- CVS Health (Augusta, ME)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST and CST zones.… more
- Central Maine Medical Center (Lewiston, ME)
- …experiences for our community and for each other every day. Position Summary: The Utilization Management Nurse is responsible for a comprehensive clinical ... of Maine RN licensure.*Three (3) or more years of previous experience in Utilization Management and/or Care Management .*BSN preferred.Certified Case manager… more
- Humana (Augusta, ME)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director, Clinical Strategy and Practice for… more
- Central Maine Medical Center (Lewiston, ME)
- …for identified ancillary staff supporting hospital departments.e) Responsible for nurse traveler management and onboarding.Leader, Intermediate Care Unit:a) ... other every day. Position Summary: Reporting to the Nursing Director, the Nurse Leader is responsible for the day-to-day operations of assigned responsibilities and… more
- Northern Light Health (Waterville, ME)
- …Collaborates with the interdisciplinary team to maximize patient care. + Resource Management - Identifies opportunities to improve utilization of resources. + ... is located: Greenville/Jackman Work Type: PRN Work Schedule: Variable Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is… more
- Central Maine Medical Center (Lewiston, ME)
- …the health care team the physicians/practitioners related to wound, skin and ostomy management . The Nurse has the responsibility to effectively and appropriately ... for our community and for each other every day. Nurse Practitioner - Wound Care POSITION SUMMARY: The Wound,...care using the nursing process in the coordination and management of patients with acute and chronic wounds, fistulas,… more
- Sharecare (Augusta, ME)
- …total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also ... the participants and their Primary Care Provider according to the disease management program intervention guidelines. A Clinical Registered Nurse is supervised… more
- Lincoln Financial (Augusta, ME)
- …Care, Orthopedics, Coronary Care, , Trauma , Disability, Workman's comp or case management or Utilization review **Application Deadline** **What's it like to ... 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
- United Therapeutics (Augusta, ME)
- …for which transplant is not currently an option. Who you are You are experienced nurse and an expert in all things PAH. You love providing mentorship, coaching and ... make a difference. The Regional Field Director, RNS Program Management serves as a director of all clinical field...+ Plan, collaborate, create and produce the yearly Clinical Nurse Summit meeting for HCPS across the United States… more
- Humana (Augusta, ME)
- …**Key Functions:** **Strategic Planning and Implementation:** + Develop and implement utilization management strategies that align with organizational goals. + ... care. **Cost Containment:** + Identify opportunities for cost savings through effective utilization management practices. + Monitor and analyze utilization … more
- Central Maine Medical Center (Lewiston, ME)
- …and implement plans and progress of the department. Actively participates in Utilization Management Committee, CQI, varying team meetings and other meetings ... with hospital policies and procedures. Education and Experience: + Current Registered Nurse licensure in State of Maine. + Is a motivated, independent individual… more
- Highmark Health (Augusta, ME)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more