- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …is a full-time position at 40 hours per week. The Community Living Center (CLC) Registered Nurse ( RN ) is responsible and accountable for individual nursing ... Responsibilities VA offers a comprehensive total rewards package: VA Nurse Total Rewards This Registered Nurse...Set (MDS) coordinator to ensure accuracy of the Resource Utilization Group (RUG) score. Included but are not limited… more
- Highmark Health (Augusta, ME)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Guardian Life (Augusta, ME)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- Humana (Augusta, ME)
- …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... project management and/or process improvement experience + Minimum 3 years utilization management experience with exposure to grievance and appeals +… more