- Cognizant (Augusta, ME)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Augusta, ME)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- CVS Health (Augusta, ME)
- …shift times are not permitted. **Required Qualifications** + Active unrestricted state Registered Nurse licensure in state of residence required. + Minimum ... solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team.… more
- CVS Health (Augusta, ME)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Northern Light Health (Brewer, ME)
- …the next three to six months. Our Bangor region has a great position for a registered nurse wanting to make a positive difference in someone's life! You would be ... required auto liability insurance. Ability to travel in assigned service area. Summary: The Registered Nurse II is a fully competent practitioner of nursing. The… more
- Northern Light Health (Greenville, ME)
- …Work Schedule: 6:30 PM to 7:00 AM Eligible for a Sign on Bonus Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is ... 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)
- …Work Schedule: No Hours Assigned Eligible for a Sign on Bonus 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
- CVS Health (Augusta, ME)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Evolent (Augusta, ME)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
- Northern Light Health (Bangor, ME)
- …strong willingness to relieve the suffering of others. Credentials + Required Registered Nurse Education + Required Associate's Degree Associate's or Bachelor's ... * Assist with educating residents to services and systems in regard to clinical decisions within the nursing scope of practice * Collegially collaborate with… more
- CVS Health (Augusta, ME)
- …performance. **Education** Bachelor's degree preferred/specialized training/relevant professional qualification. Registered Nurse (RN) required. **Prior Relevant ... utilization reviews and assessments, applying evidence-based criteria and clinical knowledge to evaluate the medical necessity and appropriateness of requested… more
- Northern Light Health (Brewer, ME)
- …and strong willingness to relieve the suffering of others. Credentials + Required Registered Nurse Education + Required Associate's DegreeBSN preferred. ED or ... by the Medical Director of the Integrated Transfer Center, the Transfer Center Nurse is responsible for obtaining clinical presentation data and coordinating the… more
- Sharecare (Augusta, ME)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- CenterWell (Bangor, ME)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... on-site at our** Bangor, ME **branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- University of Maine System (Fort Kent, ME)
- …effectively with staff from healthcare organizations + Ability to work as a registered nurse (RN) in area healthcare organizations + Supervisory experience + ... Maine at Fort Kent is seeking to hire a Clinical Placement and Testing Coordinator. This role is responsible...through the nursing program. They will also organize the utilization of campus resources for at-risk students. The salary… 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, ... + Ensures a safe work environment, adequate supplies, and appropriate resource utilization for the practice. + Provides a continuous assessment of all practice… more