• Utilization Management Nurse…

    Humana (Augusta, ME)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (09/12/25)
    - Related Jobs

  • RN, Manager, Utilization Management…

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

  • Residency Nurse

    Northern Light Health (Bangor, ME)
    …in a fiscally responsible way. * Works to promote cost containment through utilization management * Collaborate effectively with physicians and managed care ... Management Department * Manages assigned case load, assessing utilization of resources and services; identifying all patient that...of care services, to include but not limited to home health services, long-term care, skilled level of care,… more
    Northern Light Health (09/24/25)
    - Related Jobs

  • 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 ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
    Sharecare (09/13/25)
    - Related Jobs

  • Registered Nurse II

    Northern Light Health (Ellsworth, ME)
    …Collaborates with the interdisciplinary team to maximize patient care. + Resource Management - Identifies opportunities to improve utilization of resources. + ... Isle, South Portland, Home Care, Hospice Care, end of life, respite care, Home Health Aide, Skilled Nursing Position Registered Nurse IILocation Req ID 83295 more
    Northern Light Health (10/02/25)
    - Related Jobs

  • Case Manager, Registered Nurse

    CVS Health (ME)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
    - Related Jobs

  • 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 ... experience in a high volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a related field… more
    CenterWell (09/26/25)
    - Related Jobs

  • Psychiatric Nurse Practitioner

    Wellpath (Warren, ME)
    …memberships and product discounts * Preferred banking partnership and discounted rates for home and auto loans *Eligibility for perks and benefits varies based on ... of care support. **How you make a difference** The Psychiatric Nurse Practitioner(Psych NP)follows established policies and procedures and state guidelines, ensuring… more
    Wellpath (09/30/25)
    - Related Jobs

  • Consultant, Nurse Disability I

    Lincoln Financial (Augusta, ME)
    …and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management preferred skills ... **Alternate Locations:** Work from Home **Work Arrangement:** Remote : Work at ...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position… more
    Lincoln Financial (10/01/25)
    - Related Jobs

  • RN Clinical Manager

    CenterWell (Portland, ME)
    …+ Two years as a Registered Nurse with at least one-year of management experience. + Home health experience is preferred. + Management and ... : On-site **Branch Location** : **Portland, ME** **This is not a remote or work-from- home position. This position requires you to sit on-site at our Portland, ME… more
    CenterWell (09/30/25)
    - Related Jobs