- Cognizant (Hartford, CT)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Hartford, CT)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Hartford HealthCare (Manchester, CT)
- …**Management* **Organization:** **Manchester Memorial Hospital* **Title:** * Nurse Manager (RN, Registered Nurse , Clinical ) - OR General Surgery* ... to become part of Connecticut's most comprehensive healthcare network as a Nurse Manager. The Greater Manchester Region has approximately 2,500 employees. It… more
- Hartford HealthCare (Manchester, CT)
- …with a minimum of 1000 hours of clinical experience as a licensed registered nurse . *Licensure, Certification, Registration* * Registered Nurse , ... direction of nursing leadership and with provider collaboration and guidance, the Registered Nurse utilizes evidence-based practices in accordance with the State… more
- CVS Health (Hartford, CT)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Hartford HealthCare (Hartford, CT)
- …direction of nursing leadership and with provider collaboration and guidance, the Registered Nurse utilizes evidence-based practices in accordance with the State ... Departments (HODs) and Medical Group, in a variety of clinical settings. This position facilitates care for a varied...experience as a licensed RN, 5 years preferred. * Registered Nurse , State of CT. * Certified… more
- Baystate Health (Springfield, MA)
- …Hospital Case Manager** The **RN Hospital Case Manager** is a registered nurse responsible for the coordination of clinical care, quality, and financial ... for transitions + Leads the team to ensure appropriate utilization of patient resources and directs care to other...Work Experience:** + BSN Strongly preferred + 3-5 years clinical Nursing experience + Hospital Case Management, Care Coordination… more
- Evolent (Hartford, CT)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Actalent (Hartford, CT)
- Clinical Data Abstractor (RN) - Turn Data Into...integrity and make an impact. What You Bring + Registered Nurse (RN) Required: RN/BSN strongly preferred ... truly matter, this role is for you! As a Clinical Data Abstractor, you'll transform surgical case data into...Excel wizardry and EPIC EMR familiarity. + Experence in utilization review, care management, or concurrent review. Why You'll… more
- State of Connecticut, Department of Administrative Services (Newington, CT)
- …Benefits (https://www.jobapscloud.com/CT/jobs/?b=Benefits) + + + + Introduction Are you a dedicated Registered Nurse seeking a fulfilling role where you can ... this class must possess a current license as a Registered Nurse (RN) in CT or hold...state agency this class is accountable for administrative and clinical supervision of professional nurses, paraprofessionals and other staff… more
- CVS Health (Hartford, CT)
- …performance. **Education** Bachelor's degree preferred/specialized training/relevant professional qualification. Registered Nurse (RN) required. **Prior Relevant ... utilization reviews and assessments, applying evidence-based criteria and clinical knowledge to evaluate the medical necessity and appropriateness of requested… more
- Hartford HealthCare (New Britain, CT)
- …through the end of life. * Job Summary* The Assistant Nursing manager is a Registered Nurse (RN) who has responsibility for the supervision of patient care, ... clinical personnel, and unit operations. This position supervises a...3-5 year leadership experience required. *Licensure, Certification, Registration* . Registered Nurse , State of CT . Certified… more
- Hartford HealthCare (Hartford, CT)
- …the context of the framework for professional nursing practice, the Cystic Fibrosis Clinic Nurse Navigator is a registered nurse experienced in patient ... skilled nursing care to patients in a variety of clinical settings. Scope of responsibility is characterized by use...standards, protocols and guidelines. This position reports to a Nurse Manager Manager. **Job Responsibilities:** * Functions as a… more
- Fresenius Medical Center (East Hartford, CT)
- …related field preferred or an equivalent combination of education and experience + Registered Nurse required + Certification in Nephrology Nursing or quality ... and performance improvement activities which positively influence the assigned dialysis clinics clinical quality outcomes. The scope of the clinical quality… more
- Hartford HealthCare (Farmington, CT)
- …as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse (RN) with 3-5 years CDS experience . Preferred: o ... and other common practices across the system.*__* *_Position Summary:_* The Clinical Documentation Integrity Supervisor provides a key role in facilitating long-term… more
- Hartford HealthCare (Hartford, CT)
- …Enfield, Farmington, West Hartford and Avon offices. Bachelor's Degree required . CT- Registered Nurse (RN) license- preferred * Minimum of 2 years ... specialties. The primary responsibility of the Metabolic and Bariatric Surgical/Medical Clinical Reviewer (MBSCR) is to ensure the accurate and timely collection,… more
- Baystate Health (Springfield, MA)
- …to this role. **Education:** Bachelors Degree in Nursing (Required) **Certifications:** Registered Nurse - State of MassachusettsState of MassachusettsState of ... facilitation of accurate patient placement into the health system based on clinical relevance, with integration of care management skills to support organizational… more
- Baystate Health (Springfield, MA)
- …the required experience + Master's preferred (MSN, MHA, MBA, or related field) + Any registered nurse in the role either the bachelor's degree or master's Degree ... resources across Baystate Health. Reporting to the Vice President of Clinical Business Operations, this position facilitates optimal staffing levels, supports… more
- Hartford HealthCare (Torrington, CT)
- …Hungerford Hospital on a daily basis *_EDUCATION_* * Maintains current license as a Registered Nurse in the State of Connecticut. * Bachelor's degree in Nursing ... team of caregivers and physicians that utilize advanced technology and clinical partnerships in a convenient, safe and comfortable patient environment. *_POSITION… more
- Eastern Connecticut Health Network (Vernon, CT)
- …nursing preferred. Certificate/License: Possession of a current license to practice as a Registered Nurse in the State of Connecticut. Typical Physical Demands: ... to agency policies and procedures. Supervision Received: Reports directly to a Clinical Manager. Supervision Exercised: Home Care Aides. Education: Graduate of an… more