- Evolent (Augusta, ME)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Central Maine Medical Center (Lewiston, ME)
- …and implement plans and progress of the department. Actively participates in Utilization Management Committee, CQI, varying team meetings and other meetings ... and for each other every day. Central Maine Healthcare is looking for a Clinical Coordinator RN to join their Wound Care team at the Central Maine Heart and Vascular… more
- Highmark Health (Augusta, ME)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… more
- CVS Health (Augusta, ME)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am-5:00pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
- CVS Health (Augusta, ME)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am - 5pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more