Nursing Jobs in Orono, ME
$60,200 - $107,400 / year
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Responsibilities: Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization review Assessment of physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care; delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes Interviews and collects patient specified data and chart review related to readmission and appropriately notifies care team Communicates telephonically and electronically with outpatient providers in an effort to enhance the continuum of care Integrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities; practice and governmental commercial payer guidelines Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies Assumes responsibility for NL EMMC required continued education and owns professional growth Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients / caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care Drives to appropriate DRG length of stay, patient experience, and reimbursement for all patients Promotes patient advocacy in an independent care model Performs other duties as assigned or required You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in Required Qualifications: Associates degree Current, unrestricted RN license in the state of employment 3+ years of experience in a hospital, acute care or direct care setting Must be able to type and have the ability to navigate a Windows based environment Preferred Qualifications: BSN Background in managed care Case management experience ACM, CCM or other certification applicable to utilization management Experience or exposure to discharge planning Experience in utilization review, concurrent review or risk management Previous experience in a telephonic role Answer the call to use your diverse knowledge and experience to make health care work better for our patients. Join us and start doing your life's best work Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO,#RED $60,200 - $107,400 / year
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Responsibilities: Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory requirements, etc.; serves as an educational resource to all Health System staff regarding utilization review Assessment of physical, psychosocial, & economic needs for transition of care planning to a variety of levels of care; delegates to others as appropriate Documents, verifies, and validates specific data required to monitor and evaluate interventions and outcomes Interviews and collects patient specified data and chart review related to readmission and appropriately notifies care team Communicates telephonically and electronically with outpatient providers in an effort to enhance the continuum of care Integrates performance improvement principles and customer service excellence principles into all aspects of job responsibilities; practice and governmental commercial payer guidelines Adheres to the policies, procedures, rules, regulations, and laws of the hospital and all federal and state regulatory bodies Assumes responsibility for NL EMMC required continued education and owns professional growth Provides leadership in the coordination of patient-centered care across the continuum, develops a safe discharge plan through collaboration with the patients / caregivers and multidisciplinary healthcare team to arrange appropriate post discharge services and optimal transitions in care Drives to appropriate DRG length of stay, patient experience, and reimbursement for all patients Promotes patient advocacy in an independent care model Performs other duties as assigned or required You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in Required Qualifications: Associates degree Current, unrestricted RN license in the state of employment 3+ years of experience in a hospital, acute care or direct care setting Must be able to type and have the ability to navigate a Windows based environment Preferred Qualifications: BSN Background in managed care Case management experience ACM, CCM or other certification applicable to utilization management Experience or exposure to discharge planning Experience in utilization review, concurrent review or risk management Previous experience in a telephonic role Answer the call to use your diverse knowledge and experience to make health care work better for our patients. Join us and start doing your life's best work Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO,#RED 
$73,014.51 - $100,552.37 / year
Job Summary: Position Summary: The Clinical Educator is responsible for planning, developing, implementing, and evaluating educational programs for nursing staff within the hospital setting. This role supports clinical excellence, professional development, evidence-based practice, regulatory compliance, and patient safety initiatives. The Clinical Educator collaborates with clinical leadership and interdisciplinary teams to ensure staff competency and high-quality patient care . Position Responsibilities: Staff Education & Training Develop s and deliver s orientation, onboarding, and continuing education programs for nursing staff. Assess es learning needs and create s educational plans to address competency gaps. Facilitate s classroom instruction, hands-on clinical training, simulation exercises, and e-learning initiatives. Provide s education related to new equipment, technologies, policies, and clinical procedures. Includes principles of adult learning and develops content specific to target population and identified educational need . Suppor ts transition-to-practice programs for new graduate nurses. Serves as a resource to nursing students. Clinical Competency & Professional Development Evaluate s clinical competencies and maintain s competency validation records as needed . Mentor s and coach es staff to promote professional growth and clinical excellence. Promote s evidence-based nursing practice and current best practice standards. Serves as a clinical resource for employees and physicians in the management of patient care needs . Maintains own clinical competency by completing all required employee educational requirements. Quality & Patient Safety Collaborate s with nursing leadership to support quality improvement and patient safety initiatives as well as regulatory readiness activities. Examines clinical workflow and gaps in clinical process , mitigating barriers to ensure success of educational initiatives. Acts as a change agent, promoting a positive culture of adaptability, innovation, and improvement. Promotes compliance with hospital policies, accreditation standards, and regulatory requirements. Collaboration & Leadership Partner s with nursing leadership and interdisciplinary teams to support organizational goals. Serve s as a clinical resource and consultant for nursing staff. Participate s in committees, projects, and performance improvement initiatives as assigned . Assist s in the development and revision of nursing policies, procedures, and clinical guidelines as assigned . Program Evaluation & Documentation Track s and evaluate s the effectiveness of educational programs and learning outcomes . Maintain s accurate education records and reports. Utilize s feedback from leadership and staff , data analysis, and quality metrics to improve training programs . Professional Responsibilities Sets priorities and handle multiple projects simultaneously under deadlines. Builds cooperative, effective working relationships with colleagues at all levels. W ork s independently and takes initiative. Identifies and communicates needs and barriers utilizing the chain of command in a timely manner. Willingness to work off-shifts and weekends hours and take on projects or re-prioritize with short notice . Proactively anticipates, recognizes and responds to organizational and staff needs. Core Values Demonstrates intrinsic behaviors reflective of St. Joseph Hospital/Covenant core values. Consistently shows care and compassion for patients, team members, and employees. Demonstrates behaviors of self-care and work-life balance. Models cultural sensitivity and non-judgmental, trauma informed, inclusive communication. Commitment to Patient Safety and Quality Understands and adheres to the hospital’s patient safety policies and procedures relevant to their role. Actively contributes to a culture of safety by identifying risks and reporting safety concerns . Demonstrates accountability for safety-related performance expectations . Communicates effectively to escalate concerns, support transparency, and promote teamwork across disciplines. Qualifications Education: Four year college (Bachelor’s Degree) Required Graduate (Master’s Degree, JD or Ph.D.) Preferred Licensure(s): Active State of Maine RN License Certification(s): BLS within 30 days of hire; ACLS encouraged Covenant Health Mission Statement We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. Our Core Values: •Compassion We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering. •Integrity We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources. •Collaboration We work in partnership, dialogue and shared purpose to create healthy communities. •Excellence We deliver all services with the highest level of quality, while seeking creative innovation. Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history). Comp Range: $73,014.51 - $100,552.37 Rate of pay displayed reflects the beginning of the pay scale. At the time of an offer, determination of your offer will reflect your skills and experience as it relates to the position. Our people make the difference. See firsthand what makes our employees and culture shine! 
