- Nuvance Health (Danbury, CT)
- …comprehensive, patient-centric vision and strategy for system-wide care coordination, encompassing utilization review (UR), denials management , discharge ... a related field preferred * Current licensure as a registered nurse ( RN ) * Minimum...of 5 years of progressive leadership experience in case management or utilization review *… more
- Fresenius Medical Center (Bristol, CT)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Highmark Health (Hartford, CT)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- CVS Health (Hartford, CT)
- …Qualifications** + Must reside within the Eastern or Central time zone + Utilization management is a 24/7 operation. Work schedules will include weekends ... + 3+ years of clinical hospital experience as a Registered Nurse in Medical/Surgical, Emergency room, Critical...and Excel **Preferred Qualifications** + Managed Care experience + Utilization review experience + Experience working with… more
- Nuvance Health (Norwalk, CT)
- …as principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ... coming in from other hospitals. Responsibilities: 1. Manages the Utilization Review elements of the ED encounter...in Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with… more
- Nuvance Health (Norwalk, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate ... level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure...to support correct coding, reimbursement, and quality initiatives. *Required: Registered Nurse license State of CT with… more
- Nuvance Health (Danbury, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate ... level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure...in Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with… more
- Masonicare (Colchester, CT)
- …as related to Hospice services. Certificates, Licenses, Registrations: Current Connecticut Registered Nurse License. Maintains current Drivers' License and auto ... RN Hospice Clinical Manager (Weekend Schedule) Job Location:...on-call schedules, plans and organizes daily assignments including the review and assignment of new patient referrals. + Supervises… more
- Guardian Life (Hartford, CT)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more
- Nuvance Health (Norwalk, CT)
- …within 2 years of hire. Minimum Experience: zero to six months Desired: Registered Nurse , MSN. Relevant teaching experience desired. High level competency in ... Yes Grade: S12 Salary Range: $39.2088 - $72.8280 Hourly Credentials: Essential: * Registered Nurse Education: Essential: * Master's Level Degree EOE, including… more
- Nuvance Health (Carmel, NY)
- …in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred. Location: ... affiliates, Education: BSN / BSW preferred 1.Licensure/Registration/Certification:NYS Licensure as RN required; LMSW /LCSW preferred; Case management … more
- Fairfield University (Fairfield, CT)
- …care; exposure to all types of illnesses and blood borne pathogens. **EDUCATION:** Registered Nurse in CT; Bachelor of Science in Nursing degree preferred. ... for Fairfield University students. Ensures compliance with physician/APRN orders, the Nurse Practice Act, and established departmental policies and procedures. This… more