Current jobs related to Utilization Review Nurse Coordinator - Middletown, Connecticut - State of Connecticut
-
Administrative Coordinator
3 weeks ago
Middletown, Connecticut, United States Advanced Behavioral Health, Inc. Full timeJob SummaryThe Administrative Assistant plays a vital role in the day-to-day functioning of the DCMM/YAS programs, providing support to the Client Financial Coordinators, Housing Coordinators, and managerial staff. This position requires strong organizational skills, attention to detail, and excellent communication abilities.Key ResponsibilitiesProcess and...
-
Administrative Coordinator
2 weeks ago
Middletown, Connecticut, United States Advanced Behavioral Health, Inc. Full timeJob Summary:The Administrative Assistant plays a vital role in supporting the day-to-day operations of the DCMM/YAS programs. This position is responsible for providing administrative assistance to the Client Financial Coordinators, Housing Coordinators, and managerial staff. Key responsibilities include processing and organizing social security applications...
-
Nurse Care Coordinator
2 weeks ago
Middletown, Connecticut, United States Optum Full timeOptum Home and Community Care NurseAt Optum, we're creating a new model of care that addresses the physical, mental, and social needs of our patients. As a Senior Community Care RN, you'll be part of an interdisciplinary team that provides care to patients in their homes, nursing homes, and assisted living facilities.Key Responsibilities:Ensure accurate and...
-
MDS Coordinator
1 week ago
Middletown, Connecticut, United States LionStone Care Full timeMDS Coordinator Job SummaryThe MDS Coordinator plays a vital role in ensuring the quality of patient care through effective management and coordination of the Minimum Data Set (MDS) assessments. This position involves collaborating with healthcare professionals to gather, analyze, and document patient information, ensuring compliance with regulatory...
-
Travel Nurse RN Position
1 week ago
Middletown, Connecticut, United States Travel Nurse Source Full timeAt Travel Nurse Source, we are working with Amare Medical Network to find a qualified Telemetry RN in a telemetry unit. The Telemetry Nurse carries out patient assignments and assumes primary care responsibilities that promote health, prevent illness, restore health, and ease suffering for patients released from intensive care, but still require close...
-
Trauma Quality Management Coordinator
1 week ago
Middletown, Connecticut, United States Premier Health Full timeTrauma Quality Management Coordinator Job SummaryThe Trauma Quality Management Coordinator plays a vital role in ensuring the highest standards of quality care for trauma patients at Atrium Medical Center. This position is responsible for performing quality assessments and improvement reviews for the medical staff and other committees, consistent with...
-
Paralegal - Workers Compensation Coordinator
1 week ago
Middletown, Connecticut, United States Spire Orthopedic Partners Full timeJob Title: Paralegal - Workers Compensation CoordinatorSpire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital, and operational resources physicians need to grow thriving practices.As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that...
-
Administrative Coordinator
1 month ago
Middletown, Connecticut, United States Kloeckner Metals Full timeJob SummaryThe Administrative Assistant plays a vital role in ensuring the smooth operation of our office. This position is responsible for providing administrative support to our team, handling a variety of tasks, and maintaining accurate records.Key ResponsibilitiesAdministrative Tasks: Perform a range of administrative duties, including drafting...
-
Clinical Therapist
1 week ago
Middletown, Connecticut, United States Premier Health Full timeThe Clinical Therapist III role is a key member of our team, responsible for delivering outcome-effective treatment services in various settings.This position involves planning and delivering on-site and off-site clinical case coordination, intervention, consultation, and educational services to children, adolescents, adults, and families.Key...
-
Activities Coordinator
2 weeks ago
Middletown, Connecticut, United States Ciena Healthcare Full timeActivities CoordinatorAre you a good communicator with a fun-loving attitude and a passion for planning events?As an Activities Coordinator at Ciena Healthcare, you will join a team of creative individuals in coordinating and delivering enrichment programs on a daily basis for our guests. Planning field trips, games, crafts, and holiday celebrations are all...
-
Critical Care Nurse
2 weeks ago
Middletown, Connecticut, United States ECHN Full timeJob SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our Intensive Care Unit (ICU) team at ECHN. As a critical care nurse, you will provide high-quality patient care, utilizing the nursing process to assess, plan, and implement individualized care plans. Your expertise will be essential in coordinating patient care with the...
-
Orthopedic Workers Compensation Coordinator
1 week ago
Middletown, Connecticut, United States Spire Orthopedic Partners Full timeJob DetailsSpire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital, and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at...
-
Program Coordinator
2 weeks ago
Middletown, Connecticut, United States Community Renewal Team Full timeJob SummaryCommunity Renewal Team is seeking a skilled Program Coordinator to manage the WIOA Out of School Youth Program. This role involves overseeing program operations, providing case management services, and collaborating with community stakeholders to deliver employment services and vocational training to clients.Key ResponsibilitiesManage day-to-day...
-
Financial Coordinator Floater
1 month ago
Middletown, Connecticut, United States Advanced Behavioral Health Full timeJob Title: Client Financial Coordinator FloaterThis role will provide support to the Young Adult Services (YAS) money management/Adult Client Funds Management team, serving clients at various state-operated local mental health authority locations throughout the state. The position will involve providing benefit payment management for clients involved in the...
-
Intensive Care Unit Registered Nurse
1 week ago
Middletown, Connecticut, United States ECHN Full timeJob SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our Intensive Care Unit team at ECHN. As a critical care nurse, you will be responsible for providing high-quality patient care to critically ill patients, working collaboratively with the interdisciplinary team to coordinate care and ensure optimal patient outcomes.Key...
-
LPN - Urology Specialist
1 week ago
Middletown, Connecticut, United States UnitedHealth Group Full timeUrology LPN Job SummaryWe are seeking a skilled Licensed Practical Nurse to join our team in providing exceptional patient care in the urology department. As a key member of our healthcare team, you will be responsible for delivering high-quality nursing care to patients, collaborating with physicians and other healthcare professionals to ensure seamless...
-
Administrative Coordinator
3 weeks ago
Middletown, Connecticut, United States Kloeckner Metals Full timeJob SummaryThe Administrative Assistant plays a vital role in ensuring the smooth operation of our office. This position is responsible for providing administrative support to our team, handling a variety of tasks including drafting correspondence, scheduling appointments, and managing office events.Key ResponsibilitiesComputer Operations: Utilize computers...
-
Nurse Manager
1 week ago
Middletown, Connecticut, United States Highland Rehabilitation & Nursing Center Full timeJob Title: Nurse ManagerJob Summary:Highland Rehabilitation & Nursing Center is seeking a skilled Nurse Manager to join our team. As a Nurse Manager, you will be responsible for coordinating the administration and clinical activities for the nursing department on a designated shift or unit. This role requires strong leadership and communication skills, as...
-
Occupational Health Nurse
1 week ago
Middletown, Connecticut, United States TriHealth Full timeJob Overview:This role involves providing occupational health services to various sites, focusing on promoting, protecting, and restoring workers' health within a safe and healthy work environment.The occupational health nurse will collaborate with workers, employers, and other professionals to identify health needs, prioritize interventions, and develop and...
-
Director of Facilities Management
2 weeks ago
Middletown, Connecticut, United States Gilead Community Services Full timeDirector of FacilitiesOak Hill is seeking a highly skilled and experienced Director of Facilities to join our team. As a key member of our leadership team, the Director of Facilities will be responsible for overseeing all aspects of facility maintenance and construction operations for our state-wide locations.Key Responsibilities:Procure and review...
Utilization Review Nurse Coordinator
2 months ago
The State of Connecticut is seeking a highly skilled Utilization Review Nurse Coordinator to join our team. As a key member of our healthcare team, you will be responsible for coordinating the utilization review process to ensure the highest quality of care and efficient use of resources.
Key Responsibilities- Coordinate workflow and determine priorities to ensure the delivery of high-quality care with efficient utilization of available services.
- Schedule, assign, oversee, and review work to ensure compliance with relevant laws, regulations, and standards.
- Establish and maintain program protocols and procedures to ensure effective care delivery.
- Provide staff training and assistance to ensure staff are equipped to provide high-quality care.
- Act as a liaison with other operating units, agencies, and outside officials regarding program policies and procedures.
- Prepare reports and correspondence to ensure accurate and timely communication.
- Assess, evaluate, and monitor documentation of all hospital disciplines to ensure compliance with relevant laws, regulations, and standards.
- Attend professional workshops, seminars, and in-service training to stay up-to-date on best practices.
- Five (5) years of experience as a registered professional nurse.
- Two (2) years of experience in the assessment of the quality and propriety of healthcare services as required by Joint Commission on Accreditation of Healthcare Organizations (JCAH) and/or Medicare and Medicaid standards and regulations at the level of Utilization Review Nurse.
- Current license as a registered professional nurse in Connecticut.
- Experience with data collection, analysis, and presentation.
- Intermediate to advanced skills in creating spreadsheets and utilizing data to create charts and graphs.
- Experience with the Joint Commission's accreditation standards for hospitals.
- Experience with Medicare & Medicaid regulatory requirements and private insurances as it relates to utilization review/management and quality of care.
- Experience with the Managed Care Appeal process.
Incumbents in this class must possess and retain a current license as a registered professional nurse in Connecticut. Incumbents in this class may be required to travel.
