- 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
- 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
- Burns & McDonnell (Wallingford, CT)
- **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day ... through project completion and warranty periods. The Construction Project Manager is responsible for managing the construction project safety, quality,… more
- Burns & McDonnell (Wallingford, CT)
- …and guidelines to meet department, global practice, regional and company objectives. + Regularly review team utilization of staff to make sure employees have a ... **Description** The Transmission Department Manager is responsible for the managerial direction and...assignments and reviewing performance to ensure the efficient, cost-effective utilization of staff. + Ensure profitable and sound growth.… 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
- Burns & McDonnell (Wallingford, CT)
- **Description** The Project Manager will lead and motivate a team in the day-to-day management of project safety, quality, schedule, cost control, contracts, risk, ... (EPC), Construction Management, Construction, and Program Management projects. The Project Manager leads projects from inception to completion and may perform the… more
- Burns & McDonnell (Wallingford, CT)
- **Description** A Brief Overview The Project Manager - Dairy will lead and motivate a team in the day-to-day management of project safety, quality, schedule, cost ... (EPC) and Design-Only projects for clients in the Dairy industry. The Project Manager - Dairy leads projects from inception to completion and may perform the… 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
- Elevance Health (Wallingford, CT)
- …and over- utilization by performing medical reviews via prepayment claims review and post-payment auditing. + Correlates review findings with appropriate ... health care fraud audit/investigation experience preferred. + Medical claims review with prior health care fraud audit/investigation experience preferred. +… more
- Elevance Health (Wallingford, CT)
- …or regulation, must be in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US ... health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to… 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
- 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