- Trinity Health (Springfield, MA)
- …program. BSN graduate preferred, Master's preferred + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS ... Shift **Description:** Requires BSN At **Mercy Medical Center** the ** Utilization Review/Appeals & Denials** ** RN ** performs ...criteria, and assists the physician, bedside Registered Nurse , ICC and Social Worker with utilization … more
- Trinity Health (Stafford Springs, CT)
- …affiliated nursing program. BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Connecticut. + **Certification** : BLS ... experience in an acute care facility or public health nurse setting. + Including an in-depth understanding of and...of and skill in using many nationally recognized medical utilization criteria sets (ie MCG, InterQual, and others as… more
- Fresenius Medical Center (Springfield, MA)
- …supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve ... combination of education and experience + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + 6 - 8… more
- Fresenius Medical Center (West Springfield, MA)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... of education and experience. + Graduate of an accredited School of Nursing ( RN ). + Current appropriate state licensure. **EXPERIENCE AND SKILLS:** + Required: + 6+… more
- Baystate Health (Springfield, MA)
- …a Magnet Hospital for Nursing Excellence is looking for a medical telemetry inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, ... RN means more. It stands for our deep respect...(Required) **Certifications:** Basic Life Support - American Heart Association, Registered Nurse - State of Massachusetts **Equal… more
- Baystate Health (Springfield, MA)
- …Magnet Hospital for Nursing Excellence is looking for a new graduate medical inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, ... RN means more. It stands for our deep respect...(Required) **Certifications:** Basic Life Support - American Heart Association, Registered Nurse - State of Massachusetts **Equal… more
- Trinity Health (Hartford, CT)
- …the Smilow Cancer Hospital. **Keywords: Case Management; Case Manager; Registered Nurse ; RN ; BSN; Connecticut; utilization management** **Our Commitment ... patients' well-being. **What you will do:** + As a ** Registered Nurse RN Case Manager...of Care including an understanding of nationally recognized medical utilization criteria, HCFA/OBRA and state of Connecticut regulatory compliance… more
- Humana (Hartford, CT)
- …to make an impact** **Required Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with no disciplinary action. + ... caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral...Registered nurse with Compact Licensure (licensed and located in compact… more
- CVS Health (Hartford, CT)
- … RN licensure in state of residence + 3+ years of experience as a Registered Nurse + 1+ years of clinical experience in acute or post-acute setting + ... convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management… more
- Humana (Hartford, CT)
- …guidelines/procedures **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license required, with no ... our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Trinity Health (Hartford, CT)
- …Shift **Description:** **Position Purpose:** At **Saint Francis Hospital and Medical Center** , the Registered Nurse RN in the Intensive Care Unit ICU ... patient care to individuals in critical condition. **What you will do:** + The Registered Nurse RN will assume responsibility for Critical Care Patients,… more
- Trinity Health (Waterbury, CT)
- …**Shift:** 12 Hour Night Shift **Description:** **Position Purpose:** At **Saint Mary's Hospital,** the Registered Nurse RN in the Intensive Care Unit ICU ... patient care to individuals in critical condition. **What you will do:** + The Registered Nurse RN will assume responsibility for Critical Care Patients,… more
- The Cigna Group (Bloomfield, CT)
- …duties as assigned. **Qualifications** + Education: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) + 3-5 years' experience in Medicare Advantage ... include, but not limited to:** + Must have experience in Medicare Appeals, Utilization Case Management or Compliance in Medicare Part C + Ability to differentiate… more
- Hartford HealthCare (New Britain, CT)
- …patients from birth through the end of life. The Assistant Nursing manager is a Registered Nurse ( RN ) who has responsibility for the supervision of patient ... matters.* Hartford HealthCare is actively looking for a *Assistant Nurse Manager ( RN , CRL, CNL)* to join...acute care nursing experience required *Licensure, Certification, Registration* . Registered Nurse , State of CT . Certified… more
- Hartford HealthCare (Hartford, CT)
- …Summary:* . The Patient Care Administrative Nurse Supervisor is an experienced Registered Nurse and is responsible for supervising and monitoring the Nursing ... be required in acute care environments * Progressive leadership experience * Active Registered Nurse license from the State of Connecticut required . Certified… more
- Hartford HealthCare (Hartford, CT)
- …Certification in the following areas: Certified Emergency Nurse (CEN) or, Critical Care Registered Nurse (CCRN) or Certified Flight Registered Nurse ... moment.* **Job:** **Emergency Medicine* **Organization:** **Hartford Hospital* **Title:** *Flight Nurse ( RN ) Emergency Transport Center* **Location:** *Connecticut-Hartford-81… more
- The Cigna Group (Bloomfield, CT)
- …a history of effective case load management.** **Minimum Requirements:** **Active** **Unrestricted Registered ** ** Nurse ( RN ) license in state or territory ... ** Nurse Case Management Lead Analyst -Remote -Full-Time** **Bilingual...for further management when appropriate.** **Must be skilled in utilization of Cigna resources when identifying need for further… more
- Hartford HealthCare (Hartford, CT)
- …room procedures at Midstate Medical Center within the scope of practice for a Registered Nurse in the state of Connecticut * Demonstrates knowledge of ... Bachelor's degree in Nursing *Experience* Five (3) years minimum experience as a Registered nurse . Minimum 2 years OR experience which includes a minimum… more
- Baystate Health (Springfield, MA)
- …Case Manager - Part Time 16 hours** The Hospital Case Manager is a registered nurse responsible for the coordination of clinical care, quality, and financial ... Bachelor of Science (Required) **Certifications:** Case Management Certification - Other, Registered Nurse - State of Massachusetts **Equal Employment… more
- The Cigna Group (Bloomfield, CT)
- …and reimbursement for multiple Therapeutic Resource Centers. **QUALIFICATIONS** + Active, unencumbered Registered Nurse ( RN ) license in Pennsylvania + High ... Management Lead Analyst- Nurse Clinician - Accredo Job Description Summary The Nurse Clinician - RN is responsible for reviewing escalated clinical criteria… more