- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and ... receives guidance where needed. Follows established guidelines and procedures. The SNF Utilization Management Nurse uses clinical knowledge, communication… more
- CVS Health (Hartford, CT)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required +...+ Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or… more
- CVS Health (Hartford, CT)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST and CST zones.… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director, Clinical Strategy and Practice for… more
- Zurich NA (Hartford, CT)
- …+ Experience in development and implementation of cost containment programs + Case management , utilization review, catastrophic or disability experience + 5 or ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is...recruiting and retaining team members. + Drive the performance management process by communicating job expectations, monitoring and evaluating… more
- Elevance Health (Rocky Hill, CT)
- ** Utilization Management Representative I** **Location:** Within 50 miles of Wallingford or Rocky Hill, Connecticut **Hours:** Monday - Friday, from 8:30 am - ... 5:00 pm EST. The ** Utilization Management Representative I** is responsible for...requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data… more
- Veterans Affairs, Veterans Health Administration (Newington, CT)
- …promotion, health education and coaching on wellness, disease prevention, and chronic care management . The nurse will assist in directing the provision of ... nursing education, orientation, competencies and providing quality improvement and outcomes utilization . This Nurse will be part of a team establishing a… more
- Evolent (Hartford, CT)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and client policies and ... the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a...and regulations. * Practices and maintains the principles of utilization management and appeals management … more
- Hartford HealthCare (Hartford, CT)
- …Diseases provides inpatient and outpatient consultation regarding the diagnosis and management of all types of infectious diseases. The service is supported ... the context of the framework for professional nursing practice, the Community Care Nurse Navigator is a registered nurse experienced in patient throughput,… more
- Molina Healthcare (Middletown, CT)
- **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, ... are most receptive including home, nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in non-clinical settings and… more
- Hartford HealthCare (Norwich, CT)
- …work/life balance. Every moment matters. And this isyour moment. **Job:** ** Management * **Organization:** **Backus Hospital* **Title:** *Assistant Nurse Manager ... more about you! JOB SUMMARY The Assistant Nursing manager is a Registered Nurse (RN) who has responsibility for the supervision of patient care, clinical personnel,… more
- Sharecare (Hartford, CT)
- …total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also ... the participants and their Primary Care Provider according to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised… more
- Hartford HealthCare (Willimantic, CT)
- …balance. Every moment matters. And this is your moment. **Job:** ** Management * **Organization:** **Windham Hospital* **Title:** * Nurse Supervisor (RN) - ... to our community. Job Summary: The Patient Care Administrative Nurse Supervisor is an experienced Registered Nurse ...delivery of direct and indirect patient care via the utilization of the Nursing Process and creates a positive… more
- Hartford HealthCare (Mansfield Center, CT)
- …you are here. What our nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less than one year of experience. * ... Nurses clinical instruction and additional learning opportunities as they complete the Nurse Residency program. Hartford HealthCare at Home, the largest provider of… more
- Eastern Connecticut Health Network (Vernon, CT)
- $8K SIGN ON BONUS Why consider applying to Visiting Nurse & Health Services of CT? Here are a few reasons: + Small territories and manageable caseloads and flexible ... degree program. + Possession of a current license to practice as a Registered Nurse in the State of Connecticut. EXPERIENCE: + One (1) year of recent… more
- Hartford HealthCare (New Britain, CT)
- …required, Management roles preferred. *Licensure, Certification, Registration* . Registered Nurse , State of CT . Certified in Basic Life Support (BLS) provider ... 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,… more
- Hartford HealthCare (Norwich, CT)
- …part of Connecticut's most comprehensive healthcare network as an On Call Visiting Nurse Hartford HealthCare at Home, the largest provider of homecare services in ... phases of the nursing process ** Maintain regular communication with Nurse Supervisors, attending physician, and case manager concerning patient/family care needs… more
- Highmark Health (Hartford, CT)
- …Nursing **EXPERIENCE** **Required** + 7 years in any combination of clinical, case/ utilization management and/or disease/condition management experience, or ... on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field + Certification in Case Management … more
- Evolent (Hartford, CT)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and ... **What You Will Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company policies and… more
- Trinity Health (Hartford, CT)
- …Knowledge and experience with SAMSHA regulations, DPH, Joint Commission, Utilization management Detoxification requirements, Core measures, and psychiatric ... do** + The Clinical Coordinator RN assists in the management of unit personnel, the nursing unit environment, and...preferred + **Licensure** : Current licensure as a Registered Nurse RN in Connecticut ACLS and PALS preferred +… more