Commute Time
Date Posted
Title
Job Type
Benefits
Pay
2279 Slp jobs in Maine
New, Posted 10 hours ago
Data Entry Clerk Work From Home - Part-Time Focus Group Participants ($750/Week)
Apex Focus Group
all cities, ME
$750/wk
RemoteNo Experience
Apply Directly
Travel Nurse RN - Utilization Review - $2,459 per week in Camden, ME
TravelNurseSource
Camden, ME 04843
$2,459/wk
Onsite
- Ensure that utilization review practices comply with regulatory standards, including The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and other state or federal regulations.
- Communicate with healthcare teams to discuss any discrepancies or concerns regarding the utilization of resources, care plans, or treatment goals.
- Stay current on the latest healthcare policies, clinical guidelines, and best practices for utilization management.
- Provide detailed, evidence-based rationales for medical necessity determinations and collaborate with the healthcare team to ensure compliance with UR protocols.
- Educate staff and providers on the importance of utilization review processes, medical necessity criteria, and compliance with payer requirements.
- Review patient medical records, treatment plans, and clinical data to assess the appropriateness of the care being provided and the necessity for continued hospitalization or services.
- Resolve any issues related to denied claims or requests for additional documentation to ensure that services are covered by insurance providers.
- Maintain up-to-date knowledge of healthcare regulations, coding guidelines (ICD-10, CPT), and payer-specific policies to ensure accurate documentation and compliance.
- Provide recommendations or alternative care options to improve patient outcomes and optimize resource utilization.
- Prepare reports on utilization metrics, including patterns in hospital admissions, readmissions, and discharge delays, for management and leadership review.
- Participate in continuing education and training programs related to UR, case management, or quality improvement initiatives.
- Document findings from utilization reviews in the appropriate systems and ensure accurate record-keeping for insurance purposes and quality improvement efforts.
- Assess the medical necessity of procedures, tests, and treatments to ensure they align with established guidelines and criteria, such as those from the InterQual or Milliman Care Guidelines.
- Collaborate with physicians, case managers, and other healthcare professionals to ensure that patient care plans are appropriate and cost-effective.
- Provide feedback to clinicians and healthcare teams regarding any areas for improvement in care planning or resource utilization.
- Monitor patient length of stay (LOS) to identify potential delays in discharge and ensure that patients are not staying in the hospital longer than necessary.
- Assist with audits to evaluate the efficiency and accuracy of utilization management processes, making improvements where necessary.
- Registered Nurse (RN) – Utilization Review
- Identify potential barriers to discharge and collaborate with the interdisciplinary team to address these issues and facilitate a timely discharge.
- Evaluate whether the care provided is appropriate, efficient, and meets the standards of care based on clinical evidence.
- Recommend the appropriate level of care (e.g., inpatient, outpatient, skilled nursing facility) based on clinical findings and guidelines.
- Work with case management teams to develop appropriate discharge plans, ensuring that the patient is ready for discharge and has the necessary resources and follow-up care.
- Perform retrospective and concurrent review of patient cases to determine if the level of care aligns with guidelines and if resources are being utilized efficiently.
- Work closely with insurance companies, managed care organizations, and government payers (e.g., Medicare, Medicaid) to review cases for coverage, authorization, and reimbursement.
- Submit necessary documentation and justification to insurance companies to support medical necessity determinations and secure prior authorization for treatments, procedures, or extended hospital stays.
Airport Passenger Screener - No Experience Required
tsa security
Bradley, ME 04411
No ExperienceHealth InsurancePaid Time OffRetirement Benefit
New, Posted 3 hours ago
Travel Nurse RN - Utilization Review - $2,774 per week in Falmouth, ME
Infojini Healthcare
Falmouth, ME 04105
$2,774/wk
Apply Directly
School Services - School Speech Language Pathologist - $2,112 per week
AMN Healthcare Allied
Fryeburg, ME 04037
$2,112/wk
Education AssistanceHealth InsuranceRetirement Benefit
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Part-Time Kid Transport - Choose Your Shifts, Earn $50/Trip
Copilot Careers
South Casco, ME 04077
OnsiteUrgently Hiring
- 10 years in DC, MD, PA, Minneapolis and Seattle
- Caregiving experience with children
- Must be at least 21 years old
- Own or lease a 4-door vehicle no more than 15 years old
- Clean driving record
- Three or more years of driving experience
- Valid driver's license
- Pass comprehensive multi-agency background check including fingerprinting
Mail Carrier - City - No Experience Required
Postal Job Connect
Hampden, ME 04444
$20-$29/hr
No ExperienceHealth InsurancePaid Time OffRetirement Benefit
New, Posted 6 hours ago
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Maine (remote) - Speech-language pathologist
PRESENCE
Lewiston, ME 04241
$40-$55/hr
Remote
New, Posted 1 day ago
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Entry Level Sales
Spectrum
Portland, ME 04102
$100,000/yr
Onsite
- Able to lift and transport 10-20 pounds
- Ability to listen, formulate needs based sales strategies, and articulate pitches to sell products and services
- This role requires the ability to work lawfully in the U.S. without employment-based immigration sponsorship, now or in the future.
- Engaging interpersonal skills
- Familiarity with computer operating systems and software applications as well as consumer and commercial communication devices (e.g., PDAs, smartphones, routers, modems, set-top converters, and wireless devices)
- Travel door to door for extensive periods through local communities
- Ability to read, write, speak and understand English language
- Ability to travel (including during inclement weather) to and from assigned territories and company facilities
- A passion to succeed and strong personal drive to sell to prospective customers
- Must be able to work evenings and weekends, and as business needs dictate to maximize prospective customer contact
- A valid driver's license, car insurance, a satisfactory driving record, and the use of a reliable personal vehicle
- Ability to work independently with little or no supervision
- High School Diploma or equivalent work experience
New, Posted 1 day ago
Apply Directly
Retail Sales Associate
Best Buy
Bangor, ME 04401
OnsiteFlexible ScheduleRetirement Benefit
- 3 months of experience working in retail or another fast-paced, team-oriented environment
- Ability to work a flexible schedule, including holidays, nights and weekends
What companies are hiring Slp jobs in Maine?
- Apex Focus Group
- TravelNurseSource
- tsa security
- Infojini Healthcare
- AMN Healthcare Allied
- Copilot Careers
- Postal Job Connect
- PRESENCE
- Spectrum
- Best Buy
- Apex Focus Group
- TravelNurseSource
- tsa security
- Infojini Healthcare
- AMN Healthcare Allied
- Copilot Careers
- Postal Job Connect
- PRESENCE
- Spectrum
- Best Buy
What is the hourly salary range for Slp jobs in Maine?
The hourly salary range is $20 - $55.
The hourly salary range is $20 - $55.
