- Covenant Health (Lewiston, ME)
- …in utilization review, discharge planning, social work case management, or Utilization Manager experience preferred. + Certification as CCM or ACMA- RN ... it relates to the position. Summary The UR Case Manager conducts medical necessity reviews per the Utilization...Bachelor's degree required. + Active State of Maine RN license. + Minimum of three years' experience… more
- Central Maine Medical Center (Lewiston, ME)
- …for our community and for each other every day. Position Summary: The Utilization Management Nurse is responsible for a comprehensive clinical review to ... RN licensure.*Three (3) or more years of previous experience in Utilization Management and/or Care Management.*BSN preferred.Certified Case manager required… more
- Northern Light Health (South Portland, ME)
- …or palliative care experience. Our Portland region has a great position for a registered nurse wanting to make a positive difference in someone's life! You ... end at the completion of your temporary assignment. Current RN license in Maine; CPR Card (Must be BLS...least 90 days (first time rehire only) Summary: The Registered Nurse II is a fully competent… more
- Northern Light Health (Blue Hill, ME)
- …Work Type: PRN Hours Per Week: No Hours Assigned Work Schedule: Variable Summary: Registered Nurse II is a fully competent practitioner of nursing. The incumbent ... Practice Act, Northern Light Health Standards of Care/Practice, policies, and procedures. The Registered Nurse II is responsible for the delivery of patient care… more
- Sharecare (Augusta, ME)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians… more
- Northern Light Health (Pittsfield, ME)
- …a $10,000 (minus tax) sign on bonus that is paid out incrementally. Summary:The Registered Nurse II is a fully competent practitioner of nursing. The incumbent ... Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care… more
- Northern Light Health (Pittsfield, ME)
- …a $10,000 (minus tax) sign on bonus that is paid out incrementally. Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent ... Practice Act Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the delivery of patient care… more
- Northern Light Health (Brewer, ME)
- …Blding Work Type: PRN Hours Per Week: 8.00 Work Schedule: Variable Summary: The Registered Nurse - PDM is a fully competent practitioner of nursing. The incumbent ... Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse - PDM is responsible for the delivery of patient… more
- Northern Light Health (Pittsfield, ME)
- …a $10,000 (minus tax) sign on bonus that is paid out incrementally. Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent ... Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the...+ Resource Management + + Identifies opportunities to improve utilization of resources. + Professional Development + + Takes… more
- Central Maine Medical Center (Rumford, ME)
- …+ Graduate of an accredited school of nursing with up to six (6) months of Registered Nurse experience. + Current RN license within the state of practice. ... for each other every day. Position Summary: The Care Manager assesses, plans, implements, and evaluates the needs of...evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare,… more
- Central Maine Medical Center (Lewiston, ME)
- …our community and for each other every day. Central Maine Healthcare is seeking a Care Manager RN to join its care management team! Position Summary: The Care ... Manager assesses, plans, implements, and evaluates the needs of...evaluates the needs of patients for discharge planning and utilization review. This includes those who may have Medicare,… more
- Central Maine Medical Center (Rumford, ME)
- …in accordance with hospital policies and procedures. Education and Experience: + Current Registered Nurse licensure in State of Maine. + Is a motivated, ... months of hire. Essential Duties: + Demonstrates knowledge or research utilization , evidenced-based practice, and best practice recommendations, and facilitating the… more
- Highmark Health (Augusta, ME)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective ** utilization management** strategies including: review of appropriateness of health care ... services, application of criteria to ensure appropriate resource utilization , identification of opportunities for referral to a Health Coach/case management, and… more
- Central Maine Medical Center (Lewiston, ME)
- …in accordance with hospital policies and procedures. Education and Experience: + Current Registered Nurse licensure in State of Maine. + Is a motivated, ... for each other every day. Central Maine Healthcare is looking for a Clinical Coordinator RN to join their Wound Care team at the Central Maine Heart and Vascular… more
- Northern Light Health (Bangor, ME)
- …and strong willingness to relieve the suffering of others. Credentials + Required Registered Nurse Education + Required Bachelor's Degree Working Conditions + ... requested. + Participates in interviews for open positions with Practice Supervisor/ Manager & Lead Physician. + Ensures license/certification staff credentials are… more
- Northern Light Health (Portland, ME)
- …and strong willingness to relieve the suffering of others. Credentials + Required Registered Nurse Education + Required Bachelor's DegreeIn lieu of education, ... Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Administrative Manager is responsible for operational, financial and strategic management of his or her… more
- Highmark Health (Augusta, ME)
- …**Job Description :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides ... industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans to… more
- Elevance Health (ME)
- **Transitions of Care - RN , 100% Virtual, CareBridge (Bilingual Spanish)** Location: This role enables associates to work virtually full-time, with the exception of ... weekends and holidays per business needs. The **Transitions of Care - RN , 100% Virtual, CareBridge (Bilingual Spanish)** is responsible for participating in delivery… more
- Healthfirst (ME)
- …Negotiates rates with non-partner providers, where applicable. Ensures appropriate access and utilization of a full continuum of network and community resources to ... + Occasional overtime as necessary + Additional duties as assigned **Minimum Qualifications:** RN , LPN, LMSW, LMHC,LMFT, LCSW, PT, OT, and/or ST license For CASAC… more