- Public Consulting Group (Augusta, ME)
- **Overview** ** Registered Nurse - Health Services Consultant** ** Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be ... by the PA supervisor, utilizing PA software tools; + Review and authorize provider requests for the following services...to develop and implement corrective actions. **Minimum Qualifications:** + Registered Nurse and three (3) years of… more
- Humana (Augusta, ME)
- …projects. **Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a compact license. ... us put health first** Humana is seeking a Prior Authorization RN to join the Wisconsin Medicaid Market (iCare)...the lives of others. **Essential Duties and Responsibilities:** + Review PA requests for home health services, durable medical… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of the Utilization Review Team and ... clinical review prior to payment. The Utilization Review Nurse will use appropriate governmental policies...License(s) and/or Certification(s): + Unrestricted state license as a Registered Nurse + Certification in managed care… more
- Northern Light Health (Presque Isle, ME)
- …prior to hire. The Graduate Orientee will work under the supervision of a registered nurse until licensure has been verified by the Human Resources Department. ... exam for the first time NCLEX-national licensing exam for registered nurses Authorization to Test- after a...The registered nurse preceptor is responsible for instructing… more
- Marriott (Augusta, ME)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... for injured workers. + Provide formal level 1 utilization review and document in iVOS Medical Authorization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Evolent Health (Augusta, ME)
- …**Qualifications Required and Preferred:** + Current, unrestricted state licensure as a Registered Nurse - **Required** + Associate or Bachelors in Nursing (Must ... You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases, which do not pass...be a Registered Nurse ) - **Required** + You must be… more