- Evolent (Augusta, ME)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- Martin's Point Health Care (Portland, ME)
- …been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as is responsible for ensuring the receipt of high ... reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as… more
- Humana (Augusta, ME)
- …Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical record documentation and ... approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to… more
- Martin's Point Health Care (Portland, ME)
- …responsible for independent decisions (such as inpatient medical /surgical experience, triage nurse , home health nurse , clinical specialist, or other ... certified as a "Great Place to Work" since 2015. Position Summary The Registered Nurse (RN) works collaboratively with all members of the care team to provide world… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …preceptor providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental residents, and other health care ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- Fresenius Medical Center (Portland, ME)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...transcribes, and enters physician lab orders accurately into the Medical Information System. + Ensures appropriate preparation of lab… more
- Northern Light Health (Portland, ME)
- …Light Mercy Hospital Department: Pain Management Clinic Position is located: Mercy Medical Office Building Work Type: PRN (Pool/Per Diem) Hours Per Week: 8.00 ... Work Schedule: 7:00 AM to 4:30 PM Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible for the practice of… more
- Northern Light Health (Portland, ME)
- Northern Light Mercy Hospital Department: Medical Surgical Unit Position is located: Mercy Fore River Work Type: Full Time Hours Per Week: 36.00 Work Schedule: 7:00 ... PM to 7:30 AM *Sign on Bonus for Eligible Candidates* Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible for… more
- CVS Health (Augusta, ME)
- …criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review . + Conduct clinical reviews via phone and electronic ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
- Spectrum Healthcare Partners (Portland, ME)
- …+ Board certified as a Nurse Anesthetist by the American Association of Nurse Anesthetists. + Clinical experience providing anesthesia care as a CRNA or ... Certified Registered Nurse Anesthetist - Monday, Tuesday, Wednesdays & Fridays...+ Performs complete pre-anesthetic assessment to include: pre-operative chart review , completes physical assessments of each patient, and discusses… more
- CenterWell (Portland, ME)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by ... on-site at our Portland, ME branch location.** The **RN Clinical Manager** coordinates and oversees all direct care patient...Utilization Review staff. Upon completion of the assessment, creates and… more
- Cardinal Health (Augusta, ME)
- …to ensure a positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides ... manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a team of… more
- Fujifilm (Augusta, ME)
- **Position Overview** The Clinical Consultant, MI - I shall be responsible for providing clinical consulting for the project, report configuration (CV), workflow ... go-live support to Synapse PACS/MI projects. In addition, provide clinical support for sales and company team members with...HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training… more
- Northern Light Health (Portland, ME)
- …patients and their families with a cardiac diagnosis or other complex surgical/ medical events. The Clinical Care Coordinator collaborates with an ... Northern Light Mercy Hospital Department: Cardiology Clinic Position is located: Mercy Medical Office Building Work Type: Full Time Hours Per Week: 36.00 Work… more
- Martin's Point Health Care (Portland, ME)
- …two year accredited Medical Assistant Program/Associate Degree is preferred. + For Clinical Support II : Completion of Licensed Practical Nurse program and ... contact. + With provider supervision, work in provider desktop, review and assist in Health Matrix and other population...is required + Related experience in a physician's office, medical setting or outpatient clinic required. Clinical … more
- Fresenius Medical Center (Bath, ME)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more
- Intermountain Health (Augusta, ME)
- …or registrations: Registered Medical Assistant (RMA) of AMT, National Certified Medical Assistant (NCMA), Certified Clinical Medical Assistant (CCMA) or ... that invests in your growth** -with many career paths to explore, like Medical Assistant Senior, Registered Nurse , Practice Manager, and more! + **Intermountain… more
- Fresenius Medical Center (Bath, ME)
- …counseling services to patients as permitted within the scope of their clinical training and state license. + Provides educational and goal directed counseling ... and the patient's family/support persons. + In collaboration with the physician and nurse , participates in the discussion of patient DNR status in the facility to… more
- CVS Health (Augusta, ME)
- …and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical conditions ... it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact VHA EDRP Program Support ###@va.gov, for ... care patients. The Assistant Primary Care Service Line Manager will have Clinical and Administrative Responsibilities for the CBOC's. All physicians comply with… more