• Utilization Management…

    CVS Health (ME)
    …No weekends or holidays. + 1+ years of utilization review/ utilization management required. + 3+ years of behavioral health clinical experience in a ... clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable… more
    CVS Health (01/16/26)
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  • Payment Integrity Clinician

    Highmark Health (Augusta, ME)
    …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... itemized bills, and claims data to assure appropriate level of payment and resource utilization . It is also used to identify issues which can be used for education… more
    Highmark Health (11/14/25)
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  • Chaplain

    Northern Light Health (Waterville, ME)
    …Collaborates with the interdisciplinary team to maximize patient care. + Resource Management - Identifies opportunities to improve utilization of resources. + ... on medical/ethical issues. The Chaplain confers and collaborates with the client's primary clinician and other members of the client care team. The Chaplain serves… more
    Northern Light Health (01/09/26)
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