- 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
- 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 (Waterville, ME)
- …Work Type: Full Time Hours Per Week: 36.00 Work Schedule: Variable 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
- 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
- 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
- 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