- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to ... independent determination of the appropriate courses of action. The Utilization Management Registered Nurse...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the… more
- Baylor Scott & White Health (Augusta, ME)
- …and members. **Key Success Factors** + Demonstrable knowledge in discharge planning, case management , utilization review and different care levels. + ... type and/or level **Job Summary** As a Manager for Utilization Review , you guide and supervise staff....work experience + Hold a valid registration as a Registered Nurse As a health care system… more
- Veterans Affairs, Veterans Health Administration (Togus, ME)
- …is Full-Time at 40 hours per week. Responsibilities The Community Care (CC) Coordinator Registered Nurse ( RN ) is responsible for executing a streamlined ... Summary This Registered Nurse - Community Care Coordinator...intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards,… more
- Northern Light Health (Pittsfield, ME)
- …$10,000 (minus tax) sign on bonus that is paid out incrementally.** Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent ... Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the...the interdisciplinary team to maximize patient care. * Resource Management o Identifies opportunities to improve utilization … more
- Northern Light Health (Pittsfield, ME)
- …a $10,000 (minus tax) sign on bonus that is paid out incrementally. 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
- Northern Light Health (Waterville, ME)
- …Hospice Waterville Work Type: PRN Work Schedule: 1:00 PM to 9:30 PM Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent ... Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is responsible for the...the interdisciplinary team to maximize patient care. + Resource Management - Identifies opportunities to improve utilization … more
- Northern Light Health (Pittsfield, ME)
- …Work Type: PRN Hours Per Week: Variable Hours Work Schedule: Variable Summary: The Registered Nurse II is a fully competent practitioner of nursing. The ... 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)
- …or palliative care experience. Our Waterville region has a great position for a registered nurse wanting to make a positive difference in someone's life! You ... workflow and time. + Wound Care + Zoom Credentials + Required Registered Nurse Education + Required Associate's DegreeBachelor's Degree Preferred. Required… more
- Highmark Health (Augusta, ME)
- …and Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with established… more
- Sharecare (Augusta, ME)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... and their Primary Care Provider according to the disease management program intervention guidelines. An RN is...orientation and to take the pre and posttests to review competency during orientation. Yearly competency test is required… more
- Highmark Health (Augusta, ME)
- …Remote - Part Time - Weekends Required.** This job implements the effective utilization management strategies including: review of appropriateness of health ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with established… more
- Northern Light Health (Pittsfield, ME)
- …various data to trace potential causes and relevant details. Credentials + Required Registered Nurse Education + Required Associate's Degree Working Conditions + ... resource referrals as necessary. + Manage assigned case load, assessing utilization of resources and services, identifying patients that require additional … 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...issues, when possible, to enhance the customer experience. **Activity** Review and assess claimant subjective reports and objective medical… more