- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... holidays, and evening hours. * Utilizes clinical experience and skills in a collaborative process to...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
- CVS Health (Hartford, CT)
- …of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active current ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment # 251117-5612FP-001 Location New Haven, CT Date Opened 12/8/2025 12:00:00 AM Salary $78,480* - ... and Addiction Services ( DMHAS (http://portal.ct.gov/DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) ! In this… more
- CenterWell (Hartford, CT)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- Hartford HealthCare (Southington, CT)
- …time will be spent in the following activities: Provides staff guidance in making clinical and case management decisions focused on clinical excellence for ... policies and procedures by providing staff guidance in making clinical and case management decisions that are... software to identify opportunities for education, most appropriate utilization of services, oversee clinical progression of… more
- Evolent (Hartford, CT)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. ... physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Hartford HealthCare (Manchester, CT)
- …is your moment. **Job:** ** Management * **Organization:** **Manchester Memorial Hospital* **Title:** * Nurse Manager (RN, Registered Nurse , Clinical ) - OR ... part of Connecticut's most comprehensive healthcare network as a Nurse Manager. The Greater Manchester Region has approximately 2,500...people in 19 towns. POSITION SUMMARY: Responsible for the management of more than one defined area of organized… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …care administration + Experience with critical Incident review + Experience with clinical utilization review + Experience with Medicaid long term services ... Community Nurse Coordinator (40 Hour) Hybrid Recruitment # 251204-1538FP-001...professional nursing consultation to access agencies who provide case management services to consumers and their families regarding social… more
- CVS Health (Hartford, CT)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... self-insured clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures… more
- Moses/Weitzman Health System (Meriden, CT)
- …component meeting client's health care needs. Participates with Community Health Center management in developing and achieving optimal clinical performance and ... licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or… more
- Hartford HealthCare (Hartford, CT)
- …Diseases provides inpatient and outpatient consultation regarding the diagnosis and management of all types of infectious diseases. The service is supported ... by outstanding clinical diagnostics laboratories, which provide state-of-the-art techniques for rapid...for professional nursing practice, the Community Care Advanced Practice Nurse or Physician Assistant is experienced in patient throughput,… more
- Hartford HealthCare (Hartford, CT)
- …context of the framework for professional nursing practice, the Cystic Fibrosis Clinic Nurse Navigator is a registered nurse experienced in patient throughput, ... skilled nursing care to patients in a variety of clinical settings. Scope of responsibility is characterized by use...standards, protocols and guidelines. This position reports to a Nurse Manager Manager. **Job Responsibilities:** * Functions as a… more
- Hartford HealthCare (New Britain, CT)
- …balance. Every moment matters. And this is *your moment*. **Job:** ** Management * **Organization:** **New Britain General* **Title:** *Assistant Nurse Manager ... Job Summary* The Assistant Nursing manager is a Registered Nurse (RN) who has responsibility for the supervision of...who has responsibility for the supervision of patient care, clinical personnel, and unit operations. This position supervises a… more
- AccentCare, Inc. (Middlebury, CT)
- Overview Admissions Registered Nurse / RN, Hospice Location: Middlebury, CT Position: Admissions Registered Nurse / RN, Hospice Position Type: Part Time ... GIP admissions/visits Find Your Passion and Purpose as a Hospice Admissions Registered Nurse Salary: $43 - $50 / hourSchedule: Every Saturday and Sunday 8am -… more
- CenterWell (Hamden, CT)
- …driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... you to sit on-site at our Brooklyn Park, MN branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient services provided by … more
- Eastern Connecticut Health Network (Manchester, CT)
- $8,000 SIGN ON BONUS! POSITION SUMMARY: Responsible for the management of more than one defined area of organized patient care services. Allocates available ... resources to promote efficient, effective and compassionate patient care. Provides clinical and administrative leadership and expertise. Facilitates an atmosphere of… more
- Hartford HealthCare (Farmington, CT)
- …CDI subject matter expert guidance to CDS team, coding, physician leadership, quality management , utilization management , all providers, and others as ... now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the… more
- Hartford HealthCare (Farmington, CT)
- …department of Clinical Informatics leverages our uniquely equipped Physician and Nurse Informaticists to promote and improve the utilization of innovative ... new technologies and processes. . Develop and implement change management strategies to guide the clinical teams through the transition to new tools and systems.… more
- Fresenius Medical Center (East Hartford, CT)
- …(QAPI) documentation and attends QAPI meetings at a frequency determined by Clinical Quality leadership. Collaborates with facility management staff to evaluate ... **EXPERIENCE AND SKILLS:** + 3+ years dialysis experience required + 3+ years management experience in a clinical leadership role + Strong organizational,… more
- Edwards Lifesciences (Hartford, CT)
- …post-case management , 3 Mensio management , Therapy Awareness program management and clinical education programs. + Implementing sales and educational ... and implementing growth strategies within focused accounts in partnership with Sales Management . + Developing clinical champions among current and potential… more