- Trinity Health (Hartford, CT)
- …efficiently to control costs. **What you will do:** + As a ** Utilization Management Registered Nurse RN ** you will conduct prospective, concurrent ... and the Smilow Cancer Hospital. **Keywords: Case Management ; Case Manager; Registered Nurse ; RN ; BSN; Connecticut** **Our Commitment to Diversity… 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …View Benefits (http://portal.ct.gov/DAS/smART/General-Employee-Benefits) + + + + Introduction Are you a Registered Nurse looking for an opportunity to make a ... Valley Hospital (CVH (https://portal.ct.gov/DMHAS/CVH/Agency-Files/CVH Home-Page) ) + UNIT: ASSD Utilization Management Unit (Administrative Support Services Division)… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment...+ + + + Introduction Are you a skilled Registered Nurse ( RN )? Join our team ... LICENSE, PLEASE: + Review the eligibility and documentation requirements (https://portal.ct.gov/DPH/Practitioner-Licensing--Investigations/ Registered - Nurse / RN -Licensure-by-Endorsement) for CT license by… more
- CVS Health (Hartford, CT)
- …skills, both verbal and written Required Qualifications - 3+ years of experience as a Registered Nurse - Must possess 1+ years of clinical experience in acute or ... external constituents in the coordination and administration of the utilization /benefit management function. + Typical office working...acute setting - Must have active current and unrestricted RN licensure in state of residence - Must be… more
- CenterWell (Hauppauge, NY)
- …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
- Trinity Health (Waterbury, CT)
- …in addition to a Bachelor's in Nursing. + **Licensure** : Current licensure as a registered nurse ( RN ) in Connecticut. + **Experience** : Five or more ... DRG's/ICD9/10, medical necessity criteria, JCAHO, CMS requirements for discharge planning, utilization management , and levels of care in continuum. **Position… more
- Nuvance Health (Norwalk, CT)
- Per Diem Clinical RN Coordinator - Wound Care Center Department in Norwalk, CT Location: Norwalk, CT, United States Requisition ID: 36637 Salary Range: 39.21 - ... Per Diem Exempt/Non-Exempt: Non-Exempt Share: Apply Now Save Job Saved **Description** ** Per Diem Clinical RN Coordinator - Wound Care Center Department in… more
- Sharecare, Inc. (Hartford, CT)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- Marriott (Hartford, CT)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... that may include multiple states. + Conducts first level utilization review per jurisdictional requirements. + Coordinates...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Trinity Health (Hartford, CT)
- …of significant challenge or difficulty in their lives. **keywords: Behavioral Health; Psychiatric; Registered Nurse ; RN ; Per Diem; Connecticut; ... BSN preferred + **Licensure** : Current licensure as a Registered Nurse RN in Connecticut...Knowledge and experience with SAMSHA regulations, DPH, Joint Commission, Utilization management Detoxification requirements, Core measures, and… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …View Benefits (http://portal.ct.gov/DAS/smART/General-Employee-Benefits) + + + + Introduction Are you a Registered Nurse looking for an opportunity to make a ... . Admissions to the psychiatric units are coordinated through a statewide Utilization Management process coordinated by the Office of the Commissioner.… more
- The Cigna Group (Bloomfield, CT)
- …as needed. + Additional duties as assigned. **Qualifications** + Education: Licensed Practical Nurse or Registered Nurse + 3-5 years' experience in ... limited to:** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare...a minimum of 18 days of paid time off per year and paid holidays. For more details on… more
- Nuvance Health (Danbury, CT)
- …education of Associate Degree in Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with minimum of one year as ... Exempt: Yes Salary Range: $39.2100 - $72.8300 Hourly Credentials: Essential: * Registered Nurse Education: Essential: * Associate's Level Degree Working… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …license for clinical social work, marital and family therapist, professional counselor, registered nurse or psychologist. Department of Mental Health and ... license for clinical social work, marital and family therapist, professional counselor, registered nurse , psychologist or alcohol and drug counselor. Conclusion… more
- Nuvance Health (New Milford, CT)
- …Grade: S10 Salary Range: $31.25 - $58.04 Hourly Credentials: Essential: * Registered Nurse Education: Essential: * Associate's Level Degree Working conditions: ... ID: 33568 Salary Range: 31.25 - 58.05 HOURLY Work Shift: 9-5:30 FT/PT/PD: Per Diem Exempt/Non-Exempt: Exempt Share: Apply Now Save Job Saved **Description** Nuvance… more
- State of Connecticut, Department of Administrative Services (Bridgeport, CT)
- …Connecticut. Admissions to the psychiatric units are coordinated through a statewide Utilization Management process coordinated by the Office of the ... + Generous paid time off, including 13 paid holidays per calendar year + Professional growth and development opportunitie...intellectual disability in instances where the services of a registered nurse are not required. EXAMPLES OF… more
- CenterWell (Hartford, CT)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... criteria for admission to service, case assignments, and case management . + Represent the pharmacy in a professional and...Graduate of an accredited school of nursing and current RN state license in good standing OR a graduate… more