- Kepro (Portland, ME)
- …and consistency of the Psychiatric Inpatient Concurrent Review process. This full-time Clinical Reviewer Remote position based in the state of Maine. ... lAcentra seeks a Clinical Reviewer to join our growing...must reside and work in Maine. Job Responsibilities: + Review and interpret patient records against established criteria to… more
- Elevance Health (South Portland, ME)
- …Validation Auditor-** **Registered Nurse** **Location:** This position will work a hybrid model ( remote and office). Ideal candidates will live within 50 miles ... of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure … more
- Elevance Health (South Portland, ME)
- …a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. **Hybrid Workplace ... **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud &...opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records… more
- Elevance Health (South Portland, ME)
- **Medicare Medical Director** Location: This position will work a hybrid model ( remote and office). The ideal candidate will must live within 50 miles of one of ... and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor to enhance … more
- Veterans Affairs, Veterans Health Administration (Portland, ME)
- …specific eligibility requirements per VHA policy and submit your EDRP application within four months of appointment. Program Approval, award amount (up to $200,000) ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more