- Humana (Hartford, CT)
- …problem-solving skills, facilitation skills **Preferred Qualifications** + Experience with utilization review process + Experience with behavioral change, ... caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health...meet one of the following:** + Active unrestricted registered nurse license in the state of Virginia or obtain… more
- Humana (Hartford, CT)
- …our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to support ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines and… more
- Humana (Hartford, CT)
- …of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following ... services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and… more
- Evolent (Hartford, CT)
- …helps providers deliver better, more affordable care to their patients. More than 40 million Americans have access to our clinical expertise through their health ... be the single point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work can be divided into… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …for Mental Health Intensive level of care beds in the community, provides utilization review of all contracted services including support services from ... + LOCATION: Hartford , CT + SCHEDULE: Full -time ( 40 hours), 1st Shift, Monday - Friday, 8:00am -...and private providers. + Responsible for request for proposals, review of proposals and manages the Discretionary funds for… more