- Moses/Weitzman Health System (Meriden, 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)
- …we do it all with heart, each and every day. **Position Summary** The ** Utilization Management Clinical Nurse Consultant** utilizes clinical skills to ... Arizona Time Zone. **Preferred Qualifications** : + Previous experience with utilization management . + Previous clinical experience in Emergency Department,… 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 XXX 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 (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251119-5613FP-001 Location Middletown, CT Date Opened 12/11/2025 12:00:00 AM Salary ... Campus Hospital (https://portal.ct.gov/dcf/solnit-center/south) - is accepting applications for a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=&R3=) (REGULATORY) position,… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment # 251117-5612FP-001 Location New Haven, CT Date Opened 12/8/2025 12:00:00 AM Salary $78,480* - ... and Addiction Services ( DMHAS (http://portal.ct.gov/DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) ! In this… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Community Nurse Coordinator (40 Hour) Hybrid Recruitment # 251204-1538FP-001 Location Hartford, CT Date Opened 12/5/2025 09:15:00 AM Salary $86,261 - $116,571/year ... to make your next meaningful impact as a Registered Nurse ? If so, read below and consider applying. The...professional nursing consultation to access agencies who provide case management services to consumers and their families regarding social… more
- CVS Health (Hartford, CT)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Supervising Community Nurse Coordinator (40 Hour) Hybrid Recruitment # 251203-1539FP-001 Location Hartford, CT Date Opened 12/5/2025 09:15:00 AM Salary $99,806 - ... to make your next meaningful impact as a Registered Nurse ? If so, read below and consider applying. The...in providing consultation to access agencies who provide case management to consumers and their families regarding social services… 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
- Hartford HealthCare (Manchester, CT)
- …balance. Every moment matters. And this is your moment. **Job:** ** Management * **Organization:** **Manchester Hospital Inc.* **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
- AccentCare, Inc. (Middlebury, CT)
- Overview Admissions Registered Nurse / RN, Hospice Location: Middlebury, CT Position: Admissions Registered Nurse / RN, Hospice Position Type: Part Time ... GIP admissions/visits Find Your Passion and Purpose as a Hospice Admissions Registered Nurse Salary: $43 - $50 / hourSchedule: Every Saturday and Sunday 8am -… 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
- Hartford HealthCare (Southington, CT)
- …in the following activities: Provides staff guidance in making clinical and case management decisions focused on clinical excellence for end of life care and symptom ... management . Directs staff in the Medicare Hospice Benefit guidelines...clinical software to identify opportunities for education, most appropriate utilization of services, oversee clinical progression of patients and… more
- Hartford HealthCare (New Britain, CT)
- …balance. Every moment matters. And this is *your moment*. **Job:** ** Management * **Organization:** **New Britain General* **Title:** *Assistant Nurse Manager ... 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,… more
- Eastern Connecticut Health Network (Manchester, CT)
- $8,000 SIGN ON BONUS! POSITION SUMMARY: Responsible for the management of more than one defined area of organized patient care services. Allocates available ... administrative leadership and expertise. Facilitates an atmosphere of participative management and the development of collegial relationships. Visible, accessible… more
- CenterWell (Hamden, CT)
- …driver's license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Sharecare (Hartford, CT)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...and second opinion. + Referring members to Clinical Advocates ( Nurse ) for conditions that require clinical care and case… more
