- Northern Light Health (Portland, ME)
- …Participates in the development of others through the role of preceptor and through peer review . * Organizes workload by setting priorities, recognizing needs of ... with other healthcare professionals. Responsibilities: 1. Patient Assessment: With RN oversight, the new grad nurse will...Assessment: With RN oversight, the new grad nurse will initiate a systematic, accurate and ongoing assessment… more
- Evolent (Augusta, ME)
- …payers. Will work with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the ... mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner/Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and assistance… more
- Highmark Health (Augusta, ME)
- …years of experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder or related **SKILLS** ... of the claim rejection and the proper action to complete the retrospective claim review with the goal of proper and timely payment to provider and member… more
- Cardinal Health (Augusta, ME)
- …be needed to perform your duties up to 25%. **_Qualifications_** + Current, unrestricted Registered Nurse license, required. + BA, BS or equivalent experience in ... and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact quality and provides coaching as needed to… more
- Highmark Health (Augusta, ME)
- …to appropriate resources for additional support. + Implement care management review processes that are consistent with established industry, corporate, state, and ... of cultural competency in addressing targeted populations **LICENSES or CERTIFICATIONS** **Required** + RN license in PA or WV or DE or NY is required. Other… more