• RN , Manager , Utilization

    Humana (Augusta, ME)
    **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
    Humana (09/28/25)
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  • Case Manager , Registered

    CVS Health (ME)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
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  • Registered Nurse II

    Northern Light Health (Ellsworth, ME)
    …the next three to six months. Our Ellsworth region has a great position for a registered nurse wanting to make a positive difference in someone's life! You would ... Ability to travel in assigned service area. Summary: The Registered Nurse II is a fully competent...the interdisciplinary team to maximize patient care. + Resource Management - Identifies opportunities to improve utilization more
    Northern Light Health (10/02/25)
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  • Registered Nurse II

    Northern Light Health (Blue Hill, ME)
    …Work Type: PRN Hours Per Week: No Hours Assigned Work Schedule: Variable Summary: 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 (09/24/25)
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  • Registered Nurse II

    Northern Light Health (Pittsfield, ME)
    …Full Time Hours Per Week: 36.00 Work Schedule: 7:00 AM to 4:30 PM Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is ... 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 (09/24/25)
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  • RN Clinical Manager

    CenterWell (Portland, ME)
    …auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience. + Home health experience ... sit on-site at our Portland, ME branch location.** The ** RN Clinical Manager ** coordinates and oversees all...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (09/30/25)
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  • Mgr- Clin Physician Prac/ RN

    Northern Light Health (Portland, ME)
    …and strong willingness to relieve the suffering of others. Credentials + Required Registered Nurse Education + Required Bachelor's DegreeIn lieu of education, ... Summary: The Administrative Manager is responsible for operational, financial and strategic management of his or her practice and is required to exercise a high… more
    Northern Light Health (09/24/25)
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  • Disease Management Nurse - Remote

    Sharecare (Augusta, ME)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the… more
    Sharecare (09/13/25)
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  • Transfer Center Nurse

    Northern Light Health (Brewer, ME)
    …and strong willingness to relieve the suffering of others. Credentials + Required Registered Nurse Education + Required Associate's DegreeBSN preferred. ED or ... 2 night shifts 1900-0700 and 1 mid shift 1000-2200 Summary: Transfer Center Nurse is a fully competent practitioner of nursing. The incumbent is responsible for… more
    Northern Light Health (09/24/25)
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  • Clinical UM Nurse 2

    CenterWell (Augusta, ME)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... skills to make an impact** **Required Qualifications** + Licensed Registered Compact Nurse license ( RN )...volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's… more
    CenterWell (09/26/25)
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