- Martin's Point Health Care (Portland, ME)
- …certified as a "Great Place to Work" since 2015. Position Summary Job Description The Utilization Review Nurse works as is responsible for ensuring the ... reviews for retrospective authorization requests as well as claims disputes.The Utilization Review Nurse will use appropriate governmental policies as well… more
- Northern Light Health (Bangor, ME)
- …health care delivery to achieve optimal quality and financial outcomes. * Provides ongoing utilization review of primary care patients. Review for over ... Practice Case Management Department * Manages assigned case load, assessing utilization of resources and services; identifying all patient that require additional… more
- Evolent (Augusta, ME)
- …adjudication of processed appeals. **What You Bring:** + 1-3 years' experience in clinical Appeals Review or Utilization Management Review as an LPN or LVN ... the mission. Stay for the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a meaningful impact as part of… more
- Northern Light Health (Pittsfield, ME)
- …Support Svcs Work Type: Full Time Hours Per Week: 32.00 Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible ... according to the Rules and Regulations defined in the State of Maine Nurse Practice Act Northern Light Health Standards of Care/Practice, policies and procedures.… more
- Northern Light Health (Pittsfield, ME)
- …Type: Full Time Work Schedule: 8:00 AM to 4:30 PM Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible for ... according to the Rules and Regulations defined in the State of Maine Nurse Practice Act Northern Light Health Standards of Care/Practice, policies and procedures.… more
- Northern Light Health (South Portland, ME)
- …palliative care experience. Our Portland region has a great position for a registered nurse wanting to make a positive difference in someone's life! You would be ... Hospice for at least 90 days (first time rehire only) Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible for… more
- Northern Light Health (Pittsfield, ME)
- …(minus tax) sign on bonus that is paid out incrementally. Summary:The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible ... according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures.… more
- Northern Light Health (South Portland, ME)
- …completion of probationary period and signed promissory note. Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is ... according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures.… more
- Northern Light Health (Pittsfield, ME)
- …(minus tax) sign on bonus that is paid out incrementally. Summary: The Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible ... Rules and Regulations defined in the State of Maine Nurse Practice Act Northern Light Health Standards of Care/Practice,...+ Resource Management + + Identifies opportunities to improve utilization of resources. + Professional Development + + Takes… more
- Northern Light Health (Blue Hill, ME)
- …PRN Hours Per Week: No Hours Assigned Work Schedule: Variable Summary: Registered Nurse II is a fully competent practitioner of nursing. The incumbent is responsible ... according to the Rules and Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies, and procedures.… more