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Utilization Review Manager Home Care
New Britain, CT within
REMOTE OPPORTUNITY - Physician Advisor, Utilization Rev...
Dane Street - Hartford, CT, USA
... Managed Care Organizations, Employers, Pharmacy Benefit Managers, and Medicare Set-Aside providers to provide customized peer review and IME programs which assist their RN's and adjustor...
StartWire - 5 Days ago
Clinical Supervisor Home Health (36391)
Gentiva Health Services, Inc. - Hamden, CT, USA
I believe that better care begins at home. Compassionate care, uncompromising service and clinical ... Participate in regular Utilization Reviews, as required by the Clinical Manager. * Inte...
StartWire - 1 Day ago
RN Oasis Review
Masonicare - Wallingford, CT, USA
Compares plan with utilization guidelines where available and reviews with SCSs and or clinicians ... Knowledge of State and Federal regulations on home health care. * Case management, Disch...
StartWire - 2 Days ago
Utilization Management Nurse Consultant
Aetna Inc. - Hartford, CT, USA
... to review and facilitate appropriate healthcare services/benefits for members Fundamental ... The Utilization Management Nurse Consultant is an integral member of the care mana...
StartWire - 2 Days ago
Clinical Reviewer
Carecentrix - Hartford, CT, USA
Broad knowledge of health care delivery/managed care regulations, contract terms/stipulations, prior utilization management/review experience, and governmental home health agency regula...
StartWire - 1 Day ago
Care Navigator
Eastern Connecticut Health Network - Manchester, CT, USA
Additional experience in case management, home care, and utilization review/management is preferred. COMPETENCIES * Requires good analytical, organizational and interpersonal skills as well as th...
StartWire - 5 Days ago
Utilization Management Representative I - Wallingford,C...
Anthem, Inc. - Wallingford, CT, USA
Join us and together we will drive the future of health care. This is an exceptional opportunity to ... Responsible for coordinating cases for precertification and prior authorization review...
StartWire - 2 Days ago
Utilization Management RN
Yale University - New Haven, CT, USA
... of healthcare resources through the administration of the benefit for members of the Yale Community. The Utilization Management RN is responsible for the review of pre-certification requests ...
StartWire - 5 Days ago
Registered Nurse (RN) Case Manager for Home Care- Per D...
Constellation Health Services - Wethersfield, CT, USA
Registered Nurse (RN) Case Manager is responsible for providing skilled nursing care and the oversight of care provided by home health aide and homemaker staff. The RN is responsible for the ...
ZipRecruiter - 9 Days ago
Licensed Practical Nurse - LPN - Home Care
PSA Healthcare - New Britain, CT, USA
Providing quality nursing care through performance improvement techniques Managing and delivering ... Specific qualifications for the home care nursing role include: * Associate’s or bachelo...
ZipRecruiter - 30 Days ago
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