- Humana (Hartford, CT)
- …**Required Qualifications** + Bachelor's degree or equivalent work experience + 3+ year process improvement experience + 3+ years Care Management experience + 2+ ... community and help us put health first** The Senior Process Improvement Professional plays a pivotal role in driving...serve to achieve their best health - delivering the care and service they need, when they… more
- Option Care Health (Hartford, CT)
- …to care along every step of the infusion therapy process including: intake coordination , insurance authorization, resources for financial assistance, ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...CMC warehouse staff + Follow enteral discharge for inactivity process to maintain clean census. Places outbound calls to… more
- Option Care Health (Hartford, CT)
- …to care along every step of the infusion therapy process including: intake coordination , insurance authorization, resources for financial assistance, ... starts of care . Referral Facilitator will ensure that efficient Referral process needs are communicated and improved upon to ensure optimal outcomes further… more
- The Cigna Group (Bloomfield, CT)
- Lead Strategy Officer for Express Scripts & Evernorth Care Management will support and report directly to the Express Scripts & Evernorth Care Management ... Development & Execution:** + Develop and drive Express Scripts & Evernorth Care Management Technology roadmap. Oversee strategy deployment and delivery of the… more
- Hartford HealthCare (Hartford, CT)
- …The goals include reducing all-cause readmissions, and inappropriate ED utilization, improving care coordination for patients during the transitional care ... Scope of responsibility is characterized by use of nursing process to assess, plan, intervene and evaluate human responses...care team in order to provide safe patient care and prompt and efficient service . The… more
- The Cigna Group (Bloomfield, CT)
- …to join the Evernorth Health Services Communications Team supporting Pharmacy and Care Delivery as a **Communications Senior Advisor** . In this role, you ... communications strategies to drive key business efforts for our Pharmacy and Care Delivery businesses including but not limited to Accredo, CuraScript SD, and… more
- Fresenius Medical Center (Plantsville, CT)
- **PURPOSE** **AND** **SCOPE:** Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct ... including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve… more
- Fujifilm (Hartford, CT)
- **Position Overview** We are hiring for a Senior Product Service Delivery Manager who will be responsible for the strategic oversight of service delivery for ... and operational excellence. Reporting directly to the Vice President of Service , this role involves developing and implementing consistent account management… more
- Hartford HealthCare (Bloomfield, CT)
- …on levels of care and service across the healthcare system, care navigating as required in facilitating timely coordination of certified or hospice ... inquiries are routed appropriately to other HHC entities and service lines as instructed, collaborating with transitional care... care staff to ensure continuity of medical care through confirmation of coordination of homecare… more
- Public Consulting Group (Hartford, CT)
- …assignments, draft service plans, review case progress, and manages ongoing care needs * Travels within the State to conduct periodic in-person assessments * ... Facilitates multiple care aspects (case coordination , information sharing, etc.)...with the medical team throughout the entire case management process * Interacts with patients to keep track of… more
- Cardinal Health (Hartford, CT)
- …with the program business rules and HIPAA regulations. This role involves care coordination , insurance verification and navigation, patient advocacy, program ... into the patient support program. + Manage the entire care process with a sense of urgency...including physicians, pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access… more
- State of Connecticut, Department of Administrative Services (Cheshire, CT)
- …team dedicated to improving the health of nearly 13,000 patients. + Fulfill public service by providing clinical care to a vulnerable patient population + Enjoy ... Youth Institution in Cheshire, CT. Provision of high-quality medical care is essential to our mission of leading safe...rural sites across the state + Contribute to the coordination of onsite medical, mental/behavioral health and dental services… more
- The Cigna Group (Bloomfield, CT)
- …regions. Responsible for managing the analyst team through review and coordination of all recruitment projects. Identifies proactive recruitment opportunities and ... goals. Manages the hospital/large group and/or significant provider termination management process in assigned markets for Commercial and IFP products. Works closely… more
- Masonicare (Wallingford, CT)
- …of the facility's reimbursement from its payor sources. Responsible for the coordination of the Resident Assessment Instrument (RAI) process . Essential Duties ... related data as well as work with all resident service department s involved in the RAI process...weaknesses of data and how it relates to facility care practices + Manages the patient's Medicare benefit by… more
- CVS Health (Hartford, CT)
- …multi-geography or high tier book of business to include discussions on service levels and expectations, process improvements, operation of benefits plans, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...identification of gaps in service levels, and determination of root causes and solution… more
- Masonicare (Rocky Hill, CT)
- …education, supervision and counseling to resident and family regarding AL procedures and other care needs. 5. Provides coordination of the plan of services and ... responsibility and accountability for a group of residents, providing and coordinating care which is focused on achieving the residents optimal functional level of… more
- CDM Smith (Hartford, CT)
- …CDM Smith is an engineering and construction firm delivering legendary service , smart solutions for the environment and infrastructure, and an unmatched ... regular meetings to advance team communication, task sharing and best practice coordination . - Monitors, updates and maintains the master specifications library in… more
- Humana (Hartford, CT)
- …for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to ... utilizes behavioral health knowledge and skills to support the coordination , documentation, and communication of medical services and/or benefit administration… more
- Prime Therapeutics (Hartford, CT)
- …achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If you are looking to advance your ... but not limited to: claim adjustments, future payment withholding and coordination with an external collection agency. This position ensures payment recoveries… more
- Evolent (Hartford, CT)
- …PHOs, risk arrangements, capitation, peer review, performance profiling, outcome management, care coordination , pharmacy management, and patient centered medical ... staff and medical providers + Participate in committees as assigned Quality of care and service delivery + Provides guidance and interpretation on issues… more