- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary Job Description The Utilization Review Nurse works as is responsible for ensuring the ... reviews for retrospective authorization requests as well as claims disputes.The Utilization Review Nurse will use appropriate governmental policies as well… more
- Central Maine Medical Center (Lewiston, ME)
- …and for each other every day. Position Summary: The Utilization Management Nurse is responsible for a comprehensive clinical review to assess for medical ... RN licensure.*Three (3) or more years of previous experience in Utilization Management and/or Care Management.*BSN preferred.Certified Case manager required within 2… more
- First Atlantic Health Care (Lewiston, ME)
- …programs, goals, objectives, policies, and procedures of the Nursing Services department. + Review and analyze facility activities and data to aid planning and cash ... and risk management and to improve service utilization . + Prepare activity reports to inform management of...and critical thinking skills Requirements: + Currently a registered nurse /licensed in Maine. + CPR Certification upon hire… more