- The Cigna Group (Bloomfield, CT)
- Performs peer review and case management activities. Delivers clinical expertise to the organization through peer review , decision making, training, ... on clinical practices. **RESPONSIBILITIES INCLUDE:** + Performs clinical and administrative peer review and appeals, case management, and case… more
- Moses/Weitzman Health System (Hartford, CT)
- …regulatory standards and CHC policies, co-ordinating on-site quality assurance activities and peer review (in conjunction with the Director of Behavioral Health ... performance of each provider through annual performance appraisals and periodic peer review activities. Behavioral health therapists and psychiatric providers… more
- Highmark Health (Hartford, CT)
- …**Required** (any of the following) + Licensed Social Worker (LSW) + Licensed Clinical Social Worker (LCSW) + Licensed Professional Counselor (LPC) ... Required.** This job implements the effective utilization management strategies including: review of appropriateness of health care services, application of criteria… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …Careers - Social Work: https://youtube.com/embed/enRhz\_ua\_UU VA Careers - Licensed Clinical Social Worker: https://youtube.com/embed/U\_xC25QsN0w Social Work: ... and Evaluation System (HOMES) for computation. Responsible for ongoing review and analysis of the data in order to...serve the homeless veteran population. Reviews and implements those clinical practices that are in accordance with the current… more
- Veterans Affairs, Veterans Health Administration (West Haven, CT)
- …in selected committees as designated by the Chief of Staff (eg Peer Review Committee, Electronic Health Records Committee, Medical Executive Council, ... quality improvement initiatives including but not limited to a 10% retrospective review of all anatomic pathology cases. Participates in facility Quality Management… more
- Pfizer (Hartford, CT)
- …service areas or within aligned acute care and medical group accounts. Clinical knowledge includes in-depth expertise in or demonstrated ability to learn current ... driving record in compliance with company standards * Demonstrated leadership across peer groups with the ability to sell within specialized market where third-party… more
- Highmark Health (Hartford, CT)
- …is responsible. The Registered Nurse is fully responsible for all actions as a licensed nurse and is accountable to patients for the quality of care delivered. ... Active participation in on-going interdisciplinary communication specific to each patient with review of patient status and plan of care. + Directing and organizing… more