- 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 (Hartford, CT)
- …on follow up, set expectations, and discuss services that will be provided by Case Coordinator at APC . Develop a self- management action plan of care, coordinate ... We are recognized as a Patient-Centered Medical Home.** *Job Summary:* The Case Coordinator - Outpatient at Adult Primary Care (APC) participates in an expanded… 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 (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
- Army National Guard Units (Hartford, CT)
- …not limited to: Performs duties as the Resilience and Risk Reduction Program Coordinator that requires the incumbent to analyze trends by utilizing qualitative and ... and recruitment. Serves as the Resilience and Risk Reduction Program Coordinator with the responsibility for the overall planning, developing, coordinating,… 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