• Coordinator , Utilization

    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
    Evolent (05/03/25)
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  • Associate Care Management

    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
    Highmark Health (05/02/25)
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  • Case Manager, Registered Nurse - Oncology

    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 (05/09/25)
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  • Case Manager, registered Nurse - Oncology…

    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
    CVS Health (04/30/25)
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