- Highmark Health (Hartford, CT)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… 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...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- The Cigna Group (Bloomfield, CT)
- …+ Behavioral Telephonic Consultation + Confide Services Assessment + Brief Case Management + Utilization Management **Duties and Responsibilities:** + ... will help customers navigate the mental health system, including utilization of benefits and accessing direct care services. As...the state of employment (LADC, LPC, LMHC, LCSW, LMFT, RN or LP). + Bilingual in Spanish required +… more
- The Cigna Group (Bloomfield, CT)
- …nursing and inpatient rehab facilities, home health care, care management , and utilization review. The Registered Nurse is responsible for the ... The Registered Nurse will perform clinical and...of clinical experience + 2 + years experience in utilization management preferred. + Home health, SNF,… more
- Humana (Hartford, CT)
- …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... project management and/or process improvement experience + Minimum 3 years utilization management experience with exposure to grievance and appeals +… more