- Evolent (Hartford, CT)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Hartford HealthCare (Hartford, CT)
- …than 30 different specialties. The primary responsibility of the Metabolic and Bariatric Surgical/ Medical Clinical Reviewer (MBSCR) is to ensure the accurate ... **Hartford HealthCare Medical Group Specialists* **Title:** *Surgical Clinical Reviewer - General Surgery* **Location:** *Connecticut-Hartford-85 Seymour… more
- State of Connecticut, Department of Administrative Services (Waterbury, CT)
- Clinical Nurse Coordinator (General) (40 Hour) Office/On-site Recruitment # 251210-1974FP-001 Location Waterbury, CT Date Opened 12/12/2025 12:00:00 AM Salary ... Private Division - is accepting applications for two (2) Clinical Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=1974HC&R1=&R3=) positions located in… more
- Hartford HealthCare (Wethersfield, CT)
- …**Job:** **Nursing* **Organization:** **Hartford HealthCare Medical Group* **Title:** * Clinical Operations Resource Registered Nurse (RN) -Quality and Safety ... part of Connecticut's most comprehensive healthcare network. *Hartford HealthCare Medical Group*is one of the largest medical ...Under the supervision of Director of Nursing , the Clinical Operations Resource Nurse a Registered … more
- Cognizant (Hartford, CT)
- …necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and ... as well as timely filing deadlines and processes. + Review clinical denials including but not limited...thinking skills to interpret guidelines of internal policies for clinical determination. + Medical Necessity Reviews can… more
- Hartford HealthCare (Manchester, CT)
- …of care in the acute-care setting. * Minimum of 1 year Utilization Review experience preferred via industry clinical standards, ie, InterQual, Milliman Care ... moment **Job:** **Care/Case Management* **Organization:** **Manchester Memorial Hospital* **Title:** * Clinical Resource Management Nurse (RN) - Case… more
- Elevance Health (Wallingford, CT)
- ** Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role enables associates to work virtually ... Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The ** Clinical Fraud Investigator II** is responsible… more
- Hartford HealthCare (Hartford, CT)
- …and even pets! *Position Details:* Hartford Hospital is seeking a Physician Assistant or Nurse Practitioner to join their Medical Intensive Care Unit & Step Down ... or disability status./* **Job:** **Critical Care* **Organization:** **Hartford Hospital* **Title:** * Nurse Practitioner or Physician Assistant - Medical ICU*… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …FOR A CONNECTICUT LICENSE, PLEASE: + Review the eligibility and documentation requirements ... Head Nurse (40 Hour) Office/On-site Recruitment # 251209-4356FL-001 Location...biographic information, select your license type and select 'SEARCH'. Review the results and select the 'Next' button. Check… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …FOR A CONNECTICUT LICENSE, PLEASE: + Review the eligibility and documentation requirements ... Nurse (40 Hour) Office/On-site Recruitment # 251215-1969FL-001 Location...health status of individuals + Document nursing interventions on medical records + Distribute and maintain records of controlled… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …FOR A CONNECTICUT LICENSE, PLEASE: + Review the eligibility and documentation requirements ... Forensic Head Nurse (40 Hour) Office/On-Site Recruitment # 251216-3990FL-001 Location...who have been adjudicated. PLEASE NOTE + A comprehensive medical examination, including a drug screening, will be required… more
- Hartford HealthCare (Avon, CT)
- …at ###@hhchealth.org or ###. **Job:** **Primary Care* **Organization:** **Hartford HealthCare Medical Group* **Title:** *Primary Care - Nurse Practitioner or ... * Nurse Practitioner and Physician Assistant Benefits:* * Market-leading...place, you'll be able to focus on the advanced clinical work that matters most: providing exceptional care to… more
- Hartford HealthCare (Hartford, CT)
- …in differential pay on top of base salary! *Physician Assistant or Nurse Practitioner APRN Benefits* * *Market-leading*compensation and benefits and generous paid ... pets! *Position Details:* Hartford Hospital is seeking a Physician Assistant or Nurse Practitioner to join their energetic hospitalist team. The Hospitalist program… more
- Hartford HealthCare (New Britain, CT)
- …Nurse Practitioners perform routine physical examinations, and formulate medical , educational, and psychosocial plans to treat patients. In consultation ... of Hartford Healthcare is hiring a Physician Assistant or Nurse Practitioner to join their critical care team! This...opportunity to work across both campuses at both MidState Medical Center and The Hospital of Central Connecticut critical… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- …FOR A CONNECTICUT LICENSE, PLEASE: + Review the eligibility and documentation requirements ... Forensic Nurse (Multiple Positions) Office/On-Site Recruitment # 251210-0356FL-001 Location...safely in the community. PLEASE NOTE: + A comprehensive medical examination, including a drug screening, will be required… more
- Hartford HealthCare (Wethersfield, CT)
- …appropriately to physician. *Requirements:* . *Licensure*: Unrestricted State of Connecticut Medical License (or eligible) . *Training*: Nurse Practitioner ... ###@hhchealth.org or ###. **Job:** **Primary Care* **Organization:** **Hartford HealthCare Medical Group* **Title:** * Nurse Practitioner or Physician Assistant… more
- Hartford HealthCare (Meriden, CT)
- …Nurse Practitioners perform routine physical examinations, and formulate medical , educational, and psychosocial plans to treat patients. In consultation ... Certification in Palliative Care **Job:** **Other Specialties* **Organization:** **MidState Medical Center* **Title:** * Nurse Practitioner or Physician Assistant… more
- Hartford HealthCare (Bristol, CT)
- …at ###@hhchealth.orgor ###. **Job:** **Primary Care* **Organization:** **Hartford HealthCare Medical Group* **Title:** *Primary Care - Nurse Practitioner ... * Nurse Practitioner and Physician Assistant Benefits:* * Market-leading...tools like EPIC, Hartford HealthCare's state of the art clinical and informatics technology promotes improved patient outcomes, streamlined… more
- Hartford HealthCare (Cheshire, CT)
- …at ###@hhchealth.orgor ###. **Job:** **Primary Care* **Organization:** **Hartford HealthCare Medical Group* **Title:** *Primary Care - Nurse Practitioner ... * Nurse Practitioner and Physician Assistant Benefits:* * Market-leading...tools like EPIC, Hartford HealthCare's state of the art clinical and informatics technology promotes improved patient outcomes, streamlined… more
- Hartford HealthCare (Vernon, CT)
- …at ###@hhchealth.org or ###. **Job:** **Primary Care* **Organization:** **Hartford HealthCare Medical Group* **Title:** *Primary Care - Nurse Practitioner or ... * Nurse Practitioner and Physician Assistant Benefits:* * Market-leading...tools like EPIC, Hartford HealthCare's state of the art clinical and informatics technology promotes improved patient outcomes, streamlined… more