- Evolent (Hartford, CT)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- The Cigna Group (Bloomfield, CT)
- …8:30 am to 4:30 pm or 9:00 AM to 5:00 pm CST._** The onsite Well-Being Coordinator is designated to one Cigna client and works closely with the Cigna account ... management team and the client's human resources/ well-being team...and well-being goals. The primary focus of the Well-Being Coordinator is to promote whole-person health and well-being. The… more
- Hartford HealthCare (Vernon, CT)
- …customer service, health insurance, billing/coding requirements, and EMR functionality and utilization . . The Office Coordinator assists the clinical and ... urgent care and more than 30 different specialties. *_Job Description_* The Office Coordinator is responsible for managing the daily operations of the practice and… more
- Elevance Health (Rocky Hill, CT)
- **Managed Care Coordinator Clinician Non-RN** **Location:** Within 50 miles of a Pulse Point location **Hours:** Monday - Friday, between the hours of 9 am - 6 pm ... CST. The **Managed Care Coordinator Clinician Non-RN (US)** is responsible for working under the direction/supervision of an RN, with overall responsibility for the… more
- Hartford HealthCare (Meriden, CT)
- …moment matters.* Hartford HealthCare is actively looking for a *Medical Staff Coordinator *to join their dynamic team with the*Medical Staff Office* in Meriden, CT. ... to the Director of Medical Staff Services (MSS), the Medical Staff Coordinator performs functions of the medical staff Office. This includes credentialing and… more
- Hartford HealthCare (Hartford, CT)
- …continuum; identify risk factors; facilitate involvement of support services; perform utilization management functions; develop and implement transition planning ... Our staff consist of Registered Nurses experienced in discharge planning and case management and embrace a universal concept of patient advocacy. They are well… more
- Highmark Health (Hartford, CT)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more
- Bear Mountain Health Care (East Longmeadow, MA)
- …+ Experience with Medicare/Medicaid reimbursement, MDS completion, clinical resources utilization , and/or case management is highly desirable Responsibilities: ... East Longmeadow is looking for an experience RN MDS Coordinator to join our Amazing Team! If you have...MA, is currently seeking applicants for an experienced MDS Coordinator . Requirements: + Graduate of an accredited school… more
- Hartford HealthCare (Mansfield Center, CT)
- …compiles trends and reports quality data in patient care, safety, risk management , infection control, outcomes and customer satisfaction and performs and uses audit ... with team members to ensure appropriate communication, integration, and utilization of best practices. Participates in the development, implementation, and… more
- Trinity Health (Springfield, MA)
- …RN in Connecticut. + **Certification** : BLS (AHA/ARC). Certification in Case Management (ACM, CCM) required within one year of employment after meeting minimum ... an in-depth understanding of and skill in using many nationally recognized medical utilization criteria sets (ie MCG, InterQual, and others as needed). + Requires a… more
- The Salvation Army (New Britain, CT)
- …while supervising the Housing Support Workers and clients. Provide direct case management services to assist shelter clients in transitioning from homelessness to ... the success of the Coordinated Access Network (CAN). Assist the Housing Program Coordinator in operating The Salvation Army's housing programs. Serve as an on-call… more
- Hartford HealthCare (Meriden, CT)
- …events, etc. *Job Responsibilities* 1. Evaluate, monitor, and re-evaluate service utilization in accord with Recovery Plan. 2. Maintain accurate and complete ... group psycho-education and activities for activities of daily living and self- management . 10. Facilitate connections to the individual's recovery natural supports.… more