- Hartford HealthCare (Mansfield Center, CT)
- …and empowering individuals to participate in their own care and recovery. _*Job Summary*_ Utilization Review Care Manager coordinates the care of ... And this is* your moment.* **Job:** **Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** * Utilization Review Care Manager - Behavioral… more
- Baylor Scott & White Health (Hartford, CT)
- …Note: Benefits may vary based on position type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff. You oversee ... Success Factors** + Demonstrable knowledge in discharge planning, case management, utilization review and different care levels. + Outstanding written and… more
- Highmark Health (Hartford, CT)
- …weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care services, application of ... consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable… 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
- 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
- Hartford HealthCare (Willimantic, CT)
- …years clinical nursing required. Two years experience with case management, discharge planning, utilization review and/or home care required. Knowledge of ... use of hospital resources. Works under the direction of the Manager of Continuing Care and Utilization Management and in collaboration with physicians,… 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 ... The Hospital Case Manager is a registered nurse responsible for the...+ Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… 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
- Fresenius Medical Center (Bristol, CT)
- …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
- Masonicare (Cromwell, 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 (Weekend Schedule) Job Location: Cromwell, Connecticut RN...planning, organization, direction, evaluation and safe delivery of high-quality care to adult, geriatric, pediatric, and neonatal clients in… more
- The Hartford (Hartford, CT)
- …Preference for case management and discharge experience. + Preference for managed care / utilization review /insurance experience. + Preference for crisis ... vast team of Behavioral Health Case Managers who are responsible for the review and evaluation of Short-Term Disability (STD) and Long-Term Disability (LTD) claims.… more
- Prime Therapeutics (Hartford, CT)
- …hoc reports are provided accurately and on time. + Supports the State Drug Utilization Review Boards and Pharmacy and Therapeutics (P&T) Committee. Potential pay ... every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads...may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Burns & McDonnell (Wallingford, CT)
- **Description** The Project Manager will lead and motivate a team in the day-to-day management of project safety, quality, schedule, cost control, contracts, risk, ... (EPC), Construction Management, Construction, and Program Management projects. The Project Manager leads projects from inception to completion and may perform the… more
- Burns & McDonnell (Wallingford, CT)
- **Description** A Brief Overview The Project Manager - Dairy will lead and motivate a team in the day-to-day management of project safety, quality, schedule, cost ... (EPC) and Design-Only projects for clients in the Dairy industry. The Project Manager - Dairy leads projects from inception to completion and may perform the… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote **Job Description** The Clinical Program Manager is ... specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and… more
- Evolent (Hartford, CT)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...with emphasis on driving clinical policy alignment through increased utilization of technology platforms * Educate market providers on… more
- Hartford HealthCare (Middletown, CT)
- …all admissions related staff to expedite the clients' admissions process across Utilization Review , Nursing, Admission Specialists and other related departments. ... recovery programs. We offer a wide range of programs including Acute Care and Evaluation, Residential Addiction Treatment, Individual, Group & Family Therapy,… more
- Novo Nordisk (Springfield, MA)
- …Commercial team, you will have the opportunity to help people with obesity receive the care they deserve. The Novo Nordisk aspiration is to be a driving force in the ... providers, positioning Novo Nordisk as a leader in obesity care , understanding the local market and customer needs and...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… more
- Elevance Health (Wallingford, CT)
- …or regulation, must be in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to… more