- Humana (Hartford, CT)
- …problem-solving skills, facilitation skills **Preferred Qualifications** + Experience with utilization review process + Experience with behavioral change, ... caring community and help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes...that is best for your schedule. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a… more
- Humana (Hartford, CT)
- …our caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills to support ... of medical services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines and… more
- Humana (Hartford, CT)
- …of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, following ... services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and… more
- Evolent (Hartford, CT)
- …helps providers deliver better, more affordable care to their patients. More than 40 million Americans have access to our clinical expertise through their health ... be the single point of responsibility for all clinical operations inclusive of nurse , physician, and shared services performance. and core work can be divided into… more
- Baystate Health (Springfield, MA)
- …facility/program, emergency room, or from a skilled nursing facility. Responsible to review the discharge summaries, follow up on testing that is pending, ensure ... is vital. Care management program metrics including, emergency room utilization , and hospital admission/readmission data will be reviewed on...+ No weekends and No Holidays + Full Time 40 hours + **Location -** 280 Chestnut Street -… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …for Mental Health Intensive level of care beds in the community, provides utilization review of all contracted services including support services from ... + LOCATION: Hartford , CT + SCHEDULE: Full -time ( 40 hours), 1st Shift, Monday - Friday, 8:00am -...and private providers. + Responsible for request for proposals, review of proposals and manages the Discretionary funds for… more
- Eastern Connecticut Health Network (Vernon, CT)
- Why consider applying to Visiting Nurse & Health Services of CT? Here are a few reasons: + Small territories and manageable caseloads and flexible schedules for a ... vacation time with 26 days offered if you work 40 hours a week, otherwise prorated based on hours...provided by clinicians through conferences, home visits and record review . Also has responsibility for the wound care program.… more