- PharmaCord (Hartford, CT)
- … Utilization Management, Call Center Case Management, a plus. Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree preferred. We are ... independently while collaborating to share ideas, support, and resources. As a Nurse Advocate you are responsible for contact with program patients and assessing… more
- Cognizant (Hartford, CT)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... 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
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Weekend Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... Communities is good for the Soul. Join Us!** The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- Commonwealth Care Alliance (Springfield, MA)
- …in primary care or care management, including: + 5+ years' experience as Registered Nurse in a high touch clinical environment or home care + AND + 2+ ... management and care delivery. Within the CIC Program, the Registered Nurse (RN) serves as an integral...and social needs. The RN uses evidenced-based care approaches, clinical skills, education, and training to influence the … more
- Hartford HealthCare (Mansfield Center, CT)
- …HealthCare at Home* **Title:** *Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse , QA, PI) - HomeCare * **Location:** ... using research, innovation and evidence-based practices. We offer our Graduate Registered Nurses clinical instruction and additional learning opportunities as… more
- Hartford HealthCare (West Hartford, CT)
- …a minimum of 1000 hours of clinical experience as a licensed registered nurse . * RN Urology experience *Licensure, Certification, Registration* * ... direction of nursing leadership and with provider collaboration and guidance, the Registered Nurse utilizes evidence-based practices in accordance with the State… more
- CVS Health (Hartford, CT)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Hartford, CT)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... we do it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization… more
- Evolent (Hartford, CT)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- Sharecare (Hartford, CT)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Hartford HealthCare (Hartford, CT)
- …within the context of the framework for professional nursing practice, the Community Care Nurse Navigator is a registered nurse experienced in patient ... of infectious diseases. The service is supported by outstanding clinical diagnostics laboratories, which provide state-of-the-art techniques for rapid diagnosis… more
- Lincoln Financial (Hartford, CT)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- Molina Healthcare (Rockville, CT)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary... Practitioner will be required to work primarily in non- clinical settings and provide medical care to all levels… more
- Hartford HealthCare (New Britain, CT)
- …through the end of life. * Job Summary* The Assistant Nursing manager is a Registered Nurse (RN) who has responsibility for the supervision of patient care, ... clinical personnel, and unit operations. This position supervises a...3-5 year leadership experience required. *Licensure, Certification, Registration* . Registered Nurse , State of CT . Certified… more
- Hartford HealthCare (Hartford, CT)
- …the context of the framework for professional nursing practice, the Cystic Fibrosis Clinic Nurse Navigator is a registered nurse experienced in patient ... skilled nursing care to patients in a variety of clinical settings. Scope of responsibility is characterized by use...standards, protocols and guidelines. This position reports to a Nurse Manager Manager. **Job Responsibilities:** * Functions as a… more
- Baystate Health (Springfield, MA)
- …- American Heart AssociationAmerican Heart Association, Driver License - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts **Equal ... **RN, ACO Nurse Care Manager, Community Health Center** The **ACO...their care by acting as their advocate regarding their clinical status and treatment options. + Promotes quality and… more
- Fresenius Medical Center (East Hartford, CT)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality… more
- Hartford HealthCare (Farmington, CT)
- …as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse (RN) with 3-5 years CDS experience . Preferred: o ... and other common practices across the system.*__* *_Position Summary:_* The Clinical Documentation Integrity Supervisor provides a key role in facilitating long-term… more
- Hartford HealthCare (Hartford, CT)
- …Enfield, Farmington, West Hartford and Avon offices. Bachelor's Degree required . CT- Registered Nurse (RN) license- preferred * Minimum of 2 years ... specialties. The primary responsibility of the Metabolic and Bariatric Surgical/Medical Clinical Reviewer (MBSCR) is to ensure the accurate and timely collection,… more
- Commonwealth Care Alliance (Springfield, MA)
- …NP or PA in primary care or care management AND 3+ years' experience as Registered Nurse or EMT-P in a high touch clinical environment or home care; OR + If ... outcomes of assigned patients by impacting acute care utilization , ensuring optimal treatment for chronic disease management, closing...must have 5+ years' experience as Registered Nurse or EMT-P in a high touch clinical… more
