• Utilization Management Nurse

    CVS Health (Hartford, CT)
    …skills, both verbal and written **Required Qualifications** 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have ... work schedules will include weekends, holidays, and evening hours._ + Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
    CVS Health (01/02/26)
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  • RN, Hospital Case Manager/ Utilization

    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
    Baystate Health (12/19/25)
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  • Registered Nurse (RN) - Urology

    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 (12/06/25)
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  • Case Manager, Registered Nurse

    CVS Health (Hartford, CT)
    …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
    CVS Health (01/03/26)
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  • Registered Nurse (RN) - Outpatient…

    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
    Hartford HealthCare (12/10/25)
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  • Clinical Reviewer, Nurse (Medical…

    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
    Evolent (12/10/25)
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  • Hospice Clinical Team Manager (RN,…

    Hartford HealthCare (Southington, CT)
    …student education regarding hospice and palliative care end of life issues Licensure: A registered nurse with a license to practice in the State of Connecticut ... clinical software to identify opportunities for education, most appropriate utilization of services, oversee clinical progression of patients and trend… more
    Hartford HealthCare (11/26/25)
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  • Assistant Nurse Manager (ANM) - Critical…

    Hartford HealthCare (New Britain, CT)
    …through the 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, and unit operations. This position supervises a...3-5 year leadership experience required. *Licensure, Certification, Registration* . Registered Nurse , State of CT . Certified… more
    Hartford HealthCare (11/27/25)
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  • Nurse Navigator - Cystic Fibrosis Clinic

    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
    Hartford HealthCare (12/30/25)
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  • Clinical Quality Manager

    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
    Fresenius Medical Center (11/04/25)
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  • Supv Clinical Documentation /…

    Hartford HealthCare (Farmington, CT)
    …as needed. **Education** . Bachelor degree or equivalent experience **Experience** . Minimum: Registered Nurse (RN) with 3-5 years CDS experience . Preferred: o ... and other common practices across the system.*__* *_Position Summary:_* The Clinical Documentation Integrity Supervisor provides a key role in facilitating long-term… more
    Hartford HealthCare (12/17/25)
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  • Surgical Clinical Reviewer - General…

    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
    Hartford HealthCare (12/29/25)
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  • Hospice Workflow Coordinator - HomeCare

    Hartford HealthCare (Southington, CT)
    …goals. Education: Minimum: Degree from an educational program with licensure as a Registered Nurse (RN), Preferred: Bachelor's degree in nursing. Degree from an ... and policy adherence. The individual in this role provides clinical staff with guidance on documentation, utilization ,...provides clinical staff with guidance on documentation, utilization , and patient care decisions to support optimal … more
    Hartford HealthCare (12/29/25)
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  • RN Patient Placement Bed Manager

    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 (12/10/25)
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  • OASIS Workflow Coordinator (RN, PT, OT, SLP)…

    Hartford HealthCare (Southington, CT)
    …Requirements* *Education * Degree from an educational program with licensure as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or ... and policy adherence. The individual in this role provides clinical staff with guidance on documentation, utilization ,...provides clinical staff with guidance on documentation, utilization , and patient care decisions to support optimal … more
    Hartford HealthCare (11/04/25)
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  • System Director of Central Staffing Office

    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
    Baystate Health (12/03/25)
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  • RN Care Manager - Case Coordination

    Hartford HealthCare (Torrington, CT)
    …Hungerford Hospital on a daily basis *_EDUCATION_* * Maintains current license as a Registered Nurse in the State of Connecticut. * Bachelor's degree in Nursing ... team of caregivers and physicians that utilize advanced technology and clinical partnerships in a convenient, safe and comfortable patient environment. *_POSITION… more
    Hartford HealthCare (12/23/25)
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  • Hospice RN Case Manager

    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 (12/31/25)
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  • Home Care RN Case Manager

    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
    Hartford HealthCare (12/31/25)
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  • Behavioral Health Case Manager

    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
    The Hartford (12/02/25)
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