Utilization Review Jobs in Connecticut
1 - 12 of 12
Search Results - Utilization Review Jobs in Connecticut
Medix™-Hartford
nursing role. You’ll work through clinical cases, review the information available, identify what is missing, determine the appropriate next step, and escalate when needed.
The work can touch prior authorization, utilization review, care coordination...
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...
1 similar job: Norwich
TALENT Software Services-Hartford
of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...
New England Rehabilitation Hospital of Portland, a Joint Venture of Maine Medical Center and Encompass Health-North Windham (CT)
Ensure accuracy of discharge and payor-related information in the patient record.
• Participate in utilization review process: data collection, trend review, and resolution actions.
• Participate in case management on-call schedule as needed...
Medix™-Hartford
brings proven experience conducting utilization reviews within a SNF, health plan, or managed care setting, alongside strong clinical judgment and the ability to collaborate effectively across interdisciplinary teams, healthcare providers, and payers...
ICBD-Glastonbury
Quality Assurance (QA), Utilization Review (UR), Assessments, Training & Development, and Research. Whether your passion is direct clinical impact, leadership, process improvement, or innovation, we provide opportunities to expand your skills and build a meaningful...
workable.com -
Well Behavioral Health-Hartford
including refill requests and
pharmacy coordination, within clinic protocols
• Provide services via telehealth consistent with 14 NYCRR Part 596
• Participate in quality improvement, utilization review, and peer review activities as required by
OMH...
114 similar jobs: Memphis, Norfolk, Lexington, Peoria, Kansas City...
Bethlehem (CT)
Dynamo: Keep everything organized by documenting patient encounters through weekly progress notes in our EMR system, as well as safety assessments and phone calls with parents. Your attention to detail will be your superpower!
• Utilization Review...
icims.com -
360X Staffing-Hartford
oversight, medical expertise, and operational support for physical health services. This position ensures high quality, evidence based medical review processes and supports organizational goals related to clinical quality, utilization management, and care...
Southport (CT)
appropriate, as determined by review of reports, feedback from other disciplines, and utilization review.
• 3. Clinical Supervision
• - 3.1. Appropriately delegates responsibility to therapy assistants, clinical students and support staffs, and maintains...
ynhhs.org -
Optum-Hartford
Additionally, performs Utilization Management reviews and directs/coordinates aspects of the utilization review staff activities, and participates in the Quality Improvement programs for the company.
The Medical Director also provides/assists in the direction...
BayOne Solutions-Hartford
and tuning methodologies.
• Participate in capacity planning, workload forecasting, and resource utilization reviews.
• Ensure high availability and disaster recovery strategies are performance-optimized and cost-effective.
• Manage multiple concurrent...
Companies now hiring in Connecticut:
Utilization Review jobs in Connecticut – Similar offers:
Utilization Review jobs – More cities:
Broaden your job search:
Don’t miss out on new job openings!
Create a job alert for: Utilization Review, Connecticut
It's free, and you can cancel email updates at any time