Utilization Management RN — Drive Quality & Cost-Efficiency

IHA

Saint Francis Hospital in Connecticut seeks a Utilization Management Registered Nurse to review services and treatment plans for quality and cost effectiveness. You will collaborate with providers, care teams, and patients to optimize outcomes while ensuring appropriate resource use. Responsibilities include concurrent reviews, authorizations, appeals support, and accurate clinical documentation. A CT RN license is required; BSN is preferred. #J-18808-Ljbffr IHA

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the Utilization Management RN — Drive Quality & Cost-Efficiency in Hartford, CT vacancy

Utilization Management RN (Hybrid) - Drive Optimal, Cost-Efficient Care
...Hospital in Connecticut is seeking a Utilization Management (UM) Registered Nurse to review... ...medical services and treatment plans for cost-effective, high-quality patient care. You will collaborate... ...InterQual/Milliman criteria. CT RN license required; BSN preferred; 3+...
Quality
Trinity Health Of New England
Hartford, CT
2 days ago
Utilization Management Registered Nurse RN
...Utilization Management Registered Nurse The Utilization Management (UM... ...delivery of appropriate, cost-effective, and high-quality patient care. Using established... ...plan policies, the UM RN collaborates with... ...outcomes while promoting the efficient use of healthcare resources...
Quality
Full time
Local area
Trinity Health
Hartford, CT
4 days ago
Utilization Management RN — Care Optimization (Hybrid)
...Hospital in Connecticut is seeking an Utilization Management (UM) Registered Nurse to review services and treatment plans, ensuring high quality, cost-effective patient care. Using InterQual... ...accredited nursing graduate with CT RN license; BSN preferred; 3+ years in utilization...
Quality
Trinity Health
Hartford, CT
1 day ago
Utilization Management Nurse
$71.1k - $97.8k
...Grievance & Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical... ...outcomes, operational efficiencies, and process improvement opportunities... ...Licensed Registered Nurse (RN) with compact license in... ...are leading to a better quality of life for people with...
Quality
Full time
Temporary work
Apprenticeship
Work at office
Remote work
Work from home
Home office
Flexible hours
Weekend work
Weekday work
Humana
Hartford, CT
4 days ago
Care Manager RN - Field- Yale New Haven, CT
$66.58k - $142.58k
...Community Care Case Manager We're building... ...safety and quality in everything we do... ...serving our members by utilizing best-in-class operating... ...promote quality, cost effective outcomes... ...applications. Efficient and Effective... ...obtain multi state RN licenses if needed...
Quality
Hourly pay
Full time
Temporary work
Work at office
Local area
Monday to Friday
Oak St. Health
Hartford, CT
4 days ago
Nurse Case Manager
$69.6k - $104.4k
...Medical Case Manager - CT08GE We're determined... ...stakeholders, and drives cost-effective medical... ...decisions Utilize a holistic approach... ...recovery, promoting efficient treatment and... ...Qualifications RN with current unrestricted... ...productivity & quality expectations...
Quality
Temporary work
Work at office
Remote work
3 days per week
The Hartford
Hartford, CT
16 hours ago
Capital Projects Senior Consultant - Utilities
$110.7k - $218.3k
...valuation modeling, cost optimization,... ...business issues to drive meaningful change?... ...organizations plan, manage and control project... ...to detail and quality of work product Ability... ...within the power utilities and or/renewable... ...technologies to improve efficiency, support analysis,...
Quality
Contract work
Local area
Deloitte
Hartford, CT
2 days ago
Assistant Nurse Manager (RN) - Medicine
...Assistant Nurse Manager (RN) - Medicine Work where every moment... ...Manager, the registered nurse utilizes evidence based practices in... ...group to ensure that a high quality, cost-effective product or service... .... They model the effective, efficient operation of the unit by scheduling...
Quality
Full time
Shift work
Hartford HealthCare at Home
Hartford, CT
4 days ago
Implementation Lead
...integrate real-time utility data, IoT, and... ...advanced analytics to drive measurable impact... ...Maximize utility cost recovery with bills... ...Everything is managed for you from start... ...resolve blockers. Drive quality utility data... ...met with scalable, efficient solutions. Drive our...
Quality
Full time
Connecticut Innovations
Hartford, CT
1 day ago
RN Case Manager Part Time
...Nurse provides nursing services utilizing a comprehensive base of... ...the coordination of care, case management and communications between all... ...requirements and in good repair. Good driving record. Strong... ...Initiates actions to improve the quality of patient care. Takes...
Quality
Full time
Part time
Flexible hours
4 YOUR PEACE OF MIND LLC
Hartford, CT
1 day ago
Utilities Industry CIS transformation, SAP Consultant
$70.35k - $205.8k
...Within Accenture's Utilities Practice, we use... ...utility providers with cost effectiveness,... ...their enterprise to drive greater growth,... ...analytics, AI, change management, talent and... ..., and operational efficiencies. Serve as a primary... ...project delivery meets quality, timeline, and...
Quality
Work experience placement
Live in
Work at office
Local area
Accenture
Hartford, CT
3 days ago
Quality Control Manager
...Quality Control ManagerHartford, CT, United StatesQualificationsFour... ...or construction management degree or equivalent... ...reporting. Experience utilizing project management... ..., development of efficient construction methods,... ...license and ability to drive. No remote option. Working...
Quality
Contract work
Temporary work
For subcontractor
Work at office
Remote work
StaffWorthy
Hartford, CT
2 days ago
RN Case Manager
...Description Now Hiring: RN Case Manager - Hartford, CT Region Work... ...case management services in a cost-effective manner, delivering... ...conferring with physicians. Utilizes clinical expertise and... ...production requirements and quality assessment (QA) requirements...
Quality
Full time
Work at office
Local area
Immediate start
Crawford & Co
Hartford, CT
2 days ago
Supervisor
...functions of the department to ensure efficient, safe, and quality operations. Supervises daily routine... ...delegation of assignments and efficient utilization of personnel, space, and facilities;... ...community's overall health at lower costs. While we serve nearly 3 million...
Quality
Full time
Local area
Shift work
Day shift
Trinity Health Of New England
Hartford, CT
3 days ago
Registered Nurse Case Manager RN
...the Registered Nurse Case Manager coordinates patient care across... ..., ensuring safe, high‑quality, and cost‑effective outcomes. This role... ...As a Registered Nurse (RN) Case Manager , you will serve... ...regulatory, accreditation, and utilization standards Minimum Qualifications...
Quality
Full time
Local area
Shift work
Day shift
Trinity Health
Hartford, CT
4 days ago
Home Care RN Clinical Manager
$59.66k - $89.5k
...together. As the Clinical Manager, you are responsible for ensuring high-quality, cost-effective patient care... ...and operational efficiency. Primary Responsibilities... ...Monitor patient utilization for compliance with physician... ...: Registered Nurse (RN) license in the state...
Quality
Minimum wage
Full time
Work experience placement
Relief
Local area
Shift work
Optum
Rocky Hill, CT
3 days ago
Assistant Nurse Manager (ANM) - Critical Care
...The Assistant Nursing manager is a Registered Nurse (RN) who has responsibility for... ...group to ensure that a high quality, cost-effective patient and... ...throughput to facilitate efficient clinical operations. In addition... ...of effective workforce utilization. · Excellent...
Quality
Hourly pay
Work at office
Shift work
Night shift
The Hospital of Central Connecticut
Hartford, CT
2 days ago
Aerospace Quality Inspector
$30k
...general supervision and reporting Quality Management in Quality Operations, The... ...) ~Reads, interprets, and utilizes Quality policies, procedures... ...must perform work in an efficient, effective, and timely manner... ...Employee will occasionally drive long distances to and from various...
Quality
Hourly pay
Daily paid
Permanent employment
Work experience placement
Work at office
Immediate start
Worldwide
Relocation package
Long distance
TRIGO
Hartford, CT
2 days ago
Registered Nurse (RN) - Full Time
...Description The Home Health RN assesses patient needs, develops and manages individualized care... ...in case conferences, quality improvement initiatives,... ...planning daily visit schedules efficiently across the service area.... ...insurance (this is a driving position) Experience...
Quality
Full time
Flexible hours
Shift work
Weekend work
Afternoon shift
UniversaCare
Hartford, CT
21 hours ago
RN
...Program RN The Program RN is responsible to manage the health, safety and well being of developmentally... ...needs and the effective utilization of emergency services at... ...'s license, be able to drive own and agency vehicles... ...interest in improving quality of life for the...
Quality
Local area
Immediate start
Monday to Friday
Flexible hours
Community Residences Inc
Newington, CT
1 day ago
RN Crisis Care Triage
$60k - $62k
...Services & Insurance RN Crisis Care Triage... ...experience to assist in the management of complex medical... ...the most effective and efficient medical treatment for... ...parties and promotes quality cost-effective outcomes through... ...catastrophic referral utilizing critical reasoning,...
Quality
Part time
Local area
Remote work
Flexible hours
Night shift
Weekend work
Afternoon shift
Sedgwick
Hartford, CT
1 hour ago
Oracle CX Implementation Consultant (Utilities) - Director
$155k - $410k
...optimise operational efficiency. These individuals analyse... ...and tools designed to manage the entire customer... ...Your role is crucial in driving business growth,... ...reputation, understanding that quality, integrity, inclusion... ...and delivering Oracle Utilities Meter to Cash Billing...
Quality
Temporary work
H1b
PwC
Hartford, CT
21 hours ago
Registered Nurse Emergency Department Case Manager RN
...Department Registered Nurse Case Manager plays a critical role in... ...patient needs, care coordination, utilization management, and safe transitions of care to ensure high‑quality, cost‑effective outcomes while... ...Do As an Emergency Department RN Case Manager, you will serve...
Quality
Full time
Local area
Shift work
Day shift
IHA
Hartford, CT
3 days ago
Center for Care Coordination-Team Lead Utilization Review Nurse- Full Time
...Team Lead For Utilization Review (Ur) The team lead for utilization... ...guidance and support of the manager of case management and director... ...Develop and maintain effective and efficient processes for determining the... ...patients to identify quality, timeliness, and appropriateness...
Quality
Full time
Work at office
Monday to Friday
Shift work
Afternoon shift
Connecticut Children's
Farmington, CT
4 days ago
Denial and Appeals RN / Clinical Resource Management
...payroll, benefits, performance management system, service... ...in providing the highest quality care at the most reasonable cost for our patients in the current... ...denial reconsiderations utilizing clinical documentation... ...Current State of Connecticut RN license is required. CCM...
Quality
Contract work
Work at office
Hartford HealthCare
Rocky Hill, CT
4 days ago
Remote Registered Nurse (RN) Case Manager
Position: Remote Registered Nurse (RN) Case Manager Location: Hartford, CT... ...about providing the highest quality customer support to our... ..., anticipated out-of-pocket costs associated with their therapy... ...Nurseline triage, Call Center Utilization Management, Call Center Case...
Quality
Remote job
Temporary work
Work at office
Immediate start
Work from home
Home office
Monday to Friday
Flexible hours
Shift work
PharmaCord LLC. “PharmaCord,” “PharmaCord Lynk,” “PharmaCord...
Hartford, CT
1 day ago
Automation Test Lead
...Senior Staff Software Engineer focused on quality engineering and test automation to drive automated testing frameworks, data management, and continuous testing practices. You... ...readiness, and leveraging GenAI tools to boost efficiency and outcomes across #J-18808-Ljbffr...
Quality
The Hartford
Hartford, CT
2 days ago
RN-Case Manager
...RN-Case Manager & GIP Community & Danbury Hospital - CT Overview Position Type Full... ...hospital. The R.N. is responsible for the quality of care provided by the Hospice Home... ...competent while delivering care to patients utilizing the nursing process of assessment,...
Quality
Full time
Regional Hospice
Hartford, CT
2 days ago
Executive Nurse Leader: Drive Quality & Safety in Acute Care
...clinical practice and patient care across facilities. The role reports to the Regional Health Ministry leadership, guiding safe, high-quality care and aligning with ANA Magnet Standards. You will shape staffing plans, oversee budgeting, governance, and professional...
Quality
IHA
Hartford, CT
4 days ago
Quality Assurance Team Lead - Firmware and Embedded Test
$130k - $150k
Quality Assurance Team Lead - Firmware and Embedded Test This role... ...software products Design and manage test strategies, including... ...testing tools for automation efficiency and intelligent test coverage... ...Effective communicator with a drive for process improvement and coaching...
Quality
Relocation package
RightPro Staffing
Hartford, CT
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Utilization Management RN — Drive Quality & Cost-Efficiency. Be the first to apply!