Utilization Management RN (Hybrid) - Drive Optimal, Cost-Efficient Care
Trinity Health Of New England
Saint Francis 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 with physicians, care teams, and payers to support appropriate resource use, timely discharge planning, and compliance with InterQual/Milliman criteria. CT RN license required; BSN preferred; 3+ years UM/UR experience in acute care; hybrid work schedule. #J-18808-Ljbffr Trinity Health Of New England
- ...Hospital in Connecticut seeks a Utilization Management Registered Nurse to... ...plans for quality and cost effectiveness. You will collaborate... ...with providers, care teams, and patients to optimize outcomes while ensuring appropriate... ...documentation. A CT RN license is required; BSN...Suggested
- ...Connecticut is seeking an Utilization Management (UM) Registered Nurse to review... ..., ensuring high quality, cost-effective patient care. Using InterQual and... ...and care teams to support optimal health outcomes. The role... ...nursing graduate with CT RN license; BSN preferred; 3+...Suggested
- ...Utilization Management Registered Nurse The Utilization... ...appropriate, cost-effective, and... ...patient care. Using established... ..., the UM RN collaborates with... ...to support optimal health outcomes... ...promoting the efficient use of healthcare... ...per week Hybrid work schedule...SuggestedFull timeLocal area
$71.1k - $97.8k
...Become a part of our caring community The Part... ...Appeals (G&A) Nurse (Utilization Management Nurse 2) utilizes clinical... ..., operational efficiencies, and process improvement... ...Registered Nurse (RN) with compact license... ...Requirements: To ensure Home or Hybrid Home/Office employees...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeFlexible hoursWeekend workWeekday work$66.58k - $142.58k
...Community Care Case Manager We're building a world... ...our members by utilizing best-in-class operating... ...promote quality, cost effective... ...condition management to optimize wellness and... ...applications. Efficient and Effective computer... ...multi state RN licenses if needed...SuggestedHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday- ...Stratford, CT is seeking a Nurse Care Coordinator (RN) to provide comprehensive care coordination and management for individuals with... ...setting. The role emphasizes optimizing health outcomes and collaborating... ...resources. This full-time, hybrid position combines in-field,...Full timeWork at officeRemote work
$69.6k - $104.4k
...Medical Case Manager - CT08GE We're... ...fully remote or hybrid role provides... ...and coordinates care to support recovery... ..., and drives cost-effective medical... ...management decisions Utilize a holistic... ..., promoting efficient treatment and return... ...RN with current unrestricted...Temporary workWork at officeRemote work3 days per week- ...Team Lead For Utilization Review (Ur) The team... ...and support of the manager of case management... ...improvement can optimize and improve the role... ...patient/family care through the institution... ...effective and efficient processes for determining... ..., ct, 06106, us (hybrid) scheduled days...Full timeWork at officeMonday to FridayShift workAfternoon shift
- ...Nurse Case Manager II Job Description... ...our policy on hybrid/virtual work,... ...consumer to drive personalized... ...outcomes for optimal consumers. Performs care management activities... ...high quality, cost effective care... ...of utilization/care management... ...unrestricted RN license in applicable...Temporary workWork at officeLocal area2 days per week1 day per week
- ...Registered Nurse (RN) SupervisorTrinity Hill Care Center is currently looking for RN Supervisors for Monday... ...staff members in order to ensure the efficient operation of the nursing unit.This is... ...environment.BenefitsBonus payLow-cost health insuranceAdditional insurances...Full timeTemporary workPart timeRelocation packageMonday to FridayWeekend work
$50k
...every patient gets the care they need. Valeris... ...anticipated out-of-pocket costs associated with their... ...to help better manage the stress involved in... ...manufacturer practices Utilize Valeris' values as the driving force behind the team... ...~ Must have active RN licensure in current...Remote jobTemporary workWork at officeImmediate startWork from homeHome office- ...Assistant Nurse Manager (RN) - Medicine Work where every... ...technology & medical care and is home to the... ...the registered nurse utilizes evidence based practices... ...that a high quality, cost-effective product or service... ...model the effective, efficient operation of the unit...Full timeShift work
- Connecticut Children’s is seeking a Center for Care Coordination-Team Lead Utilization Review Nurse to oversee UR nurses, supervise scheduling, and lead performance initiatives in a hybrid Hartford setting. Responsibilities include chart reviews, policy updates, onboarding...
$77k - $83k
...the delivery of unmatched clinical care for Aveanna’s clients at home. Put your management skills to use by leading, teaching... ...possible! Clinical Supervisor (RN) (Nursing Supervisor) Aveanna Healthcare... ..., in-home visits and potential hybrid (varies based on branch need)....For contractorsWork at officeLocal areaRelocation package- ...standards of practice. The Primary Care Nurse provides nursing services utilizing a comprehensive base of nursing... ...the coordination of care, case management and communications between all members... ...and in good repair. Good driving record. Strong communication and...Full timePart timeFlexible hours
- ...seeking a Clinical Pharmacist Manager to lead the CINQCARE Clinical... ...and healthcare professionals to optimize medications for high-risk... ...education, quality initiatives, and cost-savings opportunities within... ...environment with strong benefits awaits. #J-18808-Ljbffr CINQ CARE Inc.
- ...DaVita Integrated Kidney Care (IKC) is looking for a... ...facilitate quality, cost-effective care while minimizing... ...Details Location: Hybrid-Remote. Work from home... ...healthcare team members. Manage complex patients,... ...progression (CKD), medical cost/utilization and preventing/reducing...Remote jobFull timeWork from homeHome officeMonday to FridayFlexible hoursWeekend work
- ...career with us, experience our caring culture, and enjoy work-life... ...Services & Insurance RN Field Case Manager We are growing all across... ...for the most effective and efficient medical treatment for injured... ...being used in a timely and cost-effective manner in order to...Full timeWork at officeRemote workWork from homeRelocation packageFlexible hours
- ...Shift: Description: Hospice RN Case Manager (RN) Location: Hartford Region... ...’ll deliver skilled nursing care in the comfort of patients’ homes... .... Competitive RN Pay + Low-Cost Benefits Strong compensation... .... Epic EHR System Efficient documentation and seamless care...Full timeLocal areaImmediate startRelocation packageShift workWeekend work
$59.66k - $89.5k
...opportunities with Patient Care, a part of LHC... ...As the Clinical Manager, you are... ...ensuring high-quality, cost-effective patient... ...excellence and operational efficiency. Primary... ...Monitor patient utilization for compliance with... ...Registered Nurse (RN) license in the state...Minimum wageFull timeWork experience placementReliefLocal areaShift work- ...Job Title For You Home Care Services is looking to... ...Description The Home Health RN assesses patient needs, develops and manages individualized care... ...daily visit schedules efficiently across the service area.... ...auto insurance (this is a driving position) Experience...Full timeFlexible hoursShift workWeekend workAfternoon shift
- ...doesn’t just take great care of our patients, we... ...Assistant Nursing manager is a Registered Nurse (RN) who has... ...that a high quality, cost-effective patient and... ...throughput to facilitate efficient clinical operations.... ...effective workforce utilization. · Excellent communication...Hourly payWork at officeShift workNight shift
- ...the Registered Nurse Case Manager coordinates patient care across the continuum, ensuring... ...safe, high‑quality, and cost‑effective outcomes. This role... ...As a Registered Nurse (RN) Case Manager , you will serve... ..., accreditation, and utilization standards Minimum Qualifications...Full timeLocal areaShift workDay shift
- ...Assistant Nurse Manager We are dedicated to... ...an environment of care and engagement that... ...Registered Nurse (RN) license issued by... ...objectives and maintain costs within budgeted... ...Communication Utilizes established channels... ...to provide safe and optimal patient care Maintains...Work at officeLocal areaShift workNight shiftWeekend workAfternoon shift
- ...benefits, performance management system, service recognition... ...Integrated Care Partners (ICP) is a physician... ...at the most reasonable cost for our patients in the... ...denial reconsiderations utilizing clinical documentation... ...Current State of Connecticut RN license is required....Contract workWork at office
- ...is seeking a Nurse Case Manager to provide telephonic case... ...role can be fully remote or hybrid and supports recovery and... ...assessments, developing care plans, coordinating with... ...applying guidelines, and driving cost-effective outcomes. Requires RN with active license and...Remote job
- ...together cardiac care specialists –... ...expanding program utilizing the most... ...science to diagnose, manage and treat... ...work in a unique hybrid role utilizing... ...diagnose, manage, and optimizing the treatment... ...improvement to drive quality... .... Well run, efficient clinical and administrative...Full timeRemote work
$138.16k - $165.79k
...Parenthood of Southern New England Care. No Matter What. We are... ...rights for all people. In this hybrid position, the clinician will float... ...health center teams by managing EHR Inbaskets and follow up, and... ...established timelines. Ability to utilize data to inform the decision‑...Work at officeRelocation packageFlexible hours- ...Patient Care Administrative Nurse Supervisor (RN) - Nurse Coordinators Work where every... ...the absence of the unit manager, director, or administration... ...patient care via the utilization of the Nursing Process and... ...care delivery and attain optimal outcomes. In partnership...Local areaShift work
- The Hartford is seeking a Nurse Case Manager in a fully remote or hybrid capacity to provide telephonic case... ...role assesses, plans, and coordinates care to support recovery and timely... ...to work, using clinical expertise to drive cost-effective medical and claim outcomes...Remote jobFlexible hours
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