- CVS Health (Augusta, ME)
- …solutions that promote high-quality healthcare for members. **Position Summary** The Associate Manager is responsible for oversight of Utilization Management ... At CVS Health , we're building a world of health...teams. Works closely with functional area leadership team (department Associate Managers, Manager , and other key stakeholders… more
- CenterWell (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve ... chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Associate Director of WFM Capacity Planning is responsible for leading and optimizing ... chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Associate Director, Informatics coordinates with other analytics, IT and business ... chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health ...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates ... resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Nurse 2 work assignments are varied and frequently require interpretation… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient… more
- Northern Light Health (Waterville, ME)
- Northern Light Home Care and Hospice Department: Home Health - Waterville Position is located: Northern Light Home Care and Hospice Waterville Work Type: Full Time ... Regulations defined in the State of Maine Nurse Practice Act, Northern Light Health Standards of Care/Practice, policies and procedures. The Registered Nurse II is… more
- Highmark Health (Augusta, ME)
- …and strong education/training background in coding and reimbursement + Registered Health Information Associate (RHIA) credential **_Disclaimer:_** _The job ... **Company :** Allegheny Health Network **Job Description :** **_*This role will...related to special projects and providing coverage for coding manager (s). (10%) + Depending on location provides or arranges… more
- CenterWell (Augusta, ME)
- …- Lead medical strategy to reduce avoidable ED visits, including oversight of clinical protocols with vendor partners (eg, Dispatch Health ), ensuring appropriate ... Health care model integration - Develop and integrate clinical models to enhance coordination between primary care and...primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Augusta, ME)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** **Become a part of our caring community...use data science and operations research methodologies to recommend clinical staffing needs by skill type, pay type, and… more
- Datavant (Augusta, ME)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...+ Review disagreements on APC/DRG changes with the appropriate manager . + Prepare the final reports for the coding… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the ... highest quality health care for Autism Spectrum Disorder (ASD) related services...Ensure all paperwork and documentation is notated within the clinical management system. + ASN with care coordination efforts… more
- CenterWell (Augusta, ME)
- …for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- CenterWell (Augusta, ME)
- …for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- CenterWell (Augusta, ME)
- …for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- CenterWell (Augusta, ME)
- …for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior ... provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused… more
- CenterWell (Augusta, ME)
- …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... **Become a part of our caring community and help us put health first** **Become a part of our caring community and help us put health first** CenterWell Home … more
- Datavant (Augusta, ME)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...communication with colleagues, management, and hospital staff, while addressing clinical and reimbursement issues **What You Need to Succeed:**… more
- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and ... Coordinate cases with and refer to tier III Care Manager and Disease Management Programs as appropriate. **Use your...RN license + At least 3 years of varied clinical RN nursing experience + TRICARE experience + Knowledge… more