Utilization Management Assoc

2 weeks ago

Wethersfield, United States Hartford HealthCare Corp. Full time

**Description**

**Job Schedule**: Full Time

**Standard Hours**: 40

**Job Shift**: Shift 1

**Shift Details**:
Work where every moment matters.

Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.

The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization.

With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system.

Integrated Care Partners (ICP) is a physician-led, clinically integrated health care network whose mission is to assist our members in providing the highest quality care at the most reasonable cost for our patients in the current, rapidly changing medical environment.

**Position Summary**:
**The Clinical Resource Management Associate is an integral part of the Care Management team. The Clinical Resource Management Associate's focus is on providing support and coordination of utilization management services for the utilization management department.
**Position Responsibilities**:

- Monitors and manages assigned utilization management reports, including the Payer End of Day report, Utilization Management list, Discharge Log, and the Discharge Disposition report for payers.
- Monitors and manages assigned EPIC work queues.
- Updates EPIC with authorization and denial information.
- Provides the Clinical Resource Management Nurse with support for denials, appeals, and physician advisor communication.
- Communicates with payers, case management, medical records, and other departments.
- Scans and uploads documentation into the electronic health records.
- Performs routine and administrative tasks within the scope of non-licensed personnel.
- Other duties as assigned by supervisor

**Qualifications**

**Education**:
HighSchool Diploma**, **Medical AdministrativeAssistant certification preferred

**Experience**:
Two+ yearsprofessional work experience in health care, managed care, or insurance.
**Knowledge, Skills and Ability Requirements**:

- Stronginterpersonal and communication skills
- Effective timemanagement skills, able to work in a fast-paced environment with changingpriorities
- Effective organizationalskills
- Highlevel understanding of confidentiality and HIPAA requirements

**We take great care of careers.**

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth. Here, you are part of an organization on the cutting edge - helping to bring new technologies, breakthrough treatments and community education to countless men, women and children. We know that a thriving organization starts with thriving employees
- we provide a competitive benefits program designed to ensure work/life balance. Every moment matters. And this is **your moment.

  • Utilization Management Assoc

    3 weeks ago

    Wethersfield, United States Hartford Healthcare Full time

    Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing...

  • Utilization Management Assoc

    1 month ago

    Wethersfield, United States Hartford Healthcare Full time

    Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut’s most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing...

  • Utilization Management Assoc

    3 days ago

    Wethersfield, United States Hartford HealthCare Full time

    Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: 8:00am to 4:30pm with rotation Sunday shifts Work where every moment matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of...

  • Care Manager

    3 weeks ago

    Wethersfield, United States Hiring Now! Full time

    Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Monday - Friday, 7:00 a - 3:00 p Work where every moment matters. Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticuts most...

  • Territory Manager

    2 months ago

    Wethersfield, United States High Companies Full time

    Job Details Description Territory Manager The Territory Manager has responsibility for overall leadership of all functions within the assigned territory of the parking garage/building services business with the objective of generating maximum profitability and ensuring full capacity levels. Oversees the development and implementation of new...

  • Territory Manager

    3 weeks ago

    Wethersfield, United States High Companies Full time

    Job Details Description Territory Manager The Territory Manager has responsibility for overall leadership of all functions within the assigned territory of the parking garage/building services business with the objective of generating maximum profitability and ensuring full capacity levels. Oversees the development and implementation of new...

  • Center Manager

    7 days ago

    Wethersfield, United States Goodyear Full time

    **IMMEDIATELY HIRING!!! - APPLY TODAY!!!** We are a service and retreading market leader with over 200 Commercial Tire Centers and Truck Care Centers located across the United States. We have the unique ability to service the largest nationwide commercial fleets while also providing friendly hometown service to regional and local fleets. Our mission...

  • Project Manager

    3 weeks ago

    Wethersfield, United States Hazen and Sawyer Full time

    Job DescriptionJob DescriptionHazen and Sawyer, a premier environmental engineering firm, is seeking a candidate to be involved with management of water pipeline infrastructure projects, including the design of large diameter pipelines [greater than 24”] and transmission systems. This candidate will join our Boston, MA, Manchester, NH or Wethersfield, CT...

  • Store Manager

    2 weeks ago

    Wethersfield, United States The Fresh Market Inc Full time

    The Fresh Market & You: New Store Coming Soon to Wethersfield, CT! Our mission is to make everyday eating extraordinary for our guests, and we are looking for a new team member who will commit to helping us deliver on this mission. *** **Our added benefits for joining The Fresh Market team** - Team Member discount of 30% - Early Earn Wage Access (_You can...

  • Audit Supervisor or Manager

    2 months ago

    Wethersfield, United States PKF O’Connor Davies Full time

    Overview: The Audit Supervisor or Manager will primarily be responsible for leading and performing a variety of public sector audit engagements. The individual will manage audit staff, supervise the engagement in the field and perform audit procedures to the appropriate extent. These duties may include (but are not limited to): Essential Duties: Oversee the...

  • Audit Supervisor or Manager

    3 weeks ago

    Wethersfield, United States PKF O’Connor Davies Full time

    Overview: The Audit Supervisor or Manager will primarily be responsible for leading and performing a variety of public sector audit engagements. The individual will manage audit staff, supervise the engagement in the field and perform audit procedures to the appropriate extent. These duties may include (but are not limited to): Essential Duties: Oversee the...

  • Regional Case Manager

    4 weeks ago

    Wethersfield, United States Wethersfield Corporate Office Full time

    : **A Great Place to Work** As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you...

  • Regional Case Manager

    3 weeks ago

    Wethersfield, United States National Healthcare Associates Full time

    - A Great Place to Work As a Certified Great Place to Work, we think that you are going to love it here. Your work will be meaningful to you. You will make a genuine difference in the lives of our aging guests and the families that love them. You will enjoy lasting bonds with the families you meet and with the teams you work on. And if you desire, you will...

  • Assistant Service Manager

    3 weeks ago

    Wethersfield, Connecticut, United States Goodyear Full time

    Goodyear. More Driven. APPLY TODAY STORE MANAGER IN TRAININGThe pay range for this position is $ $25.72/hr; however, base pay offered may vary depending on factors such-as job-related knowledge, skills, experience, and market location. Selected candidates may be eligible for a number of benefits, including: medical, prescription, dental, vision, 401(k),...

  • Assistant Service Manager

    4 weeks ago

    Wethersfield, Connecticut, United States Goodyear Full time

    Goodyear. More Driven. APPLY TODAY STORE MANAGER IN TRAININGThe pay range for this position is $ $25.72/hr; however, base pay offered may vary depending on factors such-as job-related knowledge, skills, experience, and market location. Selected candidates may be eligible for a number of benefits, including: medical, prescription, dental, vision, 401(k),...

  • Assistant Service Manager

    5 days ago

    Wethersfield, Connecticut, United States The Goodyear Tire & Rubber Company Full time

    Assistant Service Manager - Wethersfield, CT Date: May 28, 2024 Location:Wethersfield, CT, US, 06109 Company: Goodyear Job Req ID:JRGoodyear. More Driven. APPLY TODAY STORE MANAGER IN TRAININGThe pay range for this position is $ $25.72/hr; however, base pay offered may vary depending on factors such-as job-related knowledge, skills, experience, and market...

  • Mpi Assistant Branch Manager

    2 weeks ago

    Wethersfield, United States McWane, Inc. Full time

    Overview: - _What We Live By_ - The McWane Way is a core philosophy outlined by the founder J.R. McWane in 1920. Today It encompasses Teamwork, Excellence, Leadership, Environment, Communication, Accountability, Safety and Trust. All team members at every level are expected to know and work by these principles, values, and behaviors. Most importantly, every...

  • Managed Care Database Administ

    3 weeks ago

    Wethersfield, United States Hartford Healthcare Full time

    Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: 100% REMOTE Work where every moment matters. Every day, over 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticuts most comprehensive healthcare...

  • Retail Assistant Manager

    3 weeks ago

    Wethersfield, United States Skechers Full time

    Company Description Headquartered in Southern California, Skechers has spent nearly 30 years helping men, women and kids everywhere look and feel good. Developing comfort technologies is at the foundation of all that we do—delivering stylish, innovative, and quality products at a reasonable price. From our diverse footwear offering to a growing range of...

  • Fiscal/Administrative Manager 1

    2 weeks ago

    Wethersfield, United States State of Connecticut Full time

    Introduction The State of Connecticut, Department of Motor Vehicles is now seeking to fill the position of Fiscal/Administrative Manager 1 in Wethersfield, CT. What We Can Offer You: * Visit our new State Employee Benefits Overview page! * A healthy work-life balance to all employees * Professional growth and development opportunities * The opportunity to...