- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- Hartford HealthCare (Newington, CT)
- …3. _Fiscal Management :_ o Evaluates all throughput and bed resource utilization for potential implementation of cost effective changes. o Reviews urgency of ... balance. Every moment matters. And this is */your moment./* **Job:** ** Management * **Organization:** **Hartford HealthCare Corp.* **Title:** * Behavioral Health… more
- Masonicare (Wallingford, CT)
- …+ Job Fairs + Hospice + Behavioral Health Similar Jobs + RN Clinical Nurse Manager Wallingford Center, Connecticut + Hospice Music Therapist Wallingford ... RN Hospice Clinical Manager Job Location: Wallingford Center,...related to Hospice services. Certificates, Licenses, Registrations: Current Connecticut Registered Nurse License. Maintains current Drivers' License… more
- Hartford HealthCare (Meriden, CT)
- …including customer service representatives, admission specialist in the Call Center, Utilization Management for residential services. The Director ensures high ... monitor staff progress throughout the year utilizing effective performance management strategies. 2. Drives positive customer service relationships by identifying… more
- CVS Health (Hartford, CT)
- …expense reimbursement policy. Preferred Qualifications : Oklahoma residency preferred Oklahoma-licensed registered nurse preferred OR be certified as a Certified ... a variety of external and internal audiences including senior management . Required Qualifications : * 5 to 7 years'...(CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment. A minimum of… more
- Highmark Health (Hartford, CT)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Hartford HealthCare (Hartford, CT)
- …service, health insurance, billing/coding requirements, and EMR functionality and utilization . Supervises the administrative and clinical staff and practice ... first contact for prospective patients, collaboration with our marketing team, management of incoming referrals and completing registration for education sessions… more