)
- … utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality ... the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a… more
- Datavant (Hartford, CT)
- …realize our bold vision for healthcare. **What We're Looking For** As an FinOps Specialist at Datavant, you will be a partner to Development and Platform engineers, ... and tracking existing cost reduction targets, improved visibility of cloud utilization , and enhanced financial accountability + Partner with finance to forecast… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …+ Prepares and/or reviews reports, medical records and correspondence; + Performs utilization review and management functions; + Attends court hearings as ... for patients under the jurisdiction of the Psychiatric Security Review Board (PSRB), patients committed by the superior court...this class must possess and retain certification as a specialist in psychiatry by the American Board of Psychiatry… more
- State of Connecticut, Department of Administrative Services (Cheshire, CT)
- …+ Prepares and/or reviews reports, medical records and correspondence; + Performs utilization review and management functions; + Attends court hearings as ... training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the...this class must possess and retain certification as a specialist in psychiatry by the American Board of Psychiatry… more
- Canon USA & Affiliates (Hartford, CT)
- **XR Reg Clin Sls Supt Spec - req1392** **OVERVIEW** The Clinical Sales Support Specialist (CSSS) role will report into the XR BU and will be a clinical and solution ... clinical/sales touch current. + Provide clinical advice to improve utilization of the system and ancillary equipment in an...as booth staffing, virtually and/or in person, as demo specialist and subject matter experts for sales support, as… more
- Hartford HealthCare (Hartford, CT)
- …Carries out the Medical Staff initial application process. Evaluate and conduct quality review of each new application file once delivered from the CVO. Identify any ... other sources. Prepare files for Credentials Committee Chair/Allied Health Chair review . Determine if applicants meet the qualifications and criteria for membership… more
- Hartford HealthCare (Meriden, CT)
- …Carries out the Medical Staff initial application process. Evaluate and conduct quality review of each new application file once delivered from the CVO. Identify any ... verifications, or other sources. Prepare files for Credentials Committee Chair review . Determine if applicants meet the qualifications and criteria for membership… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …+ Prepares and/or reviews reports, medical records and correspondence; + Perform utilization review and management functions; + Attends court hearings as ... training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the...be required to possess and retain certification as a specialist in addictions medicine from the American Society for… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …+ Prepares and/or reviews reports, medical records and correspondence; + Perform utilization review and management functions; + Attends court hearings as ... training are most aligned with the role. To prepare, review this helpful Interview Preparation Guide to make the...be required to possess and retain certification as a specialist in addictions medicine from the American Society for… more
- Fairfield University (Fairfield, CT)
- … **ESSENTIAL FUNCTIONS:** **Responsibilities:** + The Environmental, Health, & Safety Specialist provides support to faculty, students, and staff to help ... lab specific SOPs for standard lab operations and experimental procedures + Review protocols for laboratory operations and research involving regulated or specific… more
- NTT America, Inc. (Hartford, CT)
- …their area of responsibility and /or stakeholder group. These individuals have specialist knowledge and answer queries related to their area of responsibility and/or ... Understand and solicit employee opinions and anticipate their needs and concerns. + Review and benchmark the internal and external environment to improve HR policies… more