Hospital Nurse III - Utilization Management

If you are a current State of Maine employee, please submit your application through the internal application process using the Find Jobs report in PRISM. Seasonal employees who do not have PRISM access should apply through the State’s career page and indicate on the application that they have previously worked for the State..Open Date: 10/22/2026

Closing Date:
November 5, 2026

Job Class Code: 4135

Grade: 22

Salary: $38.59 - $48.74 per hour
** Hourly rate is inclusive of a $10.00 per hour salary adjustment stipend and a $.60 per hour institutional stipend

This starting salary is based on education and experience. Starting salary for promotional candidates will follow contractual requirements.

Additional shift differential $3.00/hour while working 2nd shift hours

Additional shift differential $4.50/hour while working 3rd shift hours

Additional weekend differential $2.10/hour while working weekend hours

In addition, candidates may qualify for $200/month nursing student loan reimbursement.

Currently, this position is not eligible for visa sponsorship or STEM OPT extensions.

DESCRIPTION:

This is professional nursing work involving the care and treatment of hospital patients who are emotionally, mentally or physically ill. Responsibilities include applying proper nursing principles, practices, and techniques in the care and custody of patients. Supervision may be exercised over a staff of professional and paraprofessional personnel. Work is performed under limited supervision.

REPRESENTATIVE TASKS: (A position may not be assigned all the duties listed, nor do the listed examples include all the duties that may be assigned).Per CMS and accreditation, licensing and regulating bodies, revises, maintains and ensures adherence to DDPC’s Utilization Management Plan.

Ensures adherence to record review and certification/recertification.

Proactively manage inpatient utilization to ensure that medical care is appropriate, efficient, and medically necessary.

Provides adequate information to third party payors, or designated review agencies to confirm the psychiatric medical necessity of the admission and continued hospital stay.

Collaborates with providers to discuss individual cases and identifies and refers cases that do not meet established clinical criteria to the Clinical Director.

Responsible for maintenance of Utilization Management Committee membership, committee meetings and conveyance of relevant data and information to the Medical Staff leadership and appropriate individuals, disciplines or additional committees.

Provides education regarding Utilization Management.

Will also provide coverage to other disciplines such as Staff Education and Nursing Department.

Will participate in Quality and Performance Improvement initiatives and reporting in an ongoing basis.

KNOWLEDGES, SKILLS, AND ABILITIES REQUIRED : (These are required to successfully perform the work assigned).You must demonstrate a high level of critical-thinking skills that allows you to process a large amount of information, discern the overall scope of a situation, and make sound decisions based on the information, experience, and knowledge of systems and your scope of practice.

You must demonstrate good communication skills, exceptional attention to detail, and be able to articulate and employ the Mission, Vision, and Values of DDPC with our staff as well as with community providers.

This bulletin gives an overview of expectations and requirements that do not encompass all duties or expectations of this position. This position may be asked to complete special projects as well as perform work within scope of practice that is not contained herein.

MINIMUM QUALIFICATIONS:

(Entry level knowledge, skills, and/or abilities may be acquired through, BUT ARE…