- Humana (Augusta, ME)
- **Become a part of our caring community and help us put health first** The **Telephonic Nurse Case Manager ** will be a member of the Case Management ... case management throughout the continuum of care. The case manager will offer guidance. support, and...+ A current, valid and unrestricted license as a Registered Nurse ( RN ) + Minimum… more
- Public Consulting Group (Augusta, ME)
- …visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will ... experience in case management, including as a nurse , medical, mental health care manager or...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- CVS Health (Augusta, ME)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Augusta, ME)
- …care. - Perform medical necessity reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. - A Registered Nurse that holds an active, unrestricted… more
- Sedgwick (Augusta, ME)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the ... injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through advocacy,… more
- Sedgwick (Augusta, ME)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **We are growing all across the US ... and are looking for experienced Workers Comp Field Case Managers! Required to have a minimum of** **1.5...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… 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 ... Monitor, record, and communicate patient condition as needed. What You'll Need: + Active Maine RN license (or the ability to obtain one promptly). + At least 1 year… more
- Central Maine Medical Center (Lewiston, ME)
- …our community and for each other every day. Central Maine Healthcare is seeking a Care Manager RN to join its care management team! Position Summary: The Care ... school of nursing with at least 1 year of RN experience + Current RN license within...Documentation meets current standards and policies. + Cooperates with Case Manager 's activities with the insurance company,… more
- Public Consulting Group (Augusta, ME)
- …on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… 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...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Androscoggin Home Healthcare + Hospice (Lewiston, ME)
- …and utilize knowledge of pain control & symptom management. What You'll Bring: + Current RN license in the State of Maine. + ANA certification in Home Health or ... Community Health Nursing is encouraged. + Current CPR card required. + One year of recent clinical nursing experience is required. + A reliable car with insurance. Come see what we do with a ride-along or job shadow! All qualified applicants will receive… more
- Gentiva (Augusta, ME)
- …performance improvement programs. **About You** **Hospice Registered Nurse / RN Case Manager Requirements:** + Hospice heart: compassionate, kind and ... need with dignity, grace, and love. **As a Hospice RN / RN Case Manager...+ We maintain a drug-free workplace ReqID: 2025-123120 Category: Registered Nurse Position Type: Full-Time Company: Gentiva… more
- Central Maine Medical Center (Lewiston, ME)
- …more years of previous experience in Utilization Management and/or Care Management.*BSN preferred.Certified Case manager required within 2 years of hire. If you ... community and for each other every day. Position Summary: The Utilization Management Nurse is responsible for a comprehensive clinical review to assess for medical… more
- MaineGeneral Health (Augusta, ME)
- Job Description Summary: MaineGeneral is looking for a dedicated Home Health Case Manager RN to join our Augusta team. In this role, you'll provide ... Monitor, record, and communicate patient condition as needed. What You'll Need: + Active Maine RN license (or the ability to obtain one promptly). + At least 1 year… more
- CVS Health (Augusta, ME)
- …And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special Needs Plan (SNP) ... Meets regulatory requirements within specified timelines. + The Care Manager RN supports other members of the...skills. **Required Qualifications** + Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- Sharecare (Augusta, ME)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- Central Maine Medical Center (Lewiston, ME)
- …in accordance with hospital policies and procedures. Education and Experience: + Current Registered Nurse licensure in State of Maine. + Is a motivated, ... Central Maine Healthcare is looking for a Clinical Coordinator RN to join their Wound Care team at the...priorities of the department. + Meets regularly with the Manager , other clinical Coordinators, and/or Case Managers… more
- CenterWell (Augusta, ME)
- …technical experience + Active RN license in the state(s) in which the nurse is required to practice + Ability to be licensed in multiple states without ... of our caring community and help us put health first** The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to… more
- Central Maine Medical Center (Lewiston, ME)
- …and Prevention Committee; supports committee activities by providing pertinent data, case review facts and statistics regarding the occurrence of infections. ... Control Committee Chairperson and/ or via direct communication with the dept manager .21. Reviews construction areas to ensure Enviroment of Care and IC standards… more