- 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
- Nuvance Health (Norwalk, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure ... coming in from other hospitals. Responsibilities: 1. Manages the Utilization Review elements of the ED encounter...Nursing and minimum of three years job-related experience. Registered Nurse license State of CT with minimum of one… more
- Nuvance Health (Danbury, CT)
- …principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate ... care. Non-acute care is offered through various affiliates, Hours: 40 hours Shift: 4:00pm to 12:00am Summary: The Clinical...level within the care continuum. Provides clinically based concurrent review of the medical record to assess and procure… more