Utilization Review Registered Nurse (rn) - 40 Hrs/wk, Days
Mainegeneral
Augusta, ME, US
Medical necessity review
Patient care coordination
Claims reimbursement compliance
MaineGeneral Health is seeking an experienced Utilization Review Registered Nurse (RN) to join our collaborative team
Job Summary
MaineGeneral Health is seeking an experienced Utilization Review Registered Nurse (RN) to join our collaborative team.
This role involves reviewing admissions and service requests for medical necessity and compliance, assisting multidisciplinary teams, and coordinating discharge planning to optimize patient care and resource utilization.
Employees benefit from a supportive work environment with comprehensive wellness programs, competitive benefits including health insurance, retirement plans, tuition reimbursement, and career development opportunities.
Matching Summary
MaineGeneral Health is seeking an experienced Utilization Review Registered Nurse (RN) to join our collaborative team.
Skills & Requirements
Must-have
Medical necessity review
Patient care coordination
Claims reimbursement compliance
Discharge planning collaboration
Interdisciplinary team communication
Nice-to-have
Critical thinking skills
Organizational skills
Independent work capability
Service excellence focus
Flexible weekday schedule
Key Requirements
Active State of Maine RN license
Experience in Utilization Review or Case Management