- Moses/Weitzman Health System (Hartford, CT)
- …licensure as appropriate. Fully established practice standards for productivity and appropriate utilization of care. Position is designed to support evening and or ... meeting client's health care needs. Participates with Community Health Center management in developing and achieving optimal clinical performance and organizational… more
- CVS Health (Hartford, CT)
- …Must have active current and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and work schedules will include ... surg or specialty area - Managed Care experience preferred, especially Utilization Management - Preference for those residing in EST zones **Education**… more
- CVS Health (Hartford, CT)
- …1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must have active ... additional Nursing Licenses as business needs require. **Preferred Qualifications** Utilization Management experience preferred **Education** Education: Diploma… more
- CenterWell (Hartford, CT)
- …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM ... to learn more about joining our team as a Utilization Review Nurse Coordinator! The State of...types of case reviews for quality and appropriate medical management , cost containment, peer review and rehabilitation; + Implement… more
- Baystate Health (Springfield, MA)
- …Midpoint - Maximum $46.22 - $53.13 - $62.85 **Per Diem Hospital Case Manager / Utilization Management ** The **RN Hospital Case Manager** is a registered nurse ... MD's about safe plan for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other settings when appropriate +… more
- Hartford HealthCare (Hartford, CT)
- …context of the framework for professional nursing practice, the Cystic Fibrosis Clinic Nurse Navigator is a registered nurse experienced in patient throughput, ... appropriate practices, standards, protocols and guidelines. This position reports to a Nurse Manager Manager. **Job Responsibilities:** * Functions as a member of an… more
- Hartford HealthCare (Hartford, CT)
- …Diseases provides inpatient and outpatient consultation regarding the diagnosis and management of all types of infectious diseases. The service is supported ... framework for professional nursing practice, the Community Care Advanced Practice Nurse or Physician Assistant is experienced in patient throughput, preventing… more
- Baystate Health (Springfield, MA)
- … driven change projects including activity/mobility tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is ... - Maximum $31.15 - $35.81 - $42.36 **Licensed Practical Nurse (LPN), Inpatient Medical Telemetry Unit** Baystate Health, a...Excellence is looking for a medical inpatient Licensed Practical Nurse to join our team in Springfield, MA. A… more
- Hartford HealthCare (Manchester, CT)
- …balance. Every moment matters. And this is your moment. **Job:** ** Management * **Organization:** **Manchester Memorial Hospital* **Title:** * Nurse Manager (RN, ... part of Connecticut's most comprehensive healthcare network as a Nurse Manager. The Greater Manchester Region has approximately 2,500...people in 19 towns. POSITION SUMMARY: Responsible for the management of more than one defined area of organized… more
- Baystate Health (Springfield, MA)
- … driven change projects including activity/mobility tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is ... Hospital for Nursing Excellence is looking for a medical inpatient Licensed Practical Nurse to join our team in Springfield, MA. **Our medical unit offers… more
- Evolent (Hartford, CT)
- …Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed ... medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care across the continuum… more
- Baystate Health (Springfield, MA)
- … driven change projects including activity/mobility tool, acuity based assignments, capacity management workflow, and foley utilization . + The Manager is ... a Magnet Hospital for Nursing Excellence is looking for a medical inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, RN means more.… more
- Baystate Health (Springfield, MA)
- …nurse driven change projects including activity/mobility tool, acuity-based assignments, capacity management workflow, and foley utilization . + The Manager is ... Hospital for Nursing Excellence is looking for a medical telemetry inpatient Registered Nurse to join our team in Springfield, MA. At Baystate Health, RN means… more
- Trinity Health (Springfield, MA)
- …BSN graduate preferred. + **Licensure** : Current Licensure as a Registered Nurse RN in Massachusetts. + **Certification** : BLS (AHA/ARC). Certification in Case ... Management (ACM, CCM) required within one year of employment...experience in an acute care facility or public health nurse setting. + Including an in-depth understanding of and… more
- Hartford HealthCare (Mansfield Center, CT)
- …including implementation, follow-through, and competency validation- in collaboration with Care Management and Quality teams. Oversees hospice care aide staffing to ... ensure appropriate resource utilization and meet client needs; manages hiring, scheduling, training,...supervisory home visits and development planning. Collaborates with Care Management and Quality teams to develop annual in-service programs;… more
- CVS Health (Hartford, CT)
- …in state of residence **Preferred Qualifications** Managed Care experience Utilization Management experience Appeals experience Pre Certification experience ... hours 8a-5p in time zone of residence Monday - Friday. The Appeals Nurse Consultant position is responsible for processing the medical necessity of Medicare appeals… more
- Baystate Health (Springfield, MA)
- …management as outlined in the evidence based practice guidelines + Uses Utilization Analysis / Management principles, insures that patient's site of care ... the health system based on clinical relevance, with integration of care management skills to support organizational fiscal goals. Supports the patient throughput… more
- Hartford HealthCare (Mansfield Center, CT)
- …individual in this role provides clinical staff with guidance on documentation, utilization , and patient care decisions to support optimal clinical and operational ... outcomes. They review visit utilization for care appropriateness and collaborate with clinicians on...accredited educational program leading to licensure as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or… more
- Baystate Health (Springfield, MA)
- …evaluate centralized staffing models and strategies to optimize nursing resource utilization across all Baystate Health facilities and units, considering patient ... needs and proactively address shortages or surpluses. + Coordinate with nurse leaders, department Directors, to balance permanent, float, and temporary staff… more
