- 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
- 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 Cigna, you will use...utilization management, and attending all required trainings impacting utilization review and accreditation procedures. + Manage… 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
- 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 (Colchester, 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: Colchester, Connecticut RN...planning, organization, direction, evaluation and safe delivery of high-quality care to adult, geriatric, pediatric, and neonatal clients in… 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** 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
- 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
- ABM Industries (New Haven, CT)
- …and maintains competent coaching and counseling skills during performance review and employee discipline process. **_Safety_** * Demonstrates knowledge of ... field is required. * Work experience in a leadership role within an acute care setting. * Work experience in a large academic medical center. * Experience… 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
- 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
- Eastern Connecticut Health Network (Manchester, CT)
- …working with staff to create innovative ideas to improve employee engagement and patient care . What we offer: + Generous vacation that is front loaded based on ... organization POSITION SUMMARY: This position reports directly to the Administrative Manager and indirectly to the Director of Ambulatory Behavioral Health Services.… more
- Elevance Health (Wallingford, CT)
- …necessity of requests using clinical criteria. + Performs physician-level case review of musculoskeletal utilization requests. + Conducts peer-to-peer ... for autism and depression, and insightful analytics to improve the delivery of care . The **Clinical Ops Associate Medical Director - Ortho** is responsible for… more
- Hartford HealthCare (Mansfield Center, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... and chemical dependency services. Through our multi-site network of care , we constantly strive to meet its mission in...oversight of daily operations in the absence of Program Manager . Key responsibilities of Lead Behavioral Health Clinician: *… more
- United Therapeutics (Hartford, CT)
- …building effective models that support data driven decisions + Facilitate quarterly data review with Contract Manager / National Account Directors to evaluate ... with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was… more
- Travelers Insurance Company (Hartford, CT)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... teams to drive security best practices, enforce policy requirements, consult on service utilization , and help build better solutions overall. What Will You Do? .… more
- Prime Therapeutics (Hartford, CT)
- …licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile ... of interest or other cyclical compliance processes, or implementing a regular review cadence for standard operating procedures (SOP) and policies + Research and… more
- Cardinal Health (Hartford, CT)
- …and effective coordination of Cardinal Health's pharmacy operations that service acute care hospitals, hospital retail customers, ambulatory care and alternate ... customized pharmacy program solutions that reduce costs and improve patient care quality for hospitals, health systems and other integrated healthcare providers… more