- Lincoln Financial Group (Dover, NH)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Elevance Health (South Portland, ME)
- …**How you will make an impact:** + Develops, maintains, and enhances the claims review process. + Assists management with developing unit goals, policies, and ... Nurse Audit Lead - Carelon Payment Integrity **Location:**...responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers through prepayment… more
- Northern Light Health (South Portland, ME)
- …Collaborates with the interdisciplinary team to maximize patient care. + Resource Management - Identifies opportunities to improve utilization of resources. + ... Hours Per Week: 40.00 Work Schedule: No Hours Assigned Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible… more
- HCA Healthcare (Portsmouth, NH)
- …including increased productivity, market share, cost controls and maximum utilization of facilities. Recommends improvement of hospital facilities in assigned ... goal setting and business development and budgeting. 3. Assure quality management plan is established with goal achievement documented and quality improvement… more
- First Atlantic Health Care (Saco, ME)
- … and analyze facility activities and data to aid planning and cash and risk management and to improve service utilization . + Prepare activity reports to inform ... thinking skill CERTIFICATES and LICENSES + Currently a registered nurse /licensed in Maine. + Certification upon hire or...equipment, and services. + Develop and maintain computerized record management systems to store and process data such as… more