- CVS Health (Hartford, CT)
- …with heart, each and every day. **Position Summary:** The **Utilization Management Clinical Nurse Consultant - Prior Authorization ** utilizes clinical skills ... Time Zone. + Must have an active and unrestricted RN ( _Registered Nurse_ ) licensure in the state...( _Pacific Standard Time_ ). + Previous experience with prior authorization . + Previous experience with utilization… more
- The Cigna Group (Bloomfield, CT)
- **Job Scope** Nurse Clinician/ Registered Nurse II is responsible for reviewing clinical criteria reviews for providers, members and patient client advocates ... within the Prior Authorization /Utilization Management Team. Follows department standard...ethical behavior at all times as outlined by the Nurse Practice Act and applicable company policies. + Review… more
- Evolent (Hartford, CT)
- …Managers to ensure successful adoption and engagement of Evolent's solutions (ie, prior authorization , clinical pathways) to ensure timely patient access to ... and/or practice transformation + Strongly preferred oncology clinical experience (ie, RN , NP) + Must demonstrate knowledge of healthcare delivery operations,… more