- Hartford HealthCare (Meriden, CT)
- …matters. And this is*your moment*. **Job:** **Professional Non-Clinical* **Organization:** **Rushford* **Title:** * Utilization Review Care Manager - ... We offer a wide range of programs including Acute Care and Evaluation, Residential Addiction Treatment, Individual, Group &...Assists with process of appeals as directed by the Manager - Utilization Review . 7.… more
- Hartford HealthCare (Torrington, CT)
- …**Job:** **Professional Clinical* **Organization:** **Charlotte Hungerford Hospital* **Title:** * Utilization Review Social Work Care Manager (LCSW) - ... Worker will work collaboratively with the IP Psychiatry Patient Care Team to assure Utilization Review... activities on a 17 bed Adult unit. The Care Manager will liaison with insurance companies… more
- Evolent Health (Hartford, CT)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Client ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point… more
- Highmark Health (Hartford, CT)
- …This job implements the effective utilization management strategies including: review of appropriateness of health care services, application of criteria ... consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with… more
- The Cigna Group (Bloomfield, CT)
- …position is a licensed professional with a background in the insurance industry as a care manager in a behavioral healthcare role, or an individual who has ... mental health or chemical dependency counselor. As an Inpatient Care Manager at Evernorth, you will use...utilization management, and attending all required trainings impacting utilization review and accreditation procedures. + Manage… more
- Baystate Health (Springfield, MA)
- …records and/or care management application is required and is vital. Care management program metrics including, emergency room utilization , and hospital ... Part Time **_RN, Case Manager , ACO Transitions of Care_** is responsible for...+ Develops and collects data to identify trends in utilization of health care resources. + Assumes… 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 ... room, or from a skilled nursing facility. Responsible to review the discharge summaries, follow up on testing that...care management application is required and is vital. Care management program metrics including, emergency room utilization… more
- The Cigna Group (Bloomfield, CT)
- …management edits at point of service, preferred drug list strategy, retrospective utilization review , risk management review and condition-specific ... oversite of implementation activities related to formulary management and utilization management on the pharmacy and medical benefit to...class strategy + Responsible for the oversight of the review and audit of all Health Plan Value Assessment… more
- Burns & McDonnell (Wallingford, CT)
- **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day ... through project completion and warranty periods. The Construction Project Manager is responsible for managing the construction project safety, quality,… more
- Baystate Health (Springfield, MA)
- …MD's about safe plan for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate ... **RN- Hospital Case Manager - Full Time** The Hospital Case ...+ Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
- Baystate Health (Springfield, MA)
- …MD's about safe plan for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate ... **Hospital Case Manager - Part Time 16 hours** The Hospital...+ Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
- Fresenius Medical Center (West Springfield, MA)
- **About this role:** As a Clinical Manager with Fresenius Medical Care , you will ensure that quality patient care is delivered while maintaining clinical ... of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment to patients facing...leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area… more
- The Cigna Group (Bloomfield, CT)
- The System Contract Senior Manager will have oversight of a region of facility network and will be responsible for its contract performance. This Senior Manager ... negotiators to manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other Regional Senior Manager to… more
- Masonicare (Wallingford, CT)
- …with administration). + Conducts clinical record reviews to assess the appropriateness of care plan, the utilization of services and to ensure complete ... RN Hospice Clinical Manager Job Location: Wallingford Center, Connecticut RN Hospice...planning, organization, direction, evaluation and safe delivery of high-quality care to adult, geriatric, pediatric, and neonatal clients in… more
- CBRE (Hartford, CT)
- Procurement Sr Manager - Remote Job ID 183609 Posted 05-Sep-2024 Service line GWS Segment Role type Full-time Areas of Interest Purchasing/Procurement Location(s) ... geographies. **About the role** As a CBRE Procurement Sr. Manager , you'll be responsible for leading a large team...strategy at local, regional, and global levels. + Draft, review , negotiate, and maintain contracts and other business documents… more
- Burns & McDonnell (Wallingford, CT)
- …and guidelines to meet department, global practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a ... **Description** The Transmission Department Manager is responsible for the managerial direction and...assignments and reviewing performance to ensure the efficient, cost-effective utilization of staff. + Ensure profitable and sound growth.… more
- HealthEdge Software Inc (Hartford, CT)
- …implementations by developing and managing the clinical components of our care programs. This includes overseeing content development, clinical product design, and ... stakeholders and drive ongoing client value and success. This Clinical Program Manager will be responsible for ensuring the clinical integrity of our clinical… more
- Fresenius Medical Center (Springfield, MA)
- …maximum quality care to all patients. + Must complete Clinical Manager training modules and ongoing developmental programs within the specified time line. ... regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal,… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** **This Clinical Program Manager opening is ... while being that utility player/SME of the department.** The Clinical Program Manager is responsible for the management of all client specific clinical programs… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Contract Manager Vendor Performance - LA Medicaid - Remote **Job Description Summary** Responsible ... administration responsibilities and facilitates resolution of contract issues, obtains legal review and approval of working changes in contract documents. This… more