Utilization Management Assoc
4 months ago
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 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:_ 1. 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. 2. Monitors and manages assigned EPIC work queues. 3. Updates EPIC with authorization and denial information. 4. Provides the Clinical Resource Management Nurse with support for denials, appeals, and physician advisor communication. 5. Retrieves, manages and/or triages department phone calls, voicemails, fax requests and Tiger Texts. 6. Communicates with payers, case management, medical records, and other departments. 7. Scans and uploads documentation into the electronic health records. 8. Performs routine and administrative tasks within the scope of non-licensed personnel. 9. Manages Certification Email process. 10. Other duties as assigned by supervisor _Education:_ High School Diploma, Medical Administrative Assistant certification preferred _Experience:_ Two years professional work experience in health care, managed care, or insurance. _Knowledge, Skills and Ability Requirements:_ * Strong interpersonal and communication skills * Effective time management skills, able to work in a fast-paced environment with changing priorities * Effective organizational skills * High level 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. Job: Administrative* *Organization: Hartford HealthCare Corp. *Title: *Utilization Management Assoc / Clinical Resource Management Location: Connecticut-Wethersfield-1290 Silas Deane Hwy Wethrsfld (10181) Requisition ID: 24153406 Other Locations: United States
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Utilization Management Assoc
5 months ago
Wethersfield, United States Hartford Healthcare Full timeDescription 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...
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Physician Advisor Clin Res Mgm
1 month ago
Wethersfield, United States Hartford Healthcare Full timeDescription Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details:Exciting Opportunity for Physician Advisor Clinical Resource Management 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 Connecticut’s...
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Physician Advisor Clin Res Mgm
4 weeks ago
Wethersfield, United States Hartford Healthcare (HHC) Full timeDescription Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Exciting Opportunity for Physician Advisor Clinical Resource ManagementEvery 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 Connecticut’s...
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Assistant Nurse Manager
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Accounting Consultant
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24-7 Live-In Caregiver
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Live In Caregiver
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Wethersfield, United States Hartford HealthCare Full time*Client Care* · Provides personal hygiene and grooming care to clients · Performs routine housekeeping and home management duties · Plans and prepares meals for clients' nutritional needs · Performs laundry, shopping, and errands for client · Assists with routine therapy exercises · Transports and accompanies clients to scheduled appointments ·...
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24-7 Live-In Caregiver
6 months ago
Wethersfield, United States Hartford HealthCare Full time*Client Care* · Provides personal hygiene and grooming care to clients · Performs routine housekeeping and home management duties · Plans and prepares meals for clients' nutritional needs · Performs laundry, shopping, and errands for client · Assists with routine therapy exercises · Transports and accompanies clients to scheduled appointments ·...
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Registered Nurse
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Registered Nurse
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Mammography Tech
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Registered Nurse RN/ LPN
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Wethersfield, United States Hartford Healthcare Full timeDescription Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Monday -Friday Work where every moment matters. Every day, almost 30,000 Hartford HealthCare employees 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...
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Behavioral Health Clinician
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Physician Assistant
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Registered Nurse
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Wethersfield, CT, United States Hartford HealthCare Full timeJob Schedule: Full Time Job Shift: Shift 3 Shift Details: Night shift - 7p-7:30a, every 3rd weekend & holiday, 36 hours per week Every day, over 30,000 Hartford HealthCare colleagues come to work with one thing in common: We invite you to become part of Connecticut’s most comprehensive healthcare network as an Emergency Department RN. ...
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Respiratory Therapist
1 month ago
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