- 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)
- **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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state)… more
- 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… 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
- Baystate Health (Springfield, MA)
- …- $110,510.00 - $130,728.00 The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial ... for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other...+ MA RN License, BSN preferred + 5 years clinical Nursing experience + Hospital Case Management, Care Coordination… more
- CenterWell (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... an impact** **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no...Lung or Critical Care Nursing experience required + Prior clinical experience preferably in an acute care, skilled or… more
- Humana (Hartford, CT)
- …help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... Facilities to obtain sufficient clinical information. The Utilization Management Behavioral Health Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… 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
- 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
- Baystate Health (Springfield, MA)
- …- American Heart AssociationAmerican Heart Association, Driver License - OtherOther, Registered Nurse - State of MassachusettsState of Massachusetts **Equal ... - Maximum $87,859.00 - $100,984.00 - $119,412.00 **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
- Molina Healthcare (Rockville, CT)
- …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... primary care and medical care services to members - primarily in non- clinical settings where members feel most comfortable, including in-home, community and nursing… 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
- Eastern Connecticut Health Network (Vernon, CT)
- …or baccalaureate degree program. + Possession of a current license to practice as a Registered Nurse in the State of Connecticut. EXPERIENCE: + One (1) year of ... identifying patient-related problems and recommending solutions. + Skill in documentation in clinical records and use of Electronic Medical Record. + Skill in… 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 (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
- Baystate Health (Springfield, MA)
- …to this role. **Education:** Bachelors Degree in Nursing (Required) **Certifications:** Registered Nurse - State of MassachusettsState of Massachusetts **Equal ... facilitation of accurate patient placement into the health system based on clinical relevance, with integration of care management skills to support organizational… more
- Hartford HealthCare (Bloomfield, CT)
- …**Education ** Degree from an educational program with licensure as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or ... and policy adherence. The individual in this role provides clinical staff with guidance on documentation, utilization ,...provides clinical staff with guidance on documentation, utilization , and patient care decisions to support optimal … more
- Datavant (Hartford, CT)
- …clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed in DRG downgrade ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for...by management Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well… more
- Eastern Connecticut Health Network (Vernon, CT)
- …in community health nursing preferred. Certificate/License: Possession of a current license to practice as a Registered Nurse in the State of Connecticut. ... BONUS ELIGIBLE $8,000 Why consider applying to Visiting Nurse & Health Services of CT? Here are a few reasons: + Small territories and manageable caseloads and… more