- Hartford HealthCare (Mansfield Center, CT)
- …and empowering individuals to participate in their own care and recovery. _*Job Summary*_ Utilization Review Care Manager coordinates the care of ... And this is* your moment.* **Job:** **Behavioral Health* **Organization:** **Natchaug Hospital* **Title:** * Utilization Review Care Manager - Behavioral… more
- Evolent (Hartford, CT)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point… more
- Evolent (Hartford, CT)
- …and client contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Intake ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point… more
- Highmark Health (Hartford, CT)
- …This job implements the effective utilization management strategies including: review of appropriateness of health care services, application of criteria ... consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with… more
- Baystate Health (Springfield, MA)
- The **ACO Nurse Care Manager i** s responsible for the management of care for a defined group of patients including complex care management, transitions ... room, or from a skilled nursing facility. Responsible to review the discharge summaries, follow up on testing that...care management application is required and is vital. Care management program metrics including, emergency room utilization… more
- Hartford HealthCare (Willimantic, CT)
- …years clinical nursing required. Two years experience with case management, discharge planning, utilization review and/or home care required. Knowledge of ... use of hospital resources. Works under the direction of the Manager of Continuing Care and Utilization Management and in collaboration with physicians,… more
- Baystate Health (Springfield, MA)
- …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 ... The Hospital Case Manager is a registered nurse responsible for the...+ Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by… more
- Masonicare (Cromwell, CT)
- …with administration). + Conducts clinical record reviews to assess the appropriateness of care plan, the utilization of services and to ensure complete ... RN Hospice Clinical Manager (Weekend Schedule) Job Location: Cromwell, Connecticut RN...planning, organization, direction, evaluation and safe delivery of high-quality care to adult, geriatric, pediatric, and neonatal clients in… more
- Prime Therapeutics (Hartford, CT)
- …hoc reports are provided accurately and on time. + Supports the State Drug Utilization Review Boards and Pharmacy and Therapeutics (P&T) Committee. Potential pay ... every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads...may vary by 8% depending on applicant location. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Prime Therapeutics (Hartford, CT)
- …passion and drives every decision we make. **Job Posting Title** Clinical Program Manager - Remote **Job Description** The Clinical Program Manager is ... specific clinical programs and drug strategy recommendations including drug formulary, Utilization Management programs, and other drug therapy related products and… more
- Pfizer (Hartford, CT)
- **ROLE SUMMARY** The Area Business Manager (ABM) Role is responsible for leading Pfizer Cardiac Rare Disease Sales efforts within the area assigned in the United ... and provide candid honest feedback + Ensure effective and compliant utilization of approved promotional materials. + Ensure successful, compliant selling activities… more
- Evolent (Hartford, CT)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...with emphasis on driving clinical policy alignment through increased utilization of technology platforms * Educate market providers on… more
- Sharecare (Hartford, CT)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... The RN has the responsibility for supporting the goals and objectives of the care enhancement program by ** ** providing high quality telephonic support in an… more
- Hartford HealthCare (Middletown, CT)
- …all admissions related staff to expedite the clients' admissions process across Utilization Review , Nursing, Admission Specialists and other related departments. ... recovery programs. We offer a wide range of programs including Acute Care and Evaluation, Residential Addiction Treatment, Individual, Group & Family Therapy,… more
- Novo Nordisk (Springfield, MA)
- …Commercial team, you will have the opportunity to help people with obesity receive the care they deserve. The Novo Nordisk aspiration is to be a driving force in the ... providers, positioning Novo Nordisk as a leader in obesity care , understanding the local market and customer needs and...health. Internally, the OCS reports to the District Business Manager of the specific sales territory. The OCS also… more
- Eastern Connecticut Health Network (Manchester, CT)
- …working with staff to create innovative ideas to improve employee engagement and patient care . What we offer: + Generous vacation that is front loaded based on ... organization POSITION SUMMARY: This position reports directly to the Administrative Manager and indirectly to the Director of Ambulatory Behavioral Health Services.… more
- Pfizer (Hartford, CT)
- …Cardiac, Amyloidosis Multi-disciplinary Specialist (AMS), will target health care providers (HCPs), spanning multiple specialties, including hematology/oncology, ... neurology, primary care , and cardiology, across IDN/Health Systems and group practice...stakeholders. The role will report into the Area Business Manager (ABM). Amyloidosis Multi-disciplinary Specialist (AMS) will demonstrate strong… more
- Hartford HealthCare (Mansfield Center, CT)
- …which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as ... and chemical dependency services. Through our multi-site network of care , we constantly strive to meet its mission in...oversight of daily operations in the absence of Program Manager . Key responsibilities of Lead Behavioral Health Clinician: *… more
- Travelers Insurance Company (Hartford, CT)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... teams to drive security best practices, enforce policy requirements, consult on service utilization , and help build better solutions overall. What Will You Do? .… more
- Prime Therapeutics (Hartford, CT)
- …licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization, Business, State registrations, etc); compile ... of interest or other cyclical compliance processes, or implementing a regular review cadence for standard operating procedures (SOP) and policies + Research and… more