Jobs 1 to 10 of 124
Upload your resume - Let employers find you
Clinical Reviewer - LPN, RN, RT
CareCentrix - Hartford, CT
Follows Utilization Management and URAC standards. Participates in utilization and quality assessment/improvement activities....
Sponsored
Care Manager
Job-Specific Competency Assures and facilitates appropriate and efficient utilization of hospital services....
Sponsored by Eastern Connecticut Health Network
Health Psychologists - Pediatric Practice
Village for Families & Children, Inc - Hartford, CT
Participates in Quality Assurance and Utilization Review for the organization; The successful candidates will work alongside Pediatricians, nurses and other...
Sponsored

Licensed Utilization Review Nurse I or II

Anthem, Inc. - 1,778 reviews - Wallingford, CT
2 years of clinical or utilization review experience; Review of claim edits, pre-noted inpatient admissions or, episodic outpatient therapy such as physical...

Clinical Reviewer - LPN, RN, RT

CareCentrix - Hartford, CT
Follows Utilization Management and URAC standards. Participates in utilization and quality assessment/improvement activities....

UTIL REVIEW SPEC

Yale New Haven Hospital - 219 reviews - New Haven, CT 06510 (Downtown area)
The Utilization Review Specialist (URS) performs utilization review activities as pertains to medical necessity of admissions for all patients in accordance...

Utilization Management Representative I

Anthem, Inc. - 1,778 reviews - Wallingford, CT  +1 location
Refers cases requiring clinical review to a Nurse reviewer. Utilization Management Representative I:. Responsible for coordinating cases for precertification...

Medical Claims Review RN - Nationwide Posting

UnitedHealth Group - 4,317 reviews - Shelton, CT
RN, Nurse, Preservice, Pre-Service, UM, UR, Clinical Review, Clinical Coverage, Utilization Management, Utilization Review, Case Manager, Case Management, LTC,...

Field Service Coordinator - RN

WellCare - 575 reviews - New Haven, CT 06510 (Downtown area)
Required Licensed Registered Nurse (RN). Promotes effective utilization and monitors health care resources. Intermediate Ability to create, review and interpret...

Risk Management Analyst

Aetna - 1,772 reviews - Hartford, CT 06156
Effective utilization of claims management resources including surveillance, nurse case management, ergonomics, IME, PQME....

ACO Nurse Navigator

Saint Mary's Hospital - 534 reviews - Waterbury, CT
Ability to travel for onsite review at area hospitasl, ancillary facilities and physician's offices. Nurse Navigators are healthcare extenders that guide...

Case Management Nurse Administrator

Clinical Management Consultants - Bridgeport, CT
$80,589 - $108,332 a year
Nurse Manager Case Management, Case Management Nurse Administrator, Utilization Management Nurse Manager, Nurse Manager UR, Manager Care Management, Case...

Preservice Review Nurse RN - Telecommute - Nationwide Postin...

UnitedHealth Group - 4,317 reviews - Shelton, CT
RN, Nurse, Preservice, Pre-Service, UM, UR, Clinical Review, Clinical Coverage, Utilization Management, Utilization Review, Case Manager, Case Management, LTC,...
Med/Surg RN Manager
Registered Nurse (RN). Current State of Connecticut Registered Nurse licensure is required and maintained thereafter....
Easily apply
Urgently Hiring
RN Oasis Specialist
MASONICARE - 31 reviews - Wallingford, CT
Reviews utilization of cases and presents at interdisciplinary team meetings in each branch. The RN Oasis Specialist assists with all activities related to the...
Sponsored

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Utilization Review Nurse jobs in Connecticut
You can cancel email alerts at any time.