Medical Director, Utilization & Case Management
$227.6k - $385kHighmark Health
Highmark Health is seeking a physician to join its utilization management team in Hartford, CT. The role involves reviewing escalated cases, participating in multidisciplinary meetings, and ensuring compliance with clinical standards. Candidates must possess an MD or DO with at least 5 years of clinical experience. Strong skills in case management and critical thinking are essential. This position offers a competitive salary range from $227,600 to $385,000 annually, emphasizing quality patient care and adherence to regulations. #J-18808-Ljbffr Highmark Health
$170k - $352.5k
A healthcare services provider is seeking a physician for a utilization management role. This position involves reviewing cases, participating in multidisciplinary teams, and ensuring compliance with medical standards. Candidates must have an MD or DO, with at least 5 years...Suggested- ...Case Manager The Case Manager is responsible for coordinating and facilitating high-quality... ...outcomes while ensuring efficient utilization of healthcare resources. The Case Manager... ...family, and caregiver needs, including medical, psychosocial, financial, and...SuggestedShift work
$70.6k - $95k
...for in-person patient appointments. Case Manager Perks: Mileage Reimbursement Case Management... ...services, achievement of maximum medical recovery and return to an optimal level... ...with treating physicians/providers and utilize available resources to help create and implement...SuggestedFull timePart timeLocal areaHome officeFlexible hours- ...retirement plan, Career advancement opportunities The LPN Case manager will: ~ Essential Job Functions · Provides direct patient care... ...management. Evaluates patient’s response to treatments and medications. · Participates in personal and professional growth and...SuggestedWeekly payNight shiftWeekend workAfternoon shift
- A health services provider is seeking a Behavioral Health Case Manager II to work virtually in Connecticut. The candidate must have an MA/MS in social work counseling or a related field, alongside a current active unrestricted professional license. Responsibilities include...Suggested
- ...Location: Connecticut Position Details: The Behavioral Health Case Manager II will work with our behavioral health members diagnosed with... ...a broad range of complex psychiatric/substance abuse and/or medical disorders. Managed care experience required. For Government business...Full timeLocal area
- ...Boost Case Manager The BOOST Case Manager is an experienced human services professional responsible... ...as assigned by the Program Supervisor, Director, or agency leadership. Performance... ...administrative and program services. Utilize data results to support strategic...ApprenticeshipWork at officeLocal area
- ...Assistant Medical Director of Hospital Medicine Hartford HealthCare (... ...leadership team joining the Practice Manager, Director and other ADs and... .... Reviewing cases from clinical care management... ...appropriate Hospital resource utilization is achieved Clinical responsibilities...Day shift
$21 per hour
...life. POSITION SUMMARY The Contingency Management Case Manager supports client engagement and... ...specifically related to CM implementation, utilizing best practices by adhering to model... ...presentations/discussions. Coordinates with Director of Behavioral Health in facilitating...Contract workPart timeWork experience placementImmediate start- ...Hospice RN Case Manager (RN) Location: Waterbury Region Status: Mon Fri 8 am to 5 pm, occasional backup - holiday/weekend Bonus... ...patients' homes, creating individualized care plans, administering medications, educating patients and families and supporting recovery and...Local areaImmediate startRelocation package
$94k - $99k
...Benefits include but not limited to: Paid time off (vacation, sick, holiday) Medical Insurance FSA Vision Life Insurance Long-term disability Insurance HRA 401(k) The RN Case Manager manages and delivers comprehensive home health services, including Oasis...Weekly payFull timeImmediate startShift work- CHRYSALIS CENTER INC is looking for a candidate in Hartford to provide essential community support and case management services. The successful applicant will engage with clients facing various challenges and support their recovery process, primarily through direct care...Full time
- ...The Housing Case Manager position is characterized by advocacy, empowerment and mediation.... ...abuse counseling/programs, mental health, medical care, employment services, etc. Job... ...reports as needed in HMIS for housing utilization, etc. • Communicate important daily events...Work at office
$94k - $99k
Integritus Healthcare, Inc. is seeking a dedicated RN Case Manager in Brattleboro, Vermont. This full-time position involves managing home health services and collaborating with healthcare teams to provide comprehensive care. Candidates should have at least one year of...Weekly payFull time$21.4 - $30.6 per hour
...support, and maintain accurate case documentation and... ...documentation discipline. Ability to manage time sensitive work,... .... Experience working with medical and pharmacy benefit payers and... ...Consistently demonstrates effective utilization and application of resources....Hourly payFull timeTemporary workWork experience placementLocal areaImmediate startRemote workMonday to FridayFlexible hoursShift work- 4 YOUR PEACE OF MIND LLC in Hartford, Connecticut, is seeking a Registered Nurse Case Manager. This part-time, per diem role involves providing nursing services in accordance with state guidelines. Responsibilities include client assessments, care coordination, and skilled...Daily paidPart timeFlexible hours
- Nurses at Home, a Medicare-certified home health agency in Hartford, seeks a Full-Time RN Case Manager. This role involves managing patient caseloads and ensuring quality care with interdisciplinary teams. The RN Case Manager will perform skilled nursing visits, develop...Full time
- Trinity Health Of New England is looking for a Hospice RN Case Manager to provide skilled nursing care in patients’ homes in the Waterbury... ...care experience. Benefits include a sign-on bonus and affordable medical options. #J-18808-Ljbffr Trinity Health Of New EnglandFull timeRelocation package
- Job Summary Case Managers provide new permanent product business support to key business partners... ...service. Case Managers are expected to utilize strong communication skills (verbal and... ...handling confidential matters (e.g., medical records). Ability to work independently...Permanent employmentWork at officeLocal area
$85k - $95k
...will be integral to the overall management of opportunities from the... ...skills, and adaptability. GSI Case Managers require critical thinking... ...aptitude - ability to utilize and leverage technology and systems... ...Wellness: Comprehensive medical insurance, dental insurance,...Work experience placementWork at officeImmediate startFlexible hours- ...Director of Case Coordination, Greater Manchester Region Work where... ...implementation of the case management process and promoting quality... ...supporting appropriate utilization/resource management along the... ...maintains intra departmental and medical staff relationships...Full timeContract workLocal area
- Hartford HealthCare is seeking a case manager to join the dynamic PHP/IOP program at the Institute of Living in Hartford, Connecticut. The... ...to obtain a Public Service License. The position comes with medical, dental benefits, and generous paid time off. #J-18808-Ljbffr...
- Trinity Health is seeking a Hospice RN Case Manager in the Waterbury Region. This full-time role involves delivering skilled nursing care in patients' homes while developing individualized care plans. You will have opportunities to practice at the top of your license and...Full timeRelocation package
- ...Primary Care Nurse in Hartford, Connecticut. The role involves providing nursing services in accordance with professional standards and managing patient care. Duties include comprehensive assessments, plan development, and coordination with the care team. Candidates must be...Flexible hours
- ...RN Case Manager – Hartford, CT Region Now hiring: RN Case Manager – Hartford, CT Region.... ...in a cost-effective manner, delivering medical case management consistent with URAC standards... ...and conferring with physicians. Utilizes clinical expertise and medical resources...Full timeWork at officeLocal areaImmediate start
- ...Job Description Now Hiring: RN Case Manager - Hartford, CT Region Work from home + local... ...in a cost-effective manner, delivering medical case management consistent with URAC... ...individual and conferring with physicians. Utilizes clinical expertise and medical resources...Full timeWork at officeLocal areaImmediate start
- ...Neuroscience Institute seeks a visionary, fellowship-trained, full-time Medical Director for Hartford HealthCare's Memory Care Program in Connecticut.... ..., psychosocial, and emotional needs. Our expanding team utilizes advanced diagnostics, including dementia biomarkers,...Full time
$23 - $25 per hour
Job Title: Homeless to Housing (H2H) Case Manager Department: Diversion Reports to: Outreach... ...of the outreach team, the H2H CM will utilize various methods to locate and engage people... ...linkages to employment, transportation, medical and behavioral health, benefits and...Hourly payPermanent employmentFull timeTemporary workImmediate startMonday to Friday- 4 YOUR PEACE OF MIND LLC is seeking a compassionate and dependable Registered Nurse (RN) Case Manager in Hartford, Connecticut. You will provide skilled nursing services in patients’ homes, coordinate patient care, and develop care plans in accordance with professional...Flexible hours
$207.8k - $346.3k
...Medical Director Do you crave an intellectually stimulating role that... ...you review a wide range of cases. This role offers you the opportunity... ...necessity on EviCore's case management software. Conduct... ...applicable state and federal laws, Utilization Review Accreditation...Remote jobLocal areaWork from homeMonday to Friday
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director, Utilization & Case Management. Be the first to apply!
- public health project manager Hartford, CT
- clinic supervisor Hartford, CT
- clinical data manager remote Hartford, CT
- clinical research manager remote Hartford, CT
- director sr. director clinical operations Hartford, CT
- health services manager Hartford, CT
- entry level healthcare project manager Hartford, CT
- behavioral health supervisor Hartford, CT
- clinical director Hartford, CT
- medical director utilization management Hartford, CT


