- 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
- Baystate Health (Springfield, MA)
- …Utilization Management** 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
- 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
- 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
- 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
- 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 (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 (Vernon, CT)
- …health nursing preferred. *Certificate/License:*Possession of a current license to practice as a Registered Nurse in the State of Connecticut. We take great care ... Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people… more
- Hartford HealthCare (Vernon, CT)
- …nursing preferred. *Certificate/License:*Possession of a current license to practice as a Registered Nurse in the State of Connecticut. *Typical Physical ... Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people… more
- The Hartford (Hartford, CT)
- …of a Master's degree in Behavioral/Mental Health or related field. + Registered nurse with active licensure; with behavioral health/mental health experience. ... claimants' functionality via functional assessments. Independently reviews and interprets clinical information and utilizes established clinical guidelines and… 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
- Hartford HealthCare (Manchester, CT)
- …* Bachelor's Degree or currently enrolled in such a program. * A current Registered Nurse license from the State of Connecticut is required. * Certification ... Hospital, a 102-bed facility, a large multispecialty provider group and visiting nurse services. The Greater Manchester Region serves a region of 300,000 people… more
- Highmark Health (Hartford, CT)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
- Hartford HealthCare (Hartford, CT)
- …diagnosis. * Provides safe and appropriate basic patient care, delegated by a registered nurse and/or provider. Prepares patient exam rooms and rooms patients. ... level within the organization. *_Job Summary_* Under the supervision of a Clinical Supervisor, provider and/or practice manager performs a variety of medical… more