- Hartford HealthCare (Torrington, CT)
- …is *your moment*. **Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care ... Nurse Director & Social Work Supervisor, the Inpatient Psychiatric Utilization Review Social Worker will work collaboratively with the IP… more
- The Cigna Group (Bloomfield, CT)
- …acute care, skilled nursing, inpatient rehab, home health care, DME, care management, and utilization review . The social worker addresses health equity and ... + Knowledge of managed care and utilization review requirements and procedures. + Ability to work...experience/expertise in one of the following selected fields of social work : + Hospital/Community Coordination of Care… more
- The Cigna Group (Bloomfield, CT)
- …review of medical necessity requests for clinical services that do not meet utilization review criteria and renders a clinical opinion about the medical ... required. + Conduct weekly Case Conferences with nursing and social worker teams; discussing every assigned member receiving care...state or territory of the United States as a utilization review doctor of medicine or doctor… more
- Humana (Hartford, CT)
- …operationalize this knowledge in their daily work . The Medical Director's work includes computer-based review of moderately complex to complex clinical ... health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review … more
- Burns & McDonnell (Wallingford, CT)
- …operate motor vehicles. May at times need to access confined spaces or work locations at elevation requiring utilization of respirators, self-contained breathing ... contracts, CM contracts, subcontracts, and change orders. + Participate in risk review process. + Implement assigned sections of the Project Execution Plan,… more
- Humana (Hartford, CT)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted… more
- CVS Health (Hartford, CT)
- …we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone who works at CVS Health to ... Aetna. Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and… more
- Humana (Hartford, CT)
- …health insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review organization, ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis… more
- Howmet Aerospace (Winsted, CT)
- …the sustainability of our customers, markets, and communities where we operate, review the 2023 Environmental Social and Governance report at ... others and contributes to talent factory strategy; provides direction, review , reassurance, encouragement, challenge, recognition on an individual basis; promotes… more
- Hartford HealthCare (Torrington, CT)
- …medication point based level systems. Record episodes of target behaviors during group and work with clinician to review points and level system at the end ... Work where *every moment* matters. Every day, over...skill based groups to improve self-control, distress tolerance, and social skills. Technicians are also responsible for supervision of… more
- Humana (Hartford, CT)
- …this knowledge in their daily work in their assigned cluster * Work includes computer-based review of moderately complex to complex clinical scenarios, ... (5) five years of experience post-training providing clinical services + Experience in utilization management review and case management in a health plan setting… more
- Hartford HealthCare (Torrington, CT)
- …selected to participate in leadership development training. *Qualifications* * Master's degree in Social Work , Marriage and Family Therapy, or MS in Counseling ... Work where*every moment*matters. Every day, over 30,000 Hartford...Licensed Psychiatric Clinician is a Masters prepared Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT),… more
- Hartford HealthCare (Torrington, CT)
- …selected to participate in leadership development training. *Qualifications* * Master's degree in Social Work , Marriage and Family Therapy, or MS in Counseling ... Work where*every moment*matters. Every day, over 30,000 Hartford...Licensed Psychiatric Clinician is a Masters prepared Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT),… more
- Wesleyan University (Middletown, CT)
- …StarRez database management as it relates to office initiatives. + Conduct utilization assessment of loaner keys for lockouts. Office Management: + Oversee the ... have an Emotional Support animal, meet with all students to review care and handling expectations and address violations/concerns. Customer Service/Departmental… more
- Howmet Aerospace (Winsted, CT)
- …the sustainability of our customers, markets, and communities where we operate, review the 2023 Environmental Social and Governance report at ... time and attendance and labor transactions, and prioritizing and making work assignments. Provides effective feedback to employees, both positive and negative.… more
- Lincoln Financial Group (Hartford, CT)
- …Locations:** Charlotte, NC (North Carolina); Dover, NH (New Hampshire); Omaha, NE (Nebraska); Work from Home ** Work Arrangement:** Hybrid/Flexible : Work at ... answering questions and providing information regarding their claim through the utilization of multiple applications and platforms. In addition, you will provide… more
- Sedgwick (Hartford, CT)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... and contribute to Sedgwick being a great place to work . Great Place to Work (R) Most Loved...duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to… more
- CVS Health (Hartford, CT)
- …Care Quality and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment. A minimum of two years' ... as important as what we deliver. Our Heart At Work Behaviors (TM) support this purpose. We want everyone...improve population health outcomes, including addressing health equity and Social Determinants of Health. The Quality Director acts as… more
- Wheeler Clinic (Hartford, CT)
- …AND EXPERIENCE/QUALIFICATIONS Master's degree in Marriage and Family Therapy, Counseling, Social Work or related license eligible field. Prior trainings ... towards licensure + Receive a productivity incentive to recognize your hard work and dedication + Get reimbursed for licensure/certification expenses Maintain … more
- Howmet Aerospace (Winsted, CT)
- …the sustainability of our customers, markets, and communities where we operate, review the 2023 Environmental Social and Governance report at ... records including tooling calibration, daily walk around, etc. + Maintain productivity, utilization , schedule and quality records and comply with all standards. +… more