We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Medical-Surgical nurses provide direct care to adult patients in a variety of settings and is the largest group of nurses. They provide care for patients often with multiple diagnoses, across multiple medical specialties. Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. Equal Opportunity Employer Requirements: Minimum of 1 year of current work experience providing in M/S - MEDICAL SURGICAL. Maine State Healthcare Provider license or willing to obtain one. Certifications Needed: This position may require one or more of these certifications: BLS BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who'd like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.<img src="https://www.jobg8.com/Tracking.aspx?BvI8EKHZMpjy7qJqS3vd9wc" width="0" height="0" />

**Medical-Surgical Nurse**

We are OneStaff Medical, an independently-owned, nationally-recognized staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help.

**Job Description**

- Medical-Surgical nurses provide direct care to adult patients in a variety of settings and is the largest group of nurses.
- They provide care for patients often with multiple diagnoses, across multiple medical specialties.
- Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment.
- Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc.

**Requirements**

- Minimum of 1 year of current work experience providing in M/S - Medical Surgical.
- Maine State Healthcare Provider license or willing to obtain one.

**Certifications Needed**

- This position may require one or more of these certifications: BLS.

**Benefits**

- We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection.
- You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute.
- Free Employee Assistance Program available to all employees who'd like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.

Travel Registered Nurse RN Medical Surgical

We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help. THE POSITION: Skilled Nurses work with complex wound dressings, rehabilitation, tube feedings or rapidly changing health status. A number of patients may have a health status that changes quickly. Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details. Equal Opportunity Employer Requirements: Minimum of 1 year of current work experience providing in Skilled Nursing. Maine State Healthcare Provider license or willing to obtain one. Certifications Needed: This position may require one or more of these certifications: BLS BENEFITS: Insurance We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection. 401K You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute. Employee Assistance Program Free to all employees who'd like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.<img src="https://www.jobg8.com/Tracking.aspx?59dS%2b47%2blS4hJaYuxSi3mgg" width="0" height="0" />

**Skilled Nurse**

We are OneStaff Medical, an independently-owned, nationally-recognized staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold. Enjoy work again. Let us help.

**Job Description**

- Skilled Nurses work with complex wound dressings, rehabilitation, tube feedings, or rapidly changing health status. A number of patients may have a health status that changes quickly.

Weekly amount stated in the job postings is scaled based on estimated hourly wages and potential stipends available for the location of the assignment. Hourly wages are based on various factors including but not limited to: experience, demand, availability, location, etc. Please contact one of our amazing OneStaff Recruiting Specialists for more details.

**Requirements**

- Minimum of 1 year of current work experience providing in Skilled Nursing.
- Maine State Healthcare Provider license or willing to obtain one.

**Certifications Needed**

- This position may require one or more of these certifications: BLS.

**Benefits**

- We provide group benefits for Health, Dental, Vision, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, and Identity Theft Protection.
- You are eligible to enroll 1st of the month following hire date. We match 100% of your first 3% of deferrals and an additional 50% of the next 2% you contribute.
- Free Employee Assistance Program for all employees who'd like information on personal issues: Education, Dependent Care, Care Giving, Legal, Financial, Lifestyle & Fitness Management, Working Smarter.

Travel Registered Nurse RN Skilled Nursing

Portland, Maine: A respected physician-owned and physician-led multi-specialty group seeks two skilled Endocrinologists to help launch a new specialty service at their flagship Portland location. This practice has 100 physicians serving more than 90,000 patients across southern Maine with a focus on patient-centered care.These outpatient positions offer meaningful work, a collaborative practice environment, and a prime setting in one of New Englands most desirable coastal cities. Join One of the Best Places to Work in Maine for several years running. New fellowship graduates and experienced endocrinologists are both welcomed by this Equal Opportunity Employer.You will help manage a broad range of endocrine disorders including diabetes, thyroid disease, osteoporosis, and adrenal/pituitary conditions with access to modern diagnostic tools such as thyroid ultrasound, fine needle aspiration, insulin pumps, and CGM. The group supports innovation, quality improvement projects, and optional inpatient teaching, with a strong emphasis on physician input and satisfaction. Physicians here enjoy modern facilities, an AI-enhanced EMR, a collegial workplace culture, and the opportunity to grow into a shareholder role.As the practice launches this new specialty, you will have the opportunity to help shape the future of Endocrinology, supported by a collaborative multispecialty team. You will have a convenient full-time schedule (40 hours) with Wednesdays reserved for administrative duties. This integrated practice model includes on-site collaboration with the practices many primary care physicians along with specialists in cardiology, dermatology, neurology, ENT, OB/GYN, pain management, and more, to provide inclusive care for their shared patients.You will earn a very competitive salary plus a starting bonus, and more bonuses based on productivity and quality. Benefits include relocation assistance, health and dental insurance, expense allocations, paid time off for vacations and your CME (with an expense budget), participation in a 401k plan with employer matching, profit sharing, and more. A partnership track is available. Details will be shared with qualified candidates.Maine is the State for Best Quality of Life and the Safest State in the US. Known as Vacationland, Maine offers endless outdoor recreation with fantastic four-season options including hiking, biking, golf, boating, skiing, beaches, lakes, and much more.Portland is the Most Livable City in the US, offering a rare blend of coastal beauty and urban energy. The historic Old Port features cobblestone streets, galleries, shops, clubs, and award-winning restaurants. Enjoy scenic harborside dining, numerous galleries and museums, live theater, an acclaimed symphony, and more. With an international airport, ferry service to the Casco Bay islands, excellent public schools, and easy access to beaches, trails, and ski mountains, this is a community that truly has it all. Boston is just two hours away by car or train.Explore this exciting new opportunity and discover what makes coastal Maine such a special place to live and practice.Position Highlights:Portland: Most Livable City in the US Paid relocation to beautiful MaineCoastal city with rich culture, walkable neighborhoods, high quality of lifeRespected physician-owned, physician-led groupHelp launch a new endocrinology service - shape the programOutpatient-focused, full-time (40 hrs) with Wednesday admin day Competitive salary with quality and productivity bonusesStarting bonusLiability, health, and dental insuranceGenerous paid time off (vacations, holidays, sick leave)Paid leave plus a budget for your CMERetirement plan with employer matchingProfit sharingPartnership potential<img src="https://www.jobg8.com/Tracking.aspx?N1lUig9PO6Vwk1atTTYwuAa" width="0" height="0" />

**Endocrinologist**

Portland, Maine: A respected physician-owned and physician-led multi-specialty group seeks two skilled Endocrinologists to help launch a new specialty service at their flagship Portland location. This practice has 100 physicians serving more than 90,000 patients across southern Maine with a focus on patient-centered care. These outpatient positions offer meaningful work, a collaborative practice environment, and a prime setting in one of New England's most desirable coastal cities. Join one of the best places to work in Maine for several years running. New fellowship graduates and experienced endocrinologists are both welcomed by this Equal Opportunity Employer.

You will help manage a broad range of endocrine disorders including diabetes, thyroid disease, osteoporosis, and adrenal/pituitary conditions with access to modern diagnostic tools such as thyroid ultrasound, fine needle aspiration, insulin pumps, and CGM. The group supports innovation, quality improvement projects, and optional inpatient teaching, with a strong emphasis on physician input and satisfaction. Physicians here enjoy modern facilities, an AI-enhanced EMR, a collegial workplace culture, and the opportunity to grow into a shareholder role.

As the practice launches this new specialty, you will have the opportunity to help shape the future of Endocrinology, supported by a collaborative multispecialty team. You will have a convenient full-time schedule (40 hours) with Wednesdays reserved for administrative duties. This integrated practice model includes on-site collaboration with the practice's many primary care physicians along with specialists in cardiology, dermatology, neurology, ENT, OB/GYN, pain management, and more, to provide inclusive care for their shared patients.

You will earn a very competitive salary plus a starting bonus, and more bonuses based on productivity and quality. Benefits include relocation assistance, health and dental insurance, expense allocations, paid time off for vacations and your CME (with an expense budget), participation in a 401k plan with employer matching, profit sharing, and more. A partnership track is available. Details will be shared with qualified candidates.

**Job Description**

- Help launch a new endocrinology service and shape the program
- Manage a broad range of endocrine disorders including diabetes, thyroid disease, osteoporosis, and adrenal/pituitary conditions
- Collaborate with primary care physicians and specialists to provide inclusive care
- Enjoy a convenient full-time schedule (40 hours) with Wednesdays reserved for administrative duties

**Benefits**

- Competitive salary with quality and productivity bonuses
- Starting bonus
- Liability, health, and dental insurance
- Generous paid time off (vacations, holidays, sick leave)
- Paid leave plus a budget for your CME
- Retirement plan with employer matching
- Profit sharing
- Partnership potential

**Community Overview**

Maine is known as the state for best quality of life and the safest state in the US. Known as Vacationland, Maine offers endless outdoor recreation with fantastic four-season options including hiking, biking, golf, boating, skiing, beaches, lakes, and much more. Portland is the most livable city in the US, offering a rare blend of coastal beauty and urban energy. The historic Old Port features cobblestone streets, galleries, shops, clubs, and award-winning restaurants. Enjoy scenic harborside dining, numerous galleries and museums, live theater, an acclaimed symphony, and more. With an international airport, ferry service to the Casco Bay islands, excellent public schools, and easy access to beaches, trails, and ski mountains, this is a community that truly has it all. Boston is just two hours away by car or train.

Physician / Endocrinology / Maine / Permanent / Portland: ENDOCRINOLOGISTS invited to join respected physician-owned group outpatient-focused, partnership track Job

Position: Gastroenterologist Location: Bangor, MN Duration: Permanent Position MPLT Healthcare is looking for physicians who Understand the Urgency, Never Give Up, and Have the Courage to Excel in the forever changing medical industry! We currently have a unique opportunity for an experienced Gastroenterologist w ith highly competitive pay rates available in Bangor, MN . Position Details: <ul> <li> General GI, It is a one provider practice. </li> <li> Work schedule: Monday - Friday </li> <li> NO CALL </li></ul> Position Benefits: <ul> <li> Inquire Within </li></ul> About MPLT Healthcare MPLT Healthcare specializes in placing well-qualified physicians and advanced practice clinicians in locum, locum-to-perm and direct hire staff and leadership positions while making this process as seamless as possible for our clinicians and client facilities. Don t delay, apply today! <img src="https://www.jobg8.com/Tracking.aspx?hCTQku8x9FpzDY25Makolgl" width="0" height="0" />

**Gastroenterologist**

MPLT Healthcare is looking for physicians who understand the urgency, never give up, and have the courage to excel in the forever changing medical industry! We currently have a unique opportunity for an experienced Gastroenterologist with highly competitive pay rates available in Bangor, MN.

**Job Description**

- General GI, it is a one provider practice.
- Work schedule: Monday - Friday
- No call

**Benefits**

- Inquire within

**About MPLT Healthcare**

MPLT Healthcare specializes in placing well-qualified physicians and advanced practice clinicians in locum, locum-to-perm, and direct hire staff and leadership positions while making this process as seamless as possible for our clinicians and client facilities.

Physician / Gastroenterology / Maine / Permanent / Gastroenterologist - Perm - Bangor, MN Job

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?P4r9biPHJLtP7yeeAMpC%2bwd" width="0" height="0" />

**Outpatient RN CAP 1**

The professional registered nurse Outpatient RN CAP 1 is an entry-level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

**Job Description**

- Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
- Perform ongoing, systematic collection and analysis of patient data pre-during-post hemodialysis treatment for assigned patients and document in the patient medical record, making adjustments or modifications to treatment plans as indicated and notifying Team Leader, Charge Nurse, Supervisor, or Physician as needed.
- Assess, collaborate, and document patient/family's basic learning needs to provide initial and ongoing education to patients and family.
- Direct and provide, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administer medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
- Initiate or assist with emergency response measures.
- Serve as a resource for the health care team, participate in staff training and orientation of new staff as assigned.
- Ensure correct laboratory collection, processing, and shipping procedures are performed and reschedule missed or insufficient laboratory collections.
- Identify expected outcomes, document and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensure patient awareness related to transplant and treatment modality options.
- Complete CAP requirements to advance.
- Perform all other duties as assigned by Supervisor.

**Physical Demands and Working Conditions**

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.

This position requires frequent, prolonged periods of standing, and the employee must be able to bend over.

The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.

The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.

May be exposed to infectious and contagious diseases/materials.

Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.

The position may require travel to training sites or other facilities.

May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

**Supervision**

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following:

- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

**Education and Licensure**

- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.

**Experience and Required Skills**

- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).

Outpatient Registered Nurse - RN

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?oEy%2fF1rCtL2qNM5F3DZdCAw" width="0" height="0" />

**Outpatient RN CAP 1**

The professional registered nurse Outpatient RN CAP 1 is an entry-level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

**Job Description**

- Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
- Perform ongoing, systematic collection and analysis of patient data pre-during-post hemodialysis treatment for assigned patients and document in the patient medical record, making adjustments or modifications to treatment plans as indicated and notifying Team Leader, Charge Nurse, Supervisor, or Physician as needed.
- Assess, collaborate, and document patient/family's basic learning needs to provide initial and ongoing education to patients and family.
- Direct and provide, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administer medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
- Initiate or assist with emergency response measures.
- Serve as a resource for the health care team, participate in staff training and orientation of new staff as assigned.
- Ensure correct laboratory collection, processing, and shipping procedures are performed and reschedule missed or insufficient laboratory collections.
- Identify expected outcomes, document and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensure patient awareness related to transplant and treatment modality options.
- Complete CAP requirements to advance.
- Perform all other duties as assigned by Supervisor.

**Physical Demands and Working Conditions**

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

- The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing, and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

**Supervision**

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following:

- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

**Education and Licensure**

- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.

**Experience and Required Skills**

- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?oBTqt8adZGKx2WmnSaSTvwx" width="0" height="0" />

PURPOSE AND SCOPE:The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.PRINCIPAL DUTIES AND RESPONSIBILITIES:All duties and responsibilities are expected to be performed in accordance with Fresenius Kidney Care policy, procedures, standards of nursing practice, state and federal regulations. Performs all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. Performs ongoing, systematic collection and analysis of patient data pre - during - post hemodialysis treatment for assigned patients and documents in the patient medical record, makes adjustments or modifications to treatment plan as indicated and notifies Team Leader, Charge Nurse, Supervisor or Physician as needed. Assesses, collaborates, and documents patient/family's basic learning needs to provide initial and ongoing education to patients and family. Directs and provides, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification and effectiveness. Initiates or assists with emergency response measures. Serves as a resource for health care team, participates in staff training and orientation of new staff as assigned. Ensures correct laboratory collection, processing and shipping procedures are performed and reschedules missed or insufficient laboratory collections. Identifies expected outcomes, documents and updates the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team. Ensures patient awareness related to transplant and treatment modality options. Required to complete CAP requirements to advance. Performs all other duties as assigned by Supervisor.PHYSICAL DEMANDS AND WORKING CONDITIONS:The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting, moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Day to day work includes desk work, computer work, interaction with patients, facility/hospital staff and physicians. The position may require travel to training sites or other facilities. May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.SUPERVISION:Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge, after meeting all the following: Successful completion of all FKC education and training requirements for new employees. Must have a minimum of 9 months experience as a RN. Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.EDUCATION and LICENSURE: Graduate of an accredited School of Nursing. Current appropriate state licensure. Current or successful completion of CPR BLS Certification. Must meet the practice requirements in the state in which he or she is employed.EXPERIENCE AND REQUIRED SKILLS: Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse. Chronic/acute hemodialysis experience (preferred). Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. EOE, disability/veterans<img src="https://www.jobg8.com/Tracking.aspx?BvI8EKHZMpjTwg1uQVyDzQc" width="0" height="0" />

**Outpatient RN CAP 1**

The professional registered nurse Outpatient RN CAP 1 is an entry-level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, intervention, and evaluation for an assigned group of patients. This may include delegation of appropriate tasks to direct patient care staff including but not limited to RNs, LVN/LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease (ESKD) health care team, this position participates in decision-making, teaching, leadership functions, and quality improvement activities that enhance patient care outcomes and facility operations.

**Job Description**

- Perform all essential functions under the direction of the Supervisor and with guidance from the Clinical Educator, Preceptor, or in collaboration with other Registered Nurses.
- Perform ongoing, systematic collection and analysis of patient data pre-during-post hemodialysis treatment for assigned patients and document in the patient medical record, making adjustments or modifications to treatment plan as indicated and notifying Team Leader, Charge Nurse, Supervisor, or Physician as needed.
- Assess, collaborate, and document patient/family's basic learning needs to provide initial and ongoing education to patients and family.
- Direct and provide, in collaboration with direct and ancillary patient care staff, all aspects of the daily provision of safe and effective delivery of hemodialysis therapy to assigned patients.
- Administer medications as prescribed or in accordance with approved algorithm(s), and document appropriate medical justification and effectiveness.
- Initiate or assist with emergency response measures.
- Serve as a resource for the health care team, participating in staff training and orientation of new staff as assigned.
- Ensure correct laboratory collection, processing, and shipping procedures are performed and reschedule missed or insufficient laboratory collections.
- Identify expected outcomes, document and update the nursing assessment and plan of care for assigned patients through collaboration with the Interdisciplinary Team.
- Ensure patient awareness related to transplant and treatment modality options.
- Complete CAP requirements to advance.
- Perform all other duties as assigned by Supervisor.

**Physical Demands and Working Conditions**

The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

- The position provides direct patient care that regularly involves heavy lifting, moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance.
- This position requires frequent, prolonged periods of standing, and the employee must be able to bend over.
- The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. as high as 5 feet.
- The work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
- May be exposed to infectious and contagious diseases/materials.
- Day-to-day work includes desk work, computer work, interaction with patients, facility/hospital staff, and physicians.
- The position may require travel to training sites or other facilities.
- May be asked to provide essential functions of this position in other locations with the same physical demands and working conditions as described above.

**Supervision**

Assigned oversight of Patient Care Technicians/LPNs/LVNs/RNs as a Team Leader or designated Nurse in Charge after meeting all the following:

- Successful completion of all FKC education and training requirements for new employees.
- Must have a minimum of 9 months experience as a RN.
- Must have a minimum of 3 months experience in chronic/acute hemodialysis as a RN.

**Education and Licensure**

- Graduate of an accredited School of Nursing.
- Current appropriate state licensure.
- Current or successful completion of CPR BLS Certification.
- Must meet the practice requirements in the state in which he or she is employed.

**Experience and Required Skills**

- Entry level for RNs with less than 2 years of Nephrology Nursing experience as a Registered Nurse.
- Chronic/acute hemodialysis experience (preferred).

OptometristOptometrist needed in Houlton, ME.Titan Placement Group invites you to explore this opportunity in Houlton, ME. This position is with a very progressive, well-run, and financially stable Federally Qualified Health Center.Salary and Benefits<ul><li>The pay for this position is $140,000 - $170,000 (based on years of experience)</li><li>Fiscal year bonus based on productivity</li><li>Health Insurance Employers Pays: (1st day of the month following 60 days)</li><ul><li>100% for Employee</li><li>80% for Family Plan</li></ul><li>Dental Insurance / Vision Insurance</li><li>Dental benefit at dental center for employee and family with no premiums</li><li>Life Insurance at 2x annual salary</li><li>Retirement Package 401(K) with 3% Match (After one year of employment)</li><li>Student loan repayment through the NHSC</li><li>120 hours of paid vacation in first year and 160 hours each year after</li><li>Additional accrued PTO up to 88 hours each year</li><li>10 paid holidays</li><li>CME Time Off 1 week of time toward and $2,500 annually</li><li>Professional liability insurance through FTCA at no cost to employee</li><li>Relocation Assistance Available</li></ul>Responsibilities<ul><li>4 Day Work Week 100% Outpatient</li><li> Patients of All Ages Per Day</li><li>Appropriate clinical documentation through their Athena EMR</li><li>Perform vision tests, analyze results and develop a treatment plan.</li><li>Examine eyes using observation, instruments and pharmaceutical agents, to determine visual acuity and perception, focus and coordination and to diagnose diseases and other abnormalities such as glaucoma or color blindness.</li><li>Prescribe eyeglasses, contact lenses, and medications.</li><li>Prescribe therapeutic procedures to correct or conserve vision.</li><li>Provide pre and postoperative care to patients undergoing eye surgery, for example, examining a patient s eyes the day after surgery.</li><li>Work closed with primary care providers in the provision of team delivery of healthcare.</li><li>Maintain accurate, timely and quality health records.</li><li>Participate in all quality measures as required.</li></ul>Requirements<ul><li>New Graduates Welcome</li><li>Clear and Active Medical Doctor License in the State of Maine</li><li>Board Certified or Board Eligible in Optometry</li><li>Active DEA</li></ul>About UsTitan Placement Group is a permanent placement healthcare recruiting firm that is bridging the gap between healthcare companies and high-quality candidates. We do that by utilizing our core values of communication, collaboration, and accountability. Titan Placement Group is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female candidates to apply.If interested, please apply, or email your resume to We can always be reached by phone at .<img src="https://www.jobg8.com/Tracking.aspx?Ob9pZU%2bgDtPnX5%2ba4KIhkwv" width="0" height="0" />

**Optometrist**

Optometrist needed in Houlton, ME. Titan Placement Group invites you to explore this opportunity in Houlton, ME. This position is with a very progressive, well-run, and financially stable Federally Qualified Health Center.

**Job Description**

- 4 Day Work Week 100% Outpatient
- Patients of all ages per day
- Appropriate clinical documentation through their Athena EMR
- Perform vision tests, analyze results and develop a treatment plan
- Examine eyes using observation, instruments and pharmaceutical agents, to determine visual acuity and perception, focus and coordination and to diagnose diseases and other abnormalities such as glaucoma or color blindness
- Prescribe eyeglasses, contact lenses, and medications
- Prescribe therapeutic procedures to correct or conserve vision
- Provide pre and postoperative care to patients undergoing eye surgery, for example, examining a patient's eyes the day after surgery
- Work closely with primary care providers in the provision of team delivery of healthcare
- Maintain accurate, timely and quality health records
- Participate in all quality measures as required

**Requirements**

- New graduates welcome
- Clear and active medical doctor license in the State of Maine
- Board certified or board eligible in optometry
- Active DEA

**Benefits**

- The pay for this position is $140,000 - $170,000 (based on years of experience)
- Fiscal year bonus based on productivity
- Health insurance employers pays: (1st day of the month following 60 days)
  - 100% for employee
  - 80% for family plan
- Dental insurance / vision insurance
- Dental benefit at dental center for employee and family with no premiums
- Life insurance at 2x annual salary
- Retirement package 401(K) with 3% match (after one year of employment)
- Student loan repayment through the NHSC
- 120 hours of paid vacation in first year and 160 hours each year after
- Additional accrued PTO up to 88 hours each year
- 10 paid holidays
- CME time off 1 week of time toward and $2,500 annually
- Professional liability insurance through FTCA at no cost to employee
- Relocation assistance available

**About Us**

Titan Placement Group is a permanent placement healthcare recruiting firm that is bridging the gap between healthcare companies and high-quality candidates. We do that by utilizing our core values of communication, collaboration, and accountability. Titan Placement Group is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female candidates to apply.

Optometrist

OptometristOptometrist needed in Lincoln, ME.Titan Placement Group invites you to explore this opportunity in Lincoln, ME. This position is with a very progressive, well-run, and financially stable Federally Qualified Health Center.Salary and Benefits<ul><li>The pay for this position is Negotiable Based on years of experience</li><li>Fiscal year bonus based on productivity</li><li>Health Insurance Employers Pays: (1st day of the month following 60 days)</li><ul><li>100% for Employee</li><li>80% for Family Plan</li></ul><li>Dental Insurance / Vision Insurance</li><li>Dental benefit at dental center for employee and family with no premiums</li><li>Life Insurance at 2x annual salary</li><li>Retirement Package 401(K) with 3% Match (After one year of employment)</li><li>Student loan repayment through the NHSC</li><li>120 hours of paid vacation in first year and 160 hours each year after</li><li>Additional accrued PTO up to 88 hours each year</li><li>10 paid holidays</li><li>CME Time Off 1 week of time toward and $2,500 annually</li><li>Professional liability insurance through FTCA at no cost to employee</li><li>Relocation Assistance Available</li></ul>Responsibilities<ul><li>4 Day Work Week 100% Outpatient</li><li> Patients of All Ages Per Day</li><li>Appropriate clinical documentation through their Athena EMR</li><li>Perform vision tests, analyze results and develop a treatment plan.</li><li>Examine eyes using observation, instruments and pharmaceutical agents, to determine visual acuity and perception, focus and coordination and to diagnose diseases and other abnormalities such as glaucoma or color blindness.</li><li>Prescribe eyeglasses, contact lenses, and medications.</li><li>Prescribe therapeutic procedures to correct or conserve vision.</li><li>Provide pre and postoperative care to patients undergoing eye surgery, for example, examining a patient s eyes the day after surgery.</li><li>Work closed with primary care providers in the provision of team delivery of healthcare.</li><li>Maintain accurate, timely and quality health records.</li><li>Participate in all quality measures as required.</li></ul>Requirements<ul><li>New Graduates Welcome</li><li>Clear and Active Medical Doctor License in the State of Maine</li><li>Board Certified or Board Eligible in Optometry </li><li>Active DEA</li></ul>About UsTitan Placement Group is a permanent placement healthcare recruiting firm that is bridging the gap between healthcare companies and high-quality candidates. We do that by utilizing our core values of communication, collaboration, and accountability. Titan Placement Group is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female candidates to apply.If interested, please apply, or email your resume to We can always be reached by phone at .<img src="https://www.jobg8.com/Tracking.aspx?oEy%2fF1rCtL2YwPwmmvPnMAw" width="0" height="0" />

**Optometrist**

Optometrist needed in Lincoln, ME. Titan Placement Group invites you to explore this opportunity in Lincoln, ME. This position is with a very progressive, well-run, and financially stable Federally Qualified Health Center.

**Job Description**

- 4 Day Work Week 100% Outpatient
- Patients of all ages per day
- Appropriate clinical documentation through their Athena EMR
- Perform vision tests, analyze results and develop a treatment plan
- Examine eyes using observation, instruments, and pharmaceutical agents to determine visual acuity and perception, focus and coordination, and to diagnose diseases and other abnormalities such as glaucoma or color blindness
- Prescribe eyeglasses, contact lenses, and medications
- Prescribe therapeutic procedures to correct or conserve vision
- Provide pre and postoperative care to patients undergoing eye surgery, for example, examining a patient's eyes the day after surgery
- Work closely with primary care providers in the provision of team delivery of healthcare
- Maintain accurate, timely, and quality health records
- Participate in all quality measures as required

**Requirements**

- New graduates welcome
- Clear and active Medical Doctor license in the State of Maine
- Board certified or board eligible in Optometry
- Active DEA

**Benefits**

- The pay for this position is negotiable based on years of experience
- Fiscal year bonus based on productivity
- Health insurance employers pay: (1st day of the month following 60 days)
  - 100% for employee
  - 80% for family plan
- Dental insurance / vision insurance
- Dental benefit at dental center for employee and family with no premiums
- Life insurance at 2x annual salary
- Retirement package 401(K) with 3% match (after one year of employment)
- Student loan repayment through the NHSC
- 120 hours of paid vacation in the first year and 160 hours each year after
- Additional accrued PTO up to 88 hours each year
- 10 paid holidays
- CME time off: 1 week of time toward and $2,500 annually
- Professional liability insurance through FTCA at no cost to employee
- Relocation assistance available

**About Us**

Titan Placement Group is a permanent placement healthcare recruiting firm that is bridging the gap between healthcare companies and high-quality candidates. We do that by utilizing our core values of communication, collaboration, and accountability. Titan Placement Group is an EEO/AA/Disability/Protected Veteran Employer. We encourage minority and female candidates to apply.

Healthcare Jobs in Maine