- Humana (Hartford, CT)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Hartford, CT)
- …a part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... in Behavioral Health. #LI-Remote This is a Full-Time, Remote Telephonic RN opportunity, however **must be located and licensed...be located and licensed in a Compact State** The Utilization Management Behavioral Health Nurse … more
- The Cigna Group (Bloomfield, CT)
- ** Nurse Case Management Lead Analyst -Remote -Full-Time** **Bilingual in Dari or Pashto language** **Required Work Hours: 9:00 am-5:30 pm PST.** **Major Job ... case management needs and assigning to a client based CM for further management when appropriate.** **Must be skilled in utilization of Cigna resources when… more
- Baystate Health (Springfield, MA)
- …care management application is required and is vital. Care management program metrics including, emergency room utilization , and hospital ... Manager, ACO Transitions of Care_** is responsible for the management of care for a defined group of patients...face-to-face visits, home visits, if necessary, as well as telephonic interactions. In addition, they will assist with advance… more
- Baystate Health (Springfield, MA)
- The **ACO Nurse Care Manager i** s responsible for the management of care for a defined group of patients including complex care management , transitions of ... face visits, home visits if necessary, as well as telephonic interactions. In addition, they will assist with advance...management application is required and is vital. Care management program metrics including, emergency room utilization ,… more