- Evolent (Hartford, CT)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Evolent (Hartford, CT)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Hartford HealthCare (West Hartford, CT)
- …**Hartford HealthCare Medical Group Specialists* **Title:** *Patient Service Coordinator - Pain Management * **Location:** *Connecticut-West Hartford-65 ... . Schedules appointments for various neurology subspecialties . Ensures schedule utilization . Reviews and transcribes incoming referrals to the Epilepsy Center… more
- Hartford HealthCare (Bloomfield, CT)
- …part of Connecticut's most comprehensive healthcare network as a Nurse Care Coordinator . Hartford HealthCare at Home, the largest provider of Home Care services ... the implementation and oversight of all aspects of case management . Using best practice concepts, this role will assist...will assist the clinical team in care planning, appropriate utilization of services and coordination of care. The primary… more
- Hartford HealthCare (Southington, CT)
- …of Connecticut's most comprehensive healthcare network as a Nurse Care Coordinator *Hartford HealthCare at Home*is growing! We currently have clinical opportunities ... multi-disciplinary team of clinicians. _Job Description_: Looking for*RN Nurse Care Coordinator *to provide skilled services to our patients in the community. As… more
- Hartford HealthCare (Mansfield Center, CT)
- …part of Connecticut's most comprehensive healthcare network as a Nurse Care Coordinator (RN). Hartford HealthCare at Home, the largest provider of homecare services ... of clinicians. __ _Job Description_: Looking for*RN Nurse Care Coordinator *to provide skilled services to our patients in the...the implementation and oversight of all aspects of case management . Using best practice concepts, this role will assist… more
- Hartford HealthCare (Hartford, CT)
- …continuum; identify risk factors; facilitate involvement of support services; perform utilization management functions; develop and implement transition planning ... staff consist of Registered Nurses experienced in discharge planning and case management and embrace a universal concept of patient advocacy. They are well… more
- Sunrun (Hartford, CT)
- …+ Own and develop partner or branch relationships including weekly/monthly reviews, utilization and workload management , process updates and identification and ... commitment to diversity, inclusion and belonging. **Overview** The Field Service Coordinator is responsible for coordinating effective execution of field service… more
- Highmark Health (Hartford, CT)
- …:** **JOB SUMMARY** This job captures all inbound phone inquires for utilization management review from providers and pharmacies. The incumbent assesses ... verifying benefit coverage, creation of a prior authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status… more
- Trinity Health (Springfield, MA)
- …RN in Connecticut. + **Certification** : BLS (AHA/ARC). Certification in Case Management (ACM, CCM) required within one year of employment after meeting minimum ... an in-depth understanding of and skill in using many nationally recognized medical utilization criteria sets (ie MCG, InterQual, and others as needed). + Requires a… more
- Fallon Health (Springfield, MA)
- …and SE policies and procedures. Oversees Acts as PACE site Transportation Coordinator and oversees the provision of transportation services for all site ... participants. Responsible for all site facilities management , working closely with Director of Facilities to ensure all systems are working properly and all… more
- The Cigna Group (Bloomfield, CT)
- …brokers and other key stakeholders. + As Clinical Advisor, supports client utilization review and strategy meetings, providing medical cost trend, large claim and ... Coordinates with Sales and Operations to facilitate TOC, including claims-based care management jumpstart process and resolution of escalated case TOC issues. +… more
- Hartford HealthCare (Meriden, CT)
- …events, etc. *Job Responsibilities* 1. Evaluate, monitor, and re-evaluate service utilization in accord with Recovery Plan. 2. Maintain accurate and complete ... group psycho-education and activities for activities of daily living and self- management . 10. Facilitate connections to the individual's recovery natural supports.… more