- Public Consulting Group (Augusta, ME)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Guardian Life (Augusta, ME)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a variety of group sizes ranging from… more
- Guardian Life (Augusta, ME)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- Sweetser (Brunswick, ME)
- Targeted Case Manager - Adult (Brunswick) Job Code:12768 Location:Brunswick 04011 Department:Adult Case Mgmt Services FT/PT Status:Full Time Summary: ... **$2,000 Sign-On Bonus!** **Starting at $22 per hour!** The Targeted Case Manager may function at the initial entry point of the care continuum within the… more
- Assistance Plus (Gardiner, ME)
- Childrens Case Manager Job Details Job Location Gardiner - Gardiner, ME Education Level 4 Year Degree Salary Range $22.00 - $24.50 Hourly Description General ... to provide professional case management service to eligible clients. The case manager is an advocate for clients when securing services and is responsible… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Intensive Case Manager Augusta , Maine , United States | Community & Social Services | Full-time Apply by: May 22, 2025 Apply with Linkedin Apply Department of ... require travel throughout Kennebec County. Core Responsibilities: The community-based Intensive Case Manager (s) will demonstrate expertise in working with both… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Intensive Case Manager - Outpatient Services Augusta , Maine , United States | Healthcare | Full-time Apply by: May 30, 2025 Apply with Linkedin Apply Opening ... Job Overview: Riverview Psychiatric Centeris currently recruiting for an Intensive Case Manager to work in their Outpatient Services department. This position… more
- MaineGeneral Health (Augusta, ME)
- …community through your work at MaineGeneral Health Come be with us. Job Description: The Role: Case Manager (MHRT/C) - Behavioral Health The Case Manager ... and compliance. The Opportunity: MaineGeneral Health is currently seeking an exceptional Case Manager to join our team. MaineGeneral is a leading health care… more
- CVS Health (Augusta, ME)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- CVS Health (Augusta, ME)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Cardinal Health (Augusta, ME)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Guardian Life (Augusta, ME)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who… more
- Assistance Plus (Augusta, ME)
- Adult Case Manager Job Details Job Location Augusta - Augusta, ME Education Level High School Salary Range $22.00 - $25.00 Hourly Description General Description ... of Responsibilities: The Adult Case Manager (ACM) provides services that focus on the specific needs of adults with behavioral health diagnoses and decreased… more
- Cardinal Health (Augusta, ME)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Augusta, ME)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- MaineGeneral Health (Augusta, ME)
- Job Summary: MaineGeneral is looking for a dedicated Home Health Case Manager RN to join our Augusta team. In this role, you'll provide individualized patient ... care in the comfort of their homes, fostering strong patient relationships while promoting health and independence. Job Description: Why Join Our Home Care Team? + Flexible Scheduling - Achieve a better work-life balance. + Less Stressful Pace - Focus on one… more
- Highmark Health (Augusta, ME)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Augusta, ME)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Public Consulting Group (Augusta, ME)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Evolent (Augusta, ME)
- …Pacific Coast time during standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus - Preferred + Knowledge and ... experience teaching self-management. - Preferred + Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; fluency in a foreign language is a plus.- Preferred + Strong work ethic built on a… more