- Elevance Health (Wallingford, CT)
- **Diagnosis Related Group Clinical Validation Auditor-** ** Registered Nurse ** **Location:** This position will work a hybrid model (remote and office ). Ideal ... and efficiency recommendations. **Minimum Requirements:** + Requires current, active, unrestricted Registered Nurse license in applicable state(s). + Requires a… more
- Evolent Health (Hartford, CT)
- …care across multiple settings and with multiple providers - Required + Current Registered Nurse license - Maryland or Compact License - **Required** + ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...this population. **What You Will Be Doing:** + This RN Care Manager The RN … more
- Highmark Health (Hartford, CT)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** RN Gastroenterology (GI) experience preferred. This job has primary ownership and oversight over a ... activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards. + Maintain… more
- Crawford & Company (Waterbury, CT)
- …a case manager from the URAC-approved list of certifications (preferred); + A registered nurse ( RN ) license. + Must be compliant with state requirements ... Certification such as CCM, CRC, COHN, CRRC preferred. + RN degree required. + Prior Workers Compensation Case Management...individual. + May obtain records from the branch claims office . + May review files for claims adjusters and… more
- Evolent Health (Hartford, CT)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...**What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the patients… more
- Hartford HealthCare (Hartford, CT)
- …or clinical community including: firefighting, law enforcement, emergency medical services (EMT, Paramedic), registered nurse , among others. . ICS 300 . ICS 400 ... *Job Summary:* The mission of the Hartford HealthCare (HHC) Office of Emergency Management (OEM) is to support HHC's...Program. 10. Requires response to emergencies outside of normal business hours or participates in an on-call system. *… more
- The Cigna Group (Bloomfield, CT)
- …duties as assigned. Qualifications + Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5 years' experience in Medicare Advantage ... and decisions. The Case Management Analyst reports to the Supervisor/ Manager of Appeals and will coordinate and perform all...position is full-time (40 hours/week) with the scheduled core business hours generally 8:00 am - 5:00 pm CST… more
- Moses/Weitzman Health System (New Britain, CT)
- …behavioral health staff, and other CHC disciplines or sites. + Collaborates with office manager and clerical/clinical staff to promote the smooth functioning of ... of one year prior experience as an advanced practice registered nurse + As a condition of...+ Hours as agreed; Clinical schedule arranged to include office hours, hospital rounds, etc. One evening office… more
- Fair Haven Community Health Care (New Haven, CT)
- …or via telephone. + Completes other duties as assigned by Nurse Manager . Qualifications + CT unrestricted RN license required, BSN preferred. Current CPR ... that provides care for multiple generations at nearly 140,000 office visits in over 20 locations. Overseen by a...pay. Job purpose Under general supervision of the Nursing Manager , the Triage Nurse performs care coordination… more
- Surgery Care Affiliates (Bloomfield, CT)
- …Answer phones. + Organizing paperwork. + Uploading files in a timely manner. + Other business office and clinical functions as needed. + Act as a liaison between ... ways as part of Optum and with our new Specialty Management Solutions business . + We have pioneered a physician-led, multi-site model of practice solutions that… more
- Masonicare (Wallingford, CT)
- …Community + Job Fairs + Hospice + Behavioral Health Similar Jobs + RN Hospice Clinical Manager Wallingford Center, Connecticut + Director Facility Operations ... skill development and other mentoring activities. Responsible for maintaining an office environment that fosters the professional growth and development of assigned… more