Utilization Review Jobs in Connecticut
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Search Results - Utilization Review Jobs in Connecticut
AMN Healthcare-Danbury (CT)-
an acute care setting is required.
• A minimum of five years of progressive leadership experience in case management and/or utilization review is required.
Compensation Details
• The base salary range for this position is $200,000 to $220,000 annually...
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Bethlehem (CT)-icims.com-
with parents. Your attention to detail will be your superpower!
• Utilization Review Rockstar: Assist with utilization reviews for clients and provide cross-coverage to the Psychiatry team when needed. Flexibility is key, and you’ll be the go-to person when...
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Natchaug Hospital-Danielson-
resources that promote the individualized care plan.
• Assists in the coordination of programming which may include staff scheduling, scheduling clinical activities, program development, utilization review, case load assignment, and attending meetings...
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1 similar job: Norwich
West Haven (CT)-ynhhs.org-
Experience in leading or participating in medical committees and application of quality improvement techniques is required.
LICENSURE
Active Connecticut Pharmacist License
SPECIAL SKILLS
Experience in drug utilization review and data analysis (e.g...
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Natchaug Hospital-Old Saybrook-
scheduling clinical activities, program development, utilization review, case load assignment, and attending meetings as directed by manager.
• May assist in the hiring process for new staff, supporting expansion of initiatives, supporting clinician...
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West Haven (CT)-ynhhs.org-
of Pharmacy. Completion of a PGY1 pharmacy practice residency is recommended
LICENSURE
Connecticut state pharmacy liscence required
SPECIAL SKILLS
Experience in drug utilization review and data analysis is highly desirable. Excellent written and verbal...
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U.S. Bankruptcy Court - District of CT-Danbury (CT)-appcast.io-
with providers to educate to our care process and determine what can be done to improve overall care quality
• Manage activities related to the delivery of medical care and clinical services such as cost management, utilization review, quality assurance...
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Southington (CT)-icims.com-
and third-party Utilization Review when appropriate.
• Document judgement on medication determinations on multiple platforms.
• Recommend to the appropriate party alternative medications, alternative dosing, or other modifications (including discontinuation...
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Greenwich (CT)-ynhhs.org-
but not required, Case Management experience (hospital), Utilization Review experience....
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Hamden (CT)-ynhhs.org-
clinical accreditation where necessary: - Utilization Review Accreditation Commission (URAC)
• 4. Make recommendations to pharmacy manager and leadership for customer service findings and develop a resolution as well as corrective actions, if necessary.
• 5...
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New Haven-ynhhs.org-
committees and application of quality improvement techniques is required.
LICENSURE
Active Connecticut Pharmacist License
SPECIAL SKILLS
Experience in drug utilization review and data analysis (e.g. MS Excel, MS Access) is highly desirable. Excellent...
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Hamden (CT)-ynhhs.org-
Demonstrates appropriate handling of medication in accordance with United States Pharmacopeia (USP), Food and Drug Administration (FDA), Department of Consumer Protection (DCP), Utilization Review Accreditation Commission (URAC), Accreditation Commission...
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New Haven-ynhhs.org-
and/or continued stay reviews and addresses with Care Coordination.
• 3. Coordinates reconsiderations and/or peer to peer reviews for concurrent denials. Follows departmental policy to communicate internally with physicians, care coordination, utilization nurses...
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New Haven-ynhhs.org-
to the appropriate parties.
• 6. Works closely with utilization review department and combines efforts to deal effectively with accounts involving both technical and clinical denials in the provider liable file.
• 7. Uses established re-billing, collection and follow...
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