• MaineCare Quality Review

    State of Maine, Bureau of Human Resources (ME)
    MaineCare Quality Review Nurse Maine , United States | Nursing | Full-time Apply by: July 10, 2024 Apply with Linkedin Apply Department of Health and ... yes and you are licensed as a Registered Professional Nurse in the State of Maine as issued by...provides oversight to health care providers. The Office of MaineCare Services (OMS) within DHHS administers and coordinates several… more
    State of Maine, Bureau of Human Resources (06/25/24)
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  • Registered Nurse - Authorization…

    Public Consulting Group (Augusta, ME)
    **Overview** **Registered Nurse - Health Services Consultant** **Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be ... (PA) as assigned by the PA supervisor, utilizing PA software tools; + Review and authorize provider requests for the following services in the MaineCare more
    Public Consulting Group (05/16/24)
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  • Care Manager- RN

    Northern Light Health (Portland, ME)
    …learning and growth. * Actively participates in interdisciplinary projects using the Quality Improvement plan. 7. Medical Record Review : * Conducts inpatient ... the completion of the MED for all first time Mainecare transfers to nursing facilities. * Alerts contracted agency...review . * Enters data as requested to support Quality Improvement initiatives in Midas. 8. Third party payer… more
    Northern Light Health (06/08/24)
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  • Resident Assessment Manager (RN or LPN)

    First Atlantic Health Care (Bangor, ME)
    …level of assistance, in accordance with current rules, regulations, and guidelines + Review all care plans on a regular basis for accuracy, appropriateness, and case ... procedures, completion of MDS items, and CAAs, Care Mix payment and Quality Indicators. Resident Assessment Manager Minimum Qualifications: + MDS and ICD-10 coding… more
    First Atlantic Health Care (06/26/24)
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  • Resident Assessment Manager (RN or LPN)

    First Atlantic Health Care (Freeport, ME)
    …level of assistance, in accordance with current rules, regulations, and guidelines + Review all care plans on a regular basis for accuracy, appropriateness, and case ... procedures, completion of MDS items, and CAAs, Care Mix payment and Quality Indicators. Resident Assessment Manager Minimum Qualifications: + Must have MDS and… more
    First Atlantic Health Care (06/26/24)
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  • Resident Assessment Manager (RN or LPN)

    First Atlantic Health Care (Machias, ME)
    …level of assistance, in accordance with current rules, regulations, and guidelines + Review all care plans on a regular basis for accuracy, appropriateness, and case ... procedures, completion of MDS items, and CAAs, Care Mix payment and Quality Indicators. Resident Assessment Manager Minimum Qualifications: + Must have MDS and… more
    First Atlantic Health Care (06/15/24)
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