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Benefits: MDI Hospital and Birch Bay Retirement Village offer a competitive salary, robust medical/dental/vision/life insurance, identity theft protection program, matching retirement plan, ample paid time off, a comprehensive award winning wellness program with reimbursement incentives, generous tuition reimbursement, and continuing education benefits. The Nurse Graduate will begin an orientation program (didactic and clinical) in a structured setting with a defined educational program for the orientation of new graduates under the continuous, on-site supervision of a registered professional nurse.

HOUR

Mount Desert Island Hospital

New Grad Nurse, MedSurg, ICU

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Maintains current knowledge of resources available within the community, and maintains supply of resource materials to be distributed to patients when and how obtain other resources as needed. Utilization review procedures include those stated for discharge planning in addition to knowledge of criteria for Medicare, Medicaid coverage and that of HMO or private insurers.

US HealthCare Careers

Registered Nurse Case Manager

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This is an excellent opportunity for an RN with long-term care experience who enjoys working independently, managing details, and collaborating with an interdisciplinary team to ensure residents receive the care and services they need. As an MDS Coordinator, you will play an important role in the Minimum Data Set (MDS) assessment process, ensuring assessments are accurate, complete, timely, and supported by appropriate documentation.

Maine Veterans Home

MDS Coordinator - RN (Per Diem)

Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.

CenterWell

Home Health Clinical Manager

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Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.

YEAR

Humana Inc

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Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Encompass Health Rehabilitation Hospital of Bangor

Case Manager

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FULL_TIME

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. *********Minimum Requirements: - High School Degree and 2+ years clinical experience required; Associate's Degree preferred or equivalent combination of education or experience.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Review Lead Coordinator, LPN/RN

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Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp.

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp

About Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.

Pharmacy Careers

Remote Clinical Review Pharmacist

Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission for Case Manager Certification (CCM); Association of Rehabilitation Nurses (ARN) certification, American Case Management Association (ACM) or Board Certification in CM by the ANCC e.g.

Lifepoint Rehabilitation

Case Manager (CM)

Northern Light Eastern Maine Medical Center Department: Nursing and Clinical Education Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 36.00 Work Schedule: 7:00 AM to 4:30 PM Salary Range: $39.51 - $61.04 Exempt: Yes Summary: The Clinical Professional Development Practitioner is responsible for enhancing professional practice and the provision of quality patient care by providing evidence-based, quality educational programs and activities with promote professional competency for nursing, inter-professional and non-licensed clinical staff at assigned facility. Supports strategic planning within the Clinical Professional Development areas of responsibility (that may include technology advancements) by embracing meaningful change, identifying and addressing barriers to change, assisting in the development, resource utilization and implementation of change strategies by educating/supporting staff, and monitoring sustainability of the change.

Northern Light Health

Clinical Prof Dev Practitioner - Nursing and Clinical Education

Northern Light Eastern Maine Medical Center Department: Nursing and Clinical Education Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 36.00 Work Schedule: 7:00 AM to 4:30 PM Salary Range: $43.46 - $67.15 Exempt: Yes Summary: The Clinical Professional Development Specialist is responsible for enhancing professional practice and the provision of quality patient care by providing evidence-based, quality educational programs and activities with promote professional competency for nursing, inter-professional and non-licensed clinical staff at assigned facility. Supports strategic planning within the clinical education areas of responsibility (that may include technology advancements) by embracing meaningful change, identifying and addressing barriers to change, assists in the development, resource utilization and implementation of change strategies by educating/supporting staff, and monitors sustainability of the change.

Clinical Prof Dev Specialist - Nursing and Clinical Education

They are also responsible for complex communication and problem-solving to maintain positive working relationships with various healthcare agency contacts and for identifying at-risk students, implementing remedial services, and tracking student progress through the nursing program. Maine''s diverse landscapes, from accessible wilderness and rugged coastline to urban centers and rural communities, offer numerous cultural activities, strong public schools, safe neighborhoods, and high-quality healthcare.

University of Southern Maine

Clinical Placement & Testing Coordinator

The ideal candidate will have strong hands-on experience in Cath Lab and/or EP operations, with expertise in optimizing clinical workflows, scheduling, staffing models, resource utilization, capacity management, patient throughput, and procedural efficiency. We are seeking an experienced Cath Lab / Electrophysiology (EP) Operations Subject Matter Expert (SME) to support operational excellence and performance improvement initiatives across Cath Lab and EP services.

ClinDCast LLC

Cath Lab Subject Matter Expert

Northern Light Eastern Maine Medical Center Department: Ultrasound Position is located: Northern Light Eastern Maine Medical Center Work Type: Full Time Hours Per Week: 40.00 Work Schedule: Variable Salary Range: $37.00 - $55.13 Exempt: No Summary: The Imaging Supervisor works closely with the Imaging Clinical Operations Manager and acts as a liaison between staff, physicians, nurses, and support staff in order to maintain smooth operations of the department. Build strong working relationships with clinical leaders, department managers, and system-wide stakeholders Operational Oversight Ensure delivery of high-quality diagnostic ultrasound examinations in accordance with departmental protocols and best practices.

Supv- Imaging

JOB SUMMARY: Responsible for providing Social Work services and Discharge Planning to patients and their families of Northern Maine Medical Center, in addition to some case management of chronic conditions in the primary care setting. ESSENTIAL FUNCTIONS: Responsible for performing psychosocial assessments on patients to determine social service and discharge planning needs and completes all associate paperwork timely and accurately.

Northern Maine Medical Center

Social Worker

Remote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.

Appeals Pharmacist (Remote)

As a result, there is a growing demand for a range of patient-centric services, including personalized care that is tailored to each individual's unique needs, health equity that ensures access to care for all, price transparency to make healthcare more affordable, streamlined prior authorizations for medications, the availability of therapeutic alternatives, health literacy to promote informed decision-making, reduced costs, and many other initiatives designed to improve the patient experience. Our suite of services is designed to cater to a broad range of needs of healthcare organizations, including healthcare IT innovation, electronic health record (EHR) implementation & optimizations, data conversion, regulatory and quality reporting, enterprise data analytics, FHIR interoperability strategy, payer-to-payer data exchange, and application programming interface (API) strategy.

ClinDCast

Olympus Corporation of the Americas, a wholly owned subsidiary of Olympus Corporation, is headquartered in Center Valley, Pennsylvania, USA, and employs more than 5,200 employees throughout locations in North and South America. The EndoTherapy Territory Manager (ETM) will be responsible for exceeding revenue goals by clinically selling Olympus EndoTherapy Devices to the Gastroenterology Community.

Utilization Management Nurse Jobs in Maine

New Grad Nurse, MedSurg, ICU Mount Desert Island Hospital

Registered Nurse Case Manager US HealthCare Careers

MDS Coordinator - RN (Per Diem) Maine Veterans Home

Home Health Clinical Manager CenterWell

Home Health Clinical Manager Humana Inc

Case Manager Encompass Health Rehabilitation Hospital of Bangor

Clinical Review Lead Coordinator, LPN/RN Maximus

Case Manager Encompass Health Corp.

Case Manager Encompass Health Corp

Remote Clinical Review Pharmacist Pharmacy Careers

Case Manager (CM) Lifepoint Rehabilitation

Clinical Prof Dev Practitioner - Nursing and Clinical Education Northern Light Health

Clinical Prof Dev Specialist - Nursing and Clinical Education Northern Light Health

Clinical Placement & Testing Coordinator University of Southern Maine

Cath Lab Subject Matter Expert ClinDCast LLC

Supv- Imaging Northern Light Health

Social Worker Northern Maine Medical Center

Appeals Pharmacist (Remote) Pharmacy Careers

Cath Lab Subject Matter Expert ClinDCast

Territory Manager, EndoTherapy-Portland, ME Olympus Corp

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