- 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 ... SRO **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action… 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
- Humana (Hartford, CT)
- …make an impact** **Required Qualifications** + Associate's Degree or higher + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... health first** This is an opportunity to use your clinical knowledge and research skills to support the coordination,...an 8.5-hour shift between 7:00am - 5:00pm CST. The Utilization Management Nurse 2 uses knowledge, communication,… more
- AccentCare, Inc. (Middlebury, CT)
- Overview Admissions Registered Nurse / RN, Hospice Location: Middlebury, CT Position: Admissions Registered Nurse / RN, Hospice Position Type: Part Time ... Find Your Passion and Purpose as a Hospice Admissions Registered Nurse Salary: $43 - $50 /...and external partners, ensuring timely updates, interventions, and resource utilization + Provide patient and caregiver education, document care… 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
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …THE BASE ANNUAL SALARY, YOU MAY BE APPROVED FOR AN ADDITIONAL COMPENSATION BONUS: Each Registered Nurse who is permanently assigned to the second or third shift ... must have completed one year of service in the registered nurse classification. THE ROLE The Head...safety. This position offers professional growth in managing complex clinical situations, leading a dedicated care team, and supporting… 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
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …SHIFT POSITIONS - YOU MAY BE APPROVED FOR AN ADDITIONAL COMPENSATION BONUS: + Each Registered Nurse who is permanently assigned to the second or third shift ... must have completed one year of service in the registered nurse classification. DISCOVER THE OPPPORTUNITY TO:...Hospital this class is accountable for the administrative and clinical supervision of a unit involving the evaluation, diagnosis… 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
- 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
- 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
- Nuvance Health (Danbury, CT)
- …in nursing, health administration, or a related field preferred * Current licensure as a registered nurse (RN) * Minimum of 5 years of clinical experience ... for providing strategic leadership and operational oversight for a team of utilization review staff, denials and appeals specialists, non- clinical support staff… more
- Hartford HealthCare (Southington, CT)
- …Requirements* *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
- Hartford HealthCare (Torrington, CT)
- …Hungerford Hospital on a daily basis *_EDUCATION_* * Maintains current license as a Registered Nurse in the State of Connecticut. * Bachelor's degree in Nursing ... team of caregivers and physicians that utilize advanced technology and clinical partnerships in a convenient, safe and comfortable patient environment. *_POSITION… more
- Nuvance Health (Danbury, CT)
- …Master's degree in Nursing, Social Work or a related field required. Current CT Registered Nurse (RN) license. Minimum of 5 years of progressive leadership ... CMS, Joint Commission, and other regulatory bodies related to discharge planning, utilization review, and care transitions. 6. Monitor and analyze key performance… more